“Like being in a foreign country”: Communication Issues for People who have had Strokes

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Dr Rachel Povey

Trainee Health Psychologist Louise Clancy together with her supervisor Dr Rachel Povey (Senior Lecturer in Health Psychology) are conducting research into the experiences of stroke patients with communication difficulties. Louise, whose placement is at Bradford Hospitals NHS Trust, has already conducted a systematic review and an interview study to examine patients’ communication difficulties, and is now recruiting for a quantitative study which looks at the differences in people with and without communication difficulties after having a stroke.

Communication difficulties after having a stroke are very common with about a third of stroke patients having problems with communicating including speaking, reading and understanding what other people are saying (known as aphasia). The interest for this research came from Louise’s experiences of working in a stroke rehabilitation setting both in the UK and Australia.

Louise explains: “via working in stroke care settings and conducting research in this area I have observed the physical, emotional, cognitive and social challenges faced as a consequence of stroke and have become passionate about facilitating the voices of this group in being heard”.

The findings from all three studies will be used to inform future training programmes for healthcare professionals who work with people with post-stroke aphasia.

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The systematic review was completed, together with Dr Greg Norris, a Consultant Clinical Neuropsychologist, and looked at communication interventions developed for healthcare professionals working with patients with post stroke communication difficulties. The findings showed that these interventions were beneficial to staff and patients, although time and financial constraints are common issues which can be a key barrier to attending training. The interview study aimed to explore in depth the experiences of staff-patient communication within inpatient stroke care settings. Louise interviewed patients and carers as well as healthcare professionals in order to get an overall view of the issues.  The interviews gave an excellent insight into the issues faced by all three groups, with communication issues for people with stroke being likened to “being in a foreign country”. The final piece of research is being conducted using an online questionnaire and is aiming to look at the differences between people with and without communication difficulties after having a stroke.

Louise is conducting this research with the support of Dr Lyndsey Hall-Patch (Clinical Neuropsychologist) and her Academic Supervisor Dr Rachel Povey. If you have had a stroke, and would like to be a part of this interesting study, please go to: http://bit.ly/22gYrg0 to find out more details.


The Home of Health Psychology – Staffordshire University

Staffordshire University’s Centre for Health Psychology is a Psy1centre of excellence for teaching and research in Health Psychology, and is home to Staffordshire’s BPS Accredited Stage 1 MSc in Health Psychology and BPS Accredited Stage 2 Professional Doctorate in Health Psychology. The Centre for Health Psychology is part of the School of Psychology, Sport and Exercise, one of the leading research-active academic schools for Psychology and Sport degrees situated in the heart of England.

For further information about Health Psychology courses and research at Staffordshire University please visit the following webpages:

Me-Therapy: A new online mindfulness-based resource for people dealing with cancer

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Dr Rachel Povey

Trainee Health Psychologist Szilvia Vas together with her supervisor Dr Rachel Povey, Senior Lecturer in Health Psychology at Staffordshire University and member of the Centre for Health Psychology, are recruiting participants to trial their new mindfulness-based online resource “Me-Therapy”.

Me-therapy was originally conceptualized by Miss Vas and developed together with Dr Povey as a resource for improving body image and managing physical changes associated with cancer. The trial is being conducted jointly with CancerCare US, and is free for anyone who would like to take part.

Participating in this online program is a unique opportunity for anyone facing cancer, as it gives men and women the chance to work through some of the body-image changes that they might be struggling with during or after treatment,” says CancerCare Social Work Internship Programme Director, Maria Chi. The program provides tools to help people become more mindful of the present moment and how their thinking patterns directly affect what they’re feeling.”

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www.me-therapy.org

Me-therapy was inspired through Miss Vas’ work at the Douglas MacMillan Hospice in Stoke-on-Trent. The programme includes video clips, audio resources and mindfulness exercises to teach participants how to challenge unhelpful thoughts and behaviours that characterize negative body image. Participants are also provided with direct email support as they are provided with trained “body image buddies” to better address users’ unique needs.

