Digital Commons Network^™

Encountering The Blue Economy Through Event Ethnography: A Methodological Reflection On The Geographies Of Policymaking, Carlo Ceglia

School of Engineering, Computing and Mathematics

This article offers a methodological reflection on adopting a particular type of ethnography—event ethnography—to engage with the production and circulation of policy realities. Responding to recent geographical calls asking us to critically investigate the Blue Economy (BE)—a recent policy paradigm supposedly ensuring economic development, social well-being, and environmental sustainability—I detail my choice of event ethnography as the primary methodological choice informing my encounter with one such paradigm in the archipelagic state of the Republic of Seychelles. In doing so, this article expands on current qualitative methodological approaches for the study of the BE by foregrounding the potentialities of event ethnography …

Outcomes Of A Penicillin Allergy De-Labelling Implementation Intervention In A Uk Hospital: A Prospective, Single Centre, Type 2 Hybrid Effectiveness-Implementation Study Evaluated Using Mixed Methods, Neil Powell, Daniel Hearsey, Robert West, Mathew Upton, Bridie Kent, Sarah Tonkin-Crine, Jonathan Sandoe

School of Biomedical Sciences

Background: Non-allergy specialist healthcare workers removing low-risk penicillin allergy (penA) records, enabling patients to receive penicillin antibiotics, is safe but not common practice. We developed a behavioural change implementation intervention to support non-allergist healthcare workers to remove incorrect penA records from adult inpatients (penicillin allergy de-labelling; PADL). This study aimed to evaluate the effectiveness of the implementation intervention strategy and its impact on delabelling and antibiotic prescribing. Methods: The implementation intervention was launched 10^th June 2024. This prospective, single centre, type 2 hybrid effectiveness-implementation study was evaluated using mixed methods: process evaluation, qualitative and quantitative study designs. The proportion …

The Effect Of Face Masks On The Perception Of Trustworthiness And Competence In Individuals With Autistic Traits, Farid Pazhoohi, Maryam Rostami-Aghoui, Leilani Forby, Keina Aoki, Alan Kingstone

School of Psychology

Facial expressions play a crucial role in social communication, influencing judgments of trustworthiness and competence. While previous research has examined how face masks affect trust and competence in general populations, little is known about their impact on individuals with high autistic traits, who often rely more on the mouth region for social cue interpretation. The present study investigates the effects of face masks on perceptions of trustworthiness and competence as a function of high and low autistic traits. Results show that masked faces are generally perceived as more trustworthy and competent than unmasked faces. The effect of mask wearing on …

Brain Reward Function In Young People With Cannabis Use Disorder: A Functional Magnetic Resonance Imaging Study, Martine Skumlien, Lisa‐Marie Greenwood, Arush Honnedevasthana Arun, Isabella Goodwin, Anastasia Paloubis, Tribikram Thapa Rana, Marianna Quinones Valera, Eugene Mctavish, Gabrielle Abbott, Suraya Dunsford, Antonio Verdejo‐Garcia, Jessica Ramamurthy, Mark M. Schira, Nadia Solowij, Chao Suo, Valentina Lorenzetti

School of Psychology

Background and Aims: Cannabis use disorder (CUD) affects ~50 million people globally. Neuroscientific theories suggest that a blunted neural response to non-drug rewards is a hallmark of substance use disorders; however, this remains untested in CUD. The current study tested whether brain reward system responses to the anticipation and feedback of monetary rewards differed in people with CUD and controls. Design: Observational study using functional magnetic resonance imaging (fMRI). Setting: Participants were recruited from universities and the community in Wollongong, Australia. Participants: Sixty-four individuals with CUD (20 female) and 28 controls (9 female), aged 18–32 years. Measurements: Participants completed a …

Effect Of Implementing An Evidence-Based Clinical Practice Intra-Hospital Transport Guideline For Hospitalized Children: A Type Iii Hybrid Implementation-Effectiveness Study, Yang Li, Yuxia Yang, Jing Hu, Wenchao Wang, Yun Jin, Weijie Shen, Yanhong Zhang, Yingfeng Zhou, Ye Cheng, Jos M Latour, Ying Gu

School of Nursing and Midwifery

BACKGROUND: Intra-hospital transfers (IHT) of hospitalized children are unavoidable practices often performed with emergency patients and postoperative patients. Standardizing IHT processes to minimize adverse events might improve children's outcomes. We developed an evidence-based clinical practice IHT guideline for hospitalized children. The aim of this study was to evaluate the implementation process and the effectiveness of the implementation of this guideline on patient outcomes, healthcare professionals' knowledge and behavior, and hospital organizational context.

