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Sport and exercise research at Southampton Solent University commenced in 2007 and comprises a young research team focussed on strength and conditioning within sport. The overarching methodological approach is defined in the work of Fisher et al (2011) as momentary muscular fatigue (MMF) whereby training is undertaken to maximal exertion. Using MMF the research team have published findings and their conclusions for public benefit, thus improving performance with a range of client groups in sport. The impact of this methodological approach is far reaching, improving performance in elite performers, whether they are able or disabled. The beneficiary groups include; two Paralympic squads in the build up to, and including, the London 2012 Paralympic Games and a premiership football team.
As a consequence of a research-based training programme developed at the University of Bristol, the rates of perinatal hypoxia and intrapartum fetal injury in Bristol and two pilot units in Australia and the US are now among the lowest in the world. The improvements achieved in Bristol, the US and Australia have also been successfully achieved in a low resource setting in Zimbabwe.
In response to demand from maternity units across the world, the Bristol team has developed PROMPT — a PRactical Obstetric Multi-Professional Training package, which has been successfully implemented in over 20 countries worldwide. PROMPT has had a major health and welfare impact on more than a million mothers and their babies, as well as bringing substantial economic benefits and supporting international development.
Because of the arduous nature of recruit training, high wastage (due to failure or withdrawal) has always been a problem for the Armed Services. A ten year programme of research funded by the Ministry of Defence (MoD) led to changes in the delivery of training across the three Armed Services (especially the Army), the formation of a new Army training establishment, a new tri-service monitoring and training body, better mental health in military recruits, and significant reductions in wastage rates (up to 15%). The model developed by this research has also informed training in the Canadian and United States Armed Services.
Professor McKenna and his team demonstrated that it was possible to assess the ability to detect potentially hazardous events, by producing and testing a hazard perception test. They showed that new drivers have relatively poor hazard perception skills (are slower to detect hazards) than more experienced drivers, and that hazard perception skills can be improved by training. After discussions with and presentations to key stakeholders, McKenna's hazard perception test was introduced into new driver testing in the U.K., and subsequently the Netherlands and Queensland, Australia. The introduction of this test has improved road safety for drivers and other road users and is associated with a reduction of certain types of road traffic accidents by 11%. The research has also led to increased public awareness of the importance of hazard perception among drivers and the general public.
Policymakers in the government departments responsible for health and education, Local Safeguarding Children Boards (LSCBs) and many thousands of professionals with child-protection roles have benefited from Bristol's research into inter-agency training. The research provided crucial information on efficient organisational partnerships for training and strong evidence of the effectiveness of inter-agency training in promoting mutual understanding, changing attitudes and developing confidence. Bristol's findings underpinned statutory guidance in the Government's Working Together to Safeguard Children (2010) [b], which required LSCBs to provide such training. The research ended a 30-year period during which inquiries into the deaths of children at the hands of their parents consistently criticised the failure of professionals to communicate and work together effectively and advocated inter-agency training as a solution, but had little or no supporting evidence.
Specific impacts are evidenced in: the citation of the research findings in support of LSCBs' training strategies; the increased provision of training programmes in the three years since publication, in spite of budget restrictions; the successful targeting of previously disengaged groups, particularly GPs; and the use of an NSPCC-sponsored bespoke evaluation toolkit developed by the research team.
The body of research relating to perception and interpretation of medical images has generated a range of impacts on the practice and training of radiologists and reporting radiographers, with resultant benefits for patients. Engagement with the research findings has raised awareness in clinical practitioners of the implicit strategies they use during medical image interpretation and in particular the type and frequency of errors, including the prevalence of decision-making mistakes over issues of pathology perception. Practitioners have benefited through considering their individual strategies, leading to enhanced decision making processes and reducing error rates in interpretation of 2D and 3D images.
The impact has been achieved through engagement with the sector through relevant professional bodies, practitioner orientated publications and direct involvement of the research team in training and development activities for practitioners.
The impact of the research on practitioner diagnostic strategies is applicable across all areas of radiology and diagnostic radiography, but is also being explicitly pursued to determine training methods and assessment when radiologists view 3D Computed Tomography Colonography data for bowel cancer.
Research at the University of Bath has had a significant impact on reducing the burden of injury and illness in military training and sport. We have engaged practitioner communities in evidence-based approaches to injury and illness prevention. Our research has contributed directly to reducing the burden of musculoskeletal injuries and heat illness by informing military personnel selection, training and healthcare policies. This affects approximately 20,000 military trainees per year and has resulted in reduced morbidity and estimated training/medical costs of over £60 million per annum. Our injury surveillance research has helped shape the Rugby Football Union's (RFU) medical safety policy and, based on our research, the International Rugby Board (governing 5 million players worldwide) announced in May 2013 a global trial of new scrum laws designed to reduce the incidence/severity of neck injuries.
Approximately 3-6% of children in the UK have literacy difficulties and are at high risk of educational underachievement. Basic scientific investigation of reading and language development and disorders led to the design and evaluation of school-based interventions for children with language and literacy difficulties. The findings have fed into government reports on the teaching of literacy in schools, dyslexia and the assessment and monitoring of children's progress in phonics in the form of the nationally-introduced Phonics Screening Test. The interventions, delivered by teaching assistants, were implemented and evaluated in Cumbria and North Yorkshire. They are now recommended by the Department for Education and are commercially available from Down Syndrome Education International, and have influenced the procedures of the Special Educational Needs/Tribunal Service.
Within the UK Armed Forces, stress fractures during training in military recruits represent the single largest cause of lost duty days, resulting in substantial costs for the Ministry of Defence.
Research by the University of Surrey has established unique associations between physical characteristics, bone health and nutrition on stress fracture incidence during Royal Marine and Royal Air Force recruit training. This has led the MoD to change entry criteria and to update nutritional advice both in training and during deployment for military personnel. The resultant reduction in number of stress fractures has had both economic and health and wellbeing impacts.
Fallowfield designed, ran and demonstrated the long-term effectiveness of a comprehensive three-day training programme that significantly improved cancer doctors' communication skills. Publications from a major randomised trial showed that improvements transferred into the clinical setting and were enduring. These findings were pivotal and led to key components of courses being embedded in a Department of Health initiative called Connected; this trained facilitators, and provided materials for training all health-care professionals (HCPs). Attendance at Connected courses became mandatory for all consultant staff. Over 16,000 UK HCPs have participated since 2008.