Participants must be 18 years of age or older. To register, visit www.Me-therapy.org

For more details of this trial, please visit the Cancer Research UK website.


Staffordshire University is home to the Centre for Health Psychology, a centre of excellence for teaching and research in health psychology. For further information about Health Psychology courses and research at Staffordshire University please visit the following webpages:

Dr Sarah Dean: Reviewing Eye-Patching Treatment for Children with Amblyopia

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Dr Sarah Dean

Dr Sarah Dean, Senior Lecturer in Psychology and a member of Staffordshire University’s Centre for Health Psychology, summarises the findings from her recent review of research on patching treatment for children with amblyopia which has recently been published by the British Journal of Ophthalmology:

Amblyopia or ‘lazy eye’ is a condition that affects a lot of children. Children with amblyopia have poor vision in one eye and without treatment this vision does not develop, meaning they have an increased risk of blindness. Treatment for amblyopia often involves the child being prescribed to wear a patch over their ‘good’ eye for part of the day. This forces the child to use their ‘lazy eye’ which allows the vision to develop. Although this treatment has been found to work really well when used with children under 7 years old, a lot of people find it difficult to adhere to their prescribed treatment. I am exploring strategies to encourage children to complete the treatment.

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Getting young children to wear eye-patches can be quite difficult!

In our recent paper, myself and my colleagues, Dr Rachel Povey and Jessica Reeves, investigated how effective existing interventions which aimed to increase compliance to patching treatment in children with amblyopia were. We reviewed nine studies in our final sample, with interventions ranging from sticking the patch more tightly to the child’s face, changing aspects of the patching regime, to providing information for the child, family and friends. Our findings indicated that interventions that include an educational element may be most effective in encouraging children to keep wearing their eye-patches to treat amblyopia.


Dr Sarah Dean plans to continue working in this area. In her next study she plans to talk to young children who are undergoing patching treatment to find out more about their experiences of patching. Information from this next study will then help her to develop a new intervention to help children complete their patching treatment.

Read more about Sarah’s review via the British Journal of Ophthalmology’s website:

Dean, S.E., Povey, R. P., & Reeves, J. (in press). Assessing interventions to increase compliance to patching treatment in children with amblyopia: a systematic review and meta-analysis. British Journal of Ophthalmology. doi:10.1136/bjophthalmol-2015-307340


Staffordshire University is home to the Centre for Health Psychology, a centre of excellence for teaching and research in health psychology. For further information about Health Psychology courses and research at Staffordshire University please visit the following webpages:

Second Diabetes Training Day for Practice Nurses described as “Excellent”

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Dr Rachel Povey

Dr Rachel Povey, Senior Lecturer in Health Psychology, reports on a successful training event for nurses recently held at Staffordshire University:

On 22nd July 2015, Staffordshire University held a second successful training day for practice nurses on motivating dietary change for people with type 2 diabetes. The programme this year was attended by 14 practice nurses as well as the Senior Healthcare Professional Engagement Officer from Diabetes UK (Suj Ahmed). The training uses an innovative Resource Pack, originally developed by Dr Rachel Povey (course tutor), which is written specifically for practice nurses. Rachel and Lisa Cowap jointly developed the training programme in 2014, using examples from the pack to provide nurses with a range of psychological ‘tools’ which can be used to help motivate patients to make positive dietary changes in the self-management of their condition. This year’s programme was run by Rachel and Lisa, together with Sue Curtis, a Diabetes Specialist from Manchester Diabetes Centre.

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Dr Rachel Povey at the training event

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Lisa Cowap delivers her training session to the attendees

Suj Ahmed, Senior Healthcare Professional Engagement Officer from Diabetes UK stated that “The course is excellent. A good mixture of theory and practical experience for influencing behaviour change in diabetes patients by practice nurses”.He also conducted a straw poll during break discussions and reported that all attendees said they would definitely use some of the learning and techniques from the course to engage their patients to make dietary behaviour changes.