METHODS: A type III hybrid effectiveness-implementation design was adopted, using a pre-post intervention trial (January-December 2024). Data of patient demographics, transport-related outcomes, and healthcare providers' knowledge and compliance …

‘Wala Kaming Alam Sa Stroke Care’ (We Don’T Know Anything About Stroke Care): Experiences Of Care Providers Delivering Stroke Rehabilitation Care In The Philippines, Fiona Leggat, Sarah Ann Buckingham, Aira Patrice Rueda Ong, Bridie Kent, Nena Marie Santos, Annah Teves, Vergil Boac, Paula Melizza Valera, Elda Anota, Maria Mercedes Barba, Myrna Estrada, Neil Bryan Pita, Alyssa Dar Juan, Lorraine Faeldon, Fiona Jones

School of Nursing and Midwifery

BackgroundIn the Philippines, rising stroke prevalence and healthcare inequalities present a concerning outlook. While acute stroke care is prioritised, rehabilitation remains undervalued. The experiences of healthcare providers who deliver stroke support are also under-researched.Objective(s)Our study aimed to explore the experiences and needs of care providers across multiple regions of the Philippines to inform the development of stroke support initiatives and programmes.MethodsForming part of the Tulong, Ugnayan ng Lingap At gabaY (TULAY) project, a qualitative descriptive design involving semi-structured interviews was used. Care providers with professional or voluntary community healthcare service delivery roles were recruited. Data were analysed using reflexive thematic …

Participants’ And Physiotherapists’ Views On The Delivery Of A Randomised Controlled Feasibility Trial Investigating A Bespoke Dynamic Elastomeric Fabric Orthosis For Women With Chronic Pelvic Girdle Pain: A Qualitative Exploration, Bradley Halliday, Jennifer Freeman, Sarah Chatfield, Lee Cameron, Kirsty Carter, Joanne Hosking, Jill Shawe

School of Health Professions

Background: Chronic pregnancy-related pelvic girdle pain (PPGP) affects approximately 10–30% of postpartum women beyond 3 months. Such pain is typically recalcitrant to standard care. A dynamic elastomeric fabric orthosis (DEFO) is one option. A feasibility randomised controlled trial (fRCT) assessed the feasibility and acceptability of trial design, interventions and data collection. The aim of this qualitative sub-study was to explore the experience of women participating in the feasibility trial, and physiotherapists delivering the trial intervention. Methods: An embedded qualitative study within a fRCT. The fRCT randomised participants to either control (standard care involving advice and exercise) or intervention (standard care …

Item Selection Rules For Content Adaptive Progress Testing, Gergo Pinter, Nuno Santos, José Miguel Pêgo, Daniel Zahra, Steven Burr

Peninsula Medical School

Content adaptive progress testing (CAPT) introduces a new approach to longitudinal testing of candidates who take progress tests as part of their educational program. CAPT assessments adapt between subsequent assessments, tailoring items on an individual level to assist each candidate in demonstrating knowledge across many topics which are all mapped to the overall course learning outcomes. In this way, success is measured by topic completion on an individual level. Some of the key benefits include a truly personalized learning experience, with individual feedback throughout, while also tracking each candidate’s progress against a single long-term goal of demonstrating attainment across all …

Ischaemic Conditioning To Improve Patient And Organ Outcomes After Kidney Transplantation, Robert Stabler, Helen Mckenna, Madelaine Gimzewska, Dan Harvey, Muhammad A Khurram, Kieran Mccafferty, Kristin Veighey, Jeremy Fabes

Peninsula Medical School

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To evaluate the benefits and harms of ischaemic conditioning on patient and organ outcomes in kidney transplantation.

