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Exeter Drama's research in Applied Theatre has had impact in the improvement of community understandings of mental health, providing professional development for medics and teachers, and providing and informing training in applied and community theatre. This case study outlines the impact of last twenty years of research and performance practice in applied theatre, developed by Honorary Research Fellow (2005-) and former senior lecturer (1990-2005) John Somers, and continued in the work of Fiona MacBeth, Kerrie Schaefer, Sarah Goldingay, Anna Harpin, and Jane Milling. Somers developed new approaches to community theatre and has given presentations on this work internationally. Impact has also been achieved through Somers' founding of the applied theatre company Exstream (Exeter, 2001) and under his direction Exstream achieved a reputation for excellence through the development of interactive theatre, raising awareness of issues related to wellbeing, mental health, and creativity within the community.
Language impairment is common in children and, without effective early intervention, presents a risk for educational, social and emotional disturbance. The team used their considerable experience in child language research to produce a novel assessment of child language development — The Reynell Developmental Language Scales 3 (RDLS3) — the first test of child language development to be standardised in the U.K. to assess both understanding and production of language in young children. Use of the test has improved language assessment and diagnosis for children with language impairments and, as such, has enabled health and education professionals to target therapy and monitor the effectiveness of interventions to improve child language development. The test has been widely used in the U.K. and is now also being used widely internationally. Recent research by the team has informed a revised version of the test — The New Reynell Developmental Language Scales (NRDLS). Sales figures of the RDLS3 and the commissioning of the NRDLS are testament to its outstanding reputation and enduring legacy worldwide.
The Variable Life-Adjusted Display (VLAD) is a graphical tool for monitoring clinical outcomes. It has been widely adopted by UK cardiac surgery centres, and has helped a shift in culture towards more open outcome assessment in adult cardiac surgery, which has been credited with reduced mortality rates. VLAD is also being used for a broad range of other clinical outcomes by regulatory bodies worldwide. For example, Queensland Health uses VLAD as a major part of its Patient Safety and Quality Improvement Service to monitor 34 outcomes across 64 public hospitals, and NHS Blood and Transplant uses VLAD to monitor early outcomes of all UK transplants.
Essex research on understanding the vulnerability of displaced persons has changed the practice of organisations that work with asylum seekers and refugees. Professor Renos Papadopoulos' research has focused on the resilience and strengths of the individual, rather than seeing him/her as a passive `victim'. This approach has informed two instruments that are used to assess vulnerability: the Trauma Grid and ASPIS. These instruments have been adopted by a number of organisations throughout the world and Papadopoulos has produced a training manual and provided training programmes for frontline and management staff. The examples provided here document his work with organisations based in the UK, Greece, Colombia and Sudan.
Kim's research has had significant impact on global discourse on theology of mission across the world's churches mainly through the World Council of Churches (WCC) and the Edinburgh 2010 project. In particular her research helped to establish the pneumatological framework for mission theology evident in the Common Call of Edinburgh 2010 (6 June 2010) and the new World Council of Churches' statement on mission and evangelism, Together Towards Life (5 September 2012), which may be summarised as `finding out where the Holy Spirit is at work and joining in'.
Research in this Unit at NTU has:
(a) Changed the way victimisation is conceptualised, measured, and reported within official crime surveys;
(b) Transformed the methodological evaluation of the impact of security devices upon crime and repeat victimisation through the introduction of multi-level statistical modelling as opposed to bivariate cross-tabulations which constituted the state of the art prior to her work.
Professor Tseloni's research has directly informed the methodological training of crime survey analysts (including those working on the Home Office British Crime Survey), and contributed through the dissemination of Home Office guidelines to the day-to-day crime reduction practices and responses to crime of police forces in England and Wales.
Terrestrial Trunked Radio (TETRA) is a very well known, international specification for secure mobile radio and `walkie-talkie' communication, that is extensively used and relied upon by emergency and public safety services such as police, ambulance and fire services, as well as governmental and private bodies. The European Telecommunications Standards Institute (ETSI) began standardising TETRA in the 1990s and it is now widely used throughout the world. Foundations of its success include resilience and reliability, but security is a major feature, being underpinned by expert cryptographic design. In particular the authentication and key generation mechanisms in TETRA rely on a block cipher (HURDLE) which was designed by a team of cryptographers at Royal Holloway.
The work carried out at Royal Holloway underpins the integrity and security of TETRA safety- critical networks throughout the world to the present day. A secure design for emergency service communications minimises both the amount of disruption criminals can cause to service operations, and the amount of operational information such criminals can glean from eavesdropping, contributing to the safety and security of society as a whole as well as the economic benefits to manufacturers of TETRA-based equipment.
Research by Melanie Nind of the University of Southampton and her collaborator (Hewett) has had a national and international impact on the practice of professionals who teach people with severe learning disabilities. The Intensive Interaction approach is included in UK National Curriculum guidance, the Government's Strategy for people with learning disabilities, and it is used across education, psychology, social care and speech and occupational therapies. Nind's research has shaped the implementation of Intensive Interaction, and provided practitioners in Eastern Europe, New Zealand, and Australia with new data and concepts that help to inform practice to enrich the lives of a vulnerable population.
Research carried out in the International Observatory on End of Life Care (IOELC) at Lancaster University led by Professor Payne has played a major role in influencing the strategic direction of service and policy development globally. IOELC initiated the systematic collation of development data and delivered the first research-based international analysis of the development of palliative care. For example, research on access to opioids in 12 resource poor countries in central and eastern Europe via the ATOME project has delivered major impact, leading to significant changes in legislation and policy and improved access to pain medication, and palliative and end of life care for millions of people around the world.
The development of a cardiac magnetic resonance technique at Imperial College and Royal Brompton Hospital to quantify myocardial iron concentration has resulted in the early identification of thalassaemia major patients at risk of heart failure and targeted cardiac treatment with a hitherto little used iron chelator, deferiprone, following randomised controlled trials of efficacy. Since 2008 these advances have resulted in a 71% reduction in cardiac death from myocardial siderosis in thalassemia major in the UK.