Evaluations of the programme from the nurses were also extremely positive, with a mean rating of 9.1/10, and some encouraging comments, including: “Excellent, should be attended by all Practice nurses” and “Handouts and materials provided are excellent and can be applied to practice.

For further information about Health Psychology courses and research at Staffordshire University please visit the following webpages:

Funded Bursary for a Trainee on the Professional Doctorate in Health Psychology at Staffordshire University

The Department of Psychology at Staffordshire University is delighted to announce its first funded student bursary for the highly successful Professional Doctorate in Health Psychology programme.

The bursary has been provided by Mid Yorks NHS Trust, is £13K per annum for two years, and will provide a placement for a full-time trainee at Pinderfields Hospital in Wakefield. The trainee will be working primarily with the Consultant Clinical Psychologist on the Paediatric Burns Unit, but opportunities to undertake clinical work with adults will also be available via input into other medical specialties (such as diabetes, chronic pain etc.).

Dr Dorothy Frizelle, Consultant Clinical Psychologist & Head of Service, Mid Yorkshire Hospitals NHS Trust stated: “This is a great opportunity for a health psychology trainee. This placement will provide the trainee with many opportunities to develop a health psychology skill set. This placement will also allow us to pioneer closer links between clinical and health psychology, and help to break down barriers

Further details about the bursary is available here. Please note that the closing date is noon on Thursday, 3rd September, 2015.

For further information about this exciting opportunity please contact Dr Rachel Povey (r.povey@staffs.ac.uk). Further details about Staffordshire University’s Centre for Health Psychology can be found here.

Other Postgraduate Funded Opportunities at Staffordshire University

Staffordshire University is also offering four fully funded PhD Studentships in Psychology, including several health psychology-related PhDs, click here for more information about these PhD opportunities.

Fully Funded PhDs in Psychology at Staffordshire University!

The Department of Psychology at Staffordshire University are pleased to be offering four fully funded PhD Studentships. These studentships will involve conducting a major research project (see below for details) as well as some light teaching duties.

Staffordshire University's £30 million Science Centre, home of the Psychology Department

Staffordshire University’s £30 million Science Centre, home of the Psychology Department

The studentships include a fee waiver, a tax-free stipend of £14,057, and six hours per week of teaching duties.

Interested parties are recommended to contact the respective Principal Supervisors for further details about their studentship. Further details about the application process for these PhD studentships is available here.

Please note that the closing date for applications is Monday 14th September 2015.


1. The design, development and evaluation of a diabetes prevention programme

Principal Supervisor: Dr Rachel Povey (email R.Povey@staffs.ac.uk).

Diabetes is a significant health issue within the UK, with over 3 million diagnosed and an estimated 590,000 as yet undiagnosed with Type 2 diabetes (Diabetes UK, 2015), costing the NHS approximately £10 billion per year. As Type 2 diabetes can be preventable, the NHS, Public Health England and Diabetes UK have recently launched a national Diabetes Prevention Programme, which will be piloted in seven sites around the UK.   The proposed PhD studentship has been developed through ongoing collaboration between PSE researchers and Public Health England (PHE). It will be supervised by Dr Rachel Povey, Dr Chris Gidlow and Dr Naomi Ellis and will involve the development, support and evaluation of aspects of the Diabetes Prevention Programme. Although this will be driven, in part, by the needs of PHE, the first months will be spent defining the PhD based on the available opportunities, in addition to the student’s own ideas, experience and expertise

Supervisory Team: Dr Rachel Povey, Dr Chris Gidlow & Dr Naomi Ellis.


2. Applying the social norms approach to improve dietary behaviours amongst high school students

Principal Supervisor: Dr Robert Dempsey (email Robert.Dempsey@staffs.ac.uk)

Rates of obesity and the consumption of unhealthy, “junk”, foods are rising amongst young adolescents. This PhD project will involve the development and evaluation of a social norms-informed intervention to promote healthy eating amongst high school children. The intervention will be based on the Social Norms Approach, an intervention strategy used to elicit positive behaviour and attitudinal change by challenging commonly held misperceptions of peer behaviours and attitudes. Social norms interventions have been primarily conducted in the USA and have focused on reducing substance use by university students, with few studies investigating the presence of normative misperceptions of healthy eating amongst young adolescents and whether these misperceptions can be challenged via normative feedback.