Concept Analysis In Occupational Therapy Research: Exploring Approaches And Discipline-Specific Considerations, Patricia Schofield, Tanja Krizaj, Kirsty Thomas

School of Nursing and Midwifery

PurposeThis paper aims to explore the use and considerations needed for conducting a concept analysis within occupational therapy research. Concept analysis is a popular analytical research tool used with the methodology providing firmer definitions of ambiguous concepts.Design/methodology/approachAn exploration into the use of concept analysis within occupational therapy research. Discussing current approaches of concept analysis and the implementation of this within occupational therapy research.FindingsConcept analysis within occupational therapy research requires further consideration. Current research is favouring one approach when completing a concept analysis that leads to common flaws within the methodology.Originality/valueFurther consideration is required to the approaches followed when completing a …

Dental Educators' Perceptions Of Factors Contributing To Their Well‐Being—A Qualitative Study, M. Powell, Y. Howell, S. Anishchuk, S. Bhatia

Peninsula Dental School

BackgroundStress levels within academic institutions are high and have continued to rise over recent decades. This can have a detrimental impact on the well-being of dental educators and puts them at a risk of burnout. It is vital to explore the factors that affect the well-being of staff and identify solutions to inform the development of strategies for the promotion of well-being.MethodsParticipants attending the ADEE annual conference were invited to participate in a qualitative study using focus group discussions to explore this topic. Prompts for the four focus group discussions were identified from quantitative data collected in an earlier study …

Ai Insurance Chatbots And Phygital Service Engagement: The Triadic Impact Of Trust-Anxiety-Complexity- On Aging Consumers, Rajat Subhra Chatterjee, Bindu Singh, Ranjan Chaudhuri, Sheshadri Chatterjee, Demetris Vrontis, Pantea Foroudi

Plymouth Business School

This study examines elderly consumers’ perceptions of the design of AI insurance chatbot services in a phygital context. Drawing on the extended reality technology (ERT) framework and the stimulus–organism–response (SOR) model, it explores the cognitive–affective dynamics shaping chatbot adoption in a sensitive service setting. Data were collected from 396 elderly consumers of major insurance companies in Malaysia and analysed using structural equation modelling to assess mediating and moderating effects. Findings show that perceived trust critically mediates the relationship between cognitive factors and chatbot adoption. Technology anxiety and perceived complexity strongly moderate the trust–usage relationship, confirming a triadic interaction. The study …

Robotic Assessment Of Human Motor Control: Contextual Learning, Aging, And The Balancing Of Unstable Systems, Laura Alvarez Hidalgo

School of Engineering, Computing and Mathematics Theses

This thesis investigates human sensorimotor control using three complementary sets of experiments. These examine contextual motor learning, aging-related motor performance, and human balance.First, a series of experiments examined how different sensory modalities influence motor memory formation during dynamic learning. Using a robotic manipulandum to implement an interference task, we assessed how the contextual effect of visual and passive lead-in movements decays over time, specifically as a function of dwell time between the movement cue and the required action onset. Results revealed a modality-dependent pattern of decay: while both cue types enabled dual adaptation to opposing force fields, passive cues preserved …

The Development Of The Daughter-Guarding Scale: An Exploratory And Confirmatory Factor Analytic Study, Ray Garza, Farid Pazhoohi

School of Psychology

Fathers represent one of the earliest opposite-sex relationships for daughters, and it has been suggested that fathers may shape their daughters' developmental trajectory. Fathers are often stricter with their daughters compared to sons in monitoring and correcting behaviors, most notably in the avenue of social and sexual monitoring. Nonetheless, there are no valid measurement tools for capturing the different factors associated with daughter-guarding by fathers. The current study proposed an instrument for addressing daughter-guarding as reported by fathers. In Study 1, an exploratory factor analysis showed that 3-underlying factors were present in daughter-guarding, such as social monitoring of friends, guarding …

The Future Of Epilepsy Care In The United Kingdom: A Roadmap For Technology-Enabled Transformation, Rohit Shankar, John Terry

Peninsula Medical School

Epilepsy is recognized to be a significant cause of premature mortality, socio-economic distress and poor quality of life in economically developed countries. Despite clear clinical guidelines, epilepsy care is marked by delayed diagnosis, fragmented management, high emergency admission rates, and pronounced health inequalities affecting rural populations, ethnic minority groups, and people with intellectual disabilities. Diagnostic pathways remain inefficient, with prolonged waits for electroencephalography (EEG), low sensitivity of routine investigations, and repeated inconclusive testing. Long-term management continues to depend on infrequent hospital visits and unreliable patient recall, contributing to suboptimal seizure control, avoidable morbidity, and preventable mortality. In the United Kingdom, …

Analytical And Cross-Sectional Clinical Validity Of A Smartphone-Based U-Turn Test In Multiple Sclerosis, Marta Plonka, Rafal Klimas, Dimitar Stanev, Lorenza Angelini, Natan Naplorkowski, Gaby Gonzalez Chan, Lisa Bunn, Paul Glazier, Richard Hosking, Jennifer Freeman, Jeremy Hobart, Mattia Zanon, Jonathan Marsden, Licinio Craveiro, Mike D. Rinderknecht

School of Health Professions

Background: Gait and balance impairment can profoundly impact people with multiple sclerosis (PwMS). Objectives: To evaluate the analytical and clinical validity of the U-Turn Test (UTT), a smartphone-based assessment of dynamic balance in PwMS. Methods: The GaitLab study (ISRCTN15993728) enrolled adult PwMS (EDSS 0.0 – 6.5). PwMS performed the UTT in a gait laboratory (supervised) using six smartphones at different wear locations and daily during a two-week remote period (unsupervised) using one smartphone (belt front). Median turn speed was computed per UTT. In the supervised setting, turn detection accuracy of smartphones was compared to motion capture (mocap) via F1 scores. …

“I Will Experience This Trauma Over And Over Again”: Sexual And Gender-Based Violence, Forced Migration And Structural Violence, Jenny Phillimore, Karen Block, Hannah Bradby, Hoayda Darkal, Lisa Goodson, Anna Papoutsi, Cathy Vaughan

School of Psychology

Forced migration has reached unprecedented levels as millions are forced to seek refuge from conflict, persecution, and violence. This exodus includes women enduring the traumas of displacement alongside sexual and gender-based violence (SGBV). Upon reaching supposed places of refuge, they encounter the structural violence of immigration and asylum regimes. Against this backdrop, the intersection of SGBV, forced migration, and structural violence emerges as an urgent area of study. Drawing from extensive qualitative interviews in Australia, Sweden, and the United Kingdom, we set out to examine the impact of structural violence on the lives of forced migrant survivors of SGBV. The …

Developing The Evidence And Associated Service Models To Improve Pain Management In Older People Living With Frailty: A Synopsis Of The Poppy Mixed Method, Co-Design Study: Poppy, Patricia Schofield

School of Nursing and Midwifery

Background: Frailty increases vulnerability to adverse events (falls, illness) resulting in poorer health outcomes in later life. Persistent pain is common and impactful in older adults with frailty. Pain impact is potentially modifiable, and addressing it is important for supporting this population. The Pain in Older People with Frailty study aimed to generate evidence and develop service models to improve pain management for older adults with frailty and inform service provision for this underserved population. Objective(s): Phase 1: Map research evidence and synthesise findings from randomised controlled trials of multi-component pain management programmes and psychological therapies for community-dwelling older adults. …

Developing The Evidence And Associated Service Models To Support Older People Living With Frailty To Manage Their Pain And To Reduce Its Impact On Their Lives: A Mixed Method, Co-Design Study (The Poppy Study).: The Poppy Study, Lesley Brown, Deborah Antcliff, Andrew Clegg, Anne Grice, Pat Schofield, Asim Suleman, Amanda Williams, Nikki Harrison, Nicky Kime, Alan Wright, Natalie Lam, Dan Howdon, Davide Tebaldi, Rahena Mossabir, Sarah Hallas, Thomas F Crocker, Anne Forster

School of Nursing and Midwifery

Background: Frailty increases vulnerability to adverse events (falls, illness) resulting in poorer health outcomes in later life. Persistent pain is common and impactful in older adults with frailty. Pain impact is potentially modifiable, and addressing it is important for supporting this population. The Pain in Older People with Frailty study aimed to generate evidence and develop service models to improve pain management for older adults with frailty and inform service provision for this underserved population. Objective(s): Phase 1: Map research evidence and synthesise findings from randomised controlled trials of multi-component pain management programmes and psychological therapies for community-dwelling older adults. …

Exclusion And Enterprise - Entrepreneurship, Poverty And Breaking Down Barriers, Sarah Preedy

Plymouth Business School

No abstract provided.

Movement, Residency, And Behavioral Plasticity Of Reef Manta Rays In The Samarai Islands Of Papua New Guinea, Anna Knochel, Joanna Harris, Shannon Murphy, Annie Murray, Guy M.W. Stevens, Mark Erdmann

School of Biological and Marine Sciences

The reef manta ray (Mobula alfredi) is a highly mobile pelagic marine ray found throughout the tropical and subtropical waters of the Indo-Pacific, but investigation into their behavior and ecology within Papua New Guinea has not been previously undertaken. Furthermore, the home range, dispersal characteristics, and inter-seasonal fine-scale habitat use of this species is limited. To address these data gaps and investigate the vertical and horizontal habitat use of a previously unstudied population, SPLASH10-F-321A pop-off archival satellite tags were used to track ten adult individuals from 4–181 days between 2016–2018 across two distinct monsoonal periods in the Samarai Islands of …

A Review Of Enhanced Recovery After Surgery In Kidney And Liver Transplantation And Outline Of The Newcastle Eras Protocols, E. Bonner, C. Scuffell, F. Dowen, L. Macdougall, J. Fabes

Peninsula Medical School

Although Enhanced Recovery after Surgery (ERAS) is now common practice across various surgical specialties, the adoption of its principles has only recently gained momentum in liver and kidney transplantation. The publication of relevant ERAS guidelines in these specialties has undoubtedly facilitated the assimilation of evidence in support of ERAS components, the paucity of which had been viewed as a barrier to the implementation of ERAS in transplantation. In conjunction, institutionally-developed ERAS pathways have provided pragmatic examples of how these principles can be adopted within transplant practice. In this article, we summarise the current recommendations and underlying evidence for key components …

A New Visual Index For Assessing Zooplankton Biomass And Its Utility In Assessing Prey Availability For Megaplanktivores’, Hannah Moloney, Asia O. Armstrong, Guy M.W. Stevens, Christine L. Dudgeon, Joanna Harris, Kathy A. Townsend, Anthony J. Richardson

School of Biological and Marine Sciences

Zooplankton are vital links in marine food webs, yet their biomass remains challenging to quantify across broad spatial and temporal scales.This study introduces the Zooplankton Visual Index–a simple, rapid and scalable semi-quantitative method for evaluating zooplankton biomassthrough underwater observations. Following the establishment of a standardized protocol, validation against in situ net samples demonstratedthat indexlevels increased consistently with measured biomass and predictable shifts in community composition. We then applied the validatedindexto a 9-year dataset of reef manta ray (Mobula alfredi) sightings in the Maldives. Increased M. alfredi abundance significantly correlated withhigher index levels, confirming that the index effectively captures the food …

Global Inventory And Audit Of Road Injury Data Systems: A Descriptive Study Using The Road Injury Chain Of Survival Framework, Tim Nutbeam, Emily Foote, Lauren R. Rodgers, Rob Fenwick, Willem Stassen

Peninsula Medical School

BackgroundRoad injury causes an estimated 1.19 million deaths annually and tens of millions of non-fatal injuries worldwide. Despite this burden, post-collision data remain fragmented across police, transport, and health sectors, impeding system-level improvement. The recently proposed Road Injury Chain of Survival framework provides a structure for mapping data needs across five sequential links: Early Recognition, Early Rescue, Early Initial Care, Early Transport, and Early Hospital Care & Rehabilitation. This study aims to identify and describe national and major regional road injury datasets worldwide and to assess their coverage against a novel RICS-derived sub-indicator framework.MethodsA structured, descriptive global audit was undertaken …

Perceived Impact Of Covid 19 On Dental Therapy And Hygiene Students’ Wellbeing., Morag Powell, James Donn, Vivian Binnie

Peninsula Dental School

AimThe aim of this research was to investigate any impact from the COVID 19 pandemic on the well-being of dental therapy students. MethodsDental therapy students were invited to participate in focus groups to explore any impact of COVID 19 on their wellbeing. One pilot and two online focus groups were conducted.ResultsThree themes were identified from the focus groups including stress in relation to clinical experience and assessment, pandemic behaviours and perceptions of the University.ConclusionThe overall conclusion of the research is that COVID 19 did have an impact on the dental therapy students’ mental wellbeing. The stress from worry over missing …

Muscle Changes In Critically Ill Children Following An Early Progressive Exercise In The Paediatric Intensive Care Unit: A Pre- And Post-Intervention Study, Shaodan Qi, Yuxia Yang, Jing Hu, Weijie Shen, Hao Zhou, Jos M. Latour, Weiming Chen, Ying Gu

School of Nursing