Aims:

  • Conduct a systematic literature review of existing studies.
  • Develop a social norms-informed intervention which can be used in-class (using a cluster randomised controlled design) with input from children from the intervention site.
  • Investigate the extent of normative misperceptions of peer healthy eating behaviours and attitudes amongst high school students.
  • Conduct a small-scale study (a cluster randomised controlled trial) to investigate whether the social norms intervention has a significant impact on normative misperceptions and healthy eating behaviours and attitudes.
  • Evaluate the effectiveness and acceptability of the intervention (using both qualitative and quantitative methodologies).

The successful candidate will be expected to make an original contribution to the design of the project and be capable of working independently. This is an exciting project which is ideally suited for a bright, motivated and enthusiastic graduate with interests in health psychology, behaviour change and in evaluating the Social Norms Approach.

Supervisory Team: Dr Robert Dempsey, Dr Rachel Povey, & Prof Tony Stewart.


3. The role of attention and negative emotion in the production of false memories

Principal Supervisor: Dr. Louise Humphreys (email L.Humphreys@staffs.ac.uk)

Research suggests that memory is enhanced for emotionally negative events (Humphreys, Underwood, & Chapman, 2010), yet negative emotion can lead to heightened susceptibility to false memory (Porter et al., 2010). Whilst research has examined the role of attention in emotional memory (typically results show that emotional stimuli capture more attention than neutral stimuli and are preferentially attended to despite other task demands), few studies have addressed what role attention plays in emotional false memories. Van Damme and Smets (2013) is one of only a few studies that have examined this. They found that negative valence inhibited central false information but increased peripheral false information, suggesting that attention is drawn to emotionally arousing features (with fewer resources available for processing peripheral details). Based on these findings a measure of attention should show differences in attention allocation between central and peripheral details. However, to our knowledge no research has directly measured the role of attention in false memory production.

The role of attention in emotional false memory will be examined by 1) manipulating attention at study, and 2) measuring attention using eye-tracking methodology. This research has important implications for the courts, where false memories are a perennial problem. Presenters of fact (e.g., barristers, solicitors) as well as triers of fact (e.g., judges, jurors) need to become aware of factors that can influence people’s susceptibility to false memories. This research aims to examine attention to emotionally negative events, and how this impacts on people’s susceptibility to false memories.

Supervisory Team: Dr Louise Humphreys & Dr Sarah Krähenbühl


4. Portraits of Pain: The use of pain drawings to meaningfully communicate pain experiences

Principal Supervisor: Professor Karen Rodham (email: Karen.Rodham@staffs.ac.uk)

There is evidence that pain drawings may be a method by which people in pain can meaningfully communicate, understand and potentially alter their pain experiences. This study follows a protocol established and tested by Loduca and colleagues (2014) in Brazil, which incorporates pain portraits into the rehabilitation process. Understanding more about a person’s experience of pain will facilitate the development of more individualised and patient-centred treatment plans.

We are currently completing a feasibility study exploring how best to incorporate the Pain Portrait process into a UK NHS-based pain management programme. The PhD builds on this feasibility study.

Aim: To explore whether replicating and implementing the pain portrait process in clinic in the UK can:

  • help patients communicate and cope better with their pain;
  • help staff understand more about their patients’ pain experience
  • improve patient outcomes
  • provide insight into cultural (UK-Brazil) differences in pain experiences

Supervisory Team: Prof Karen Rodham, Dr Amy Burton and Prof Tony Stewart.


Further details about our courses in Psychology can be found here. Please click on the following links for further details of Staffordshire University’s research centres in Psychology, including our Centre for Health Psychology and Centre for Psychological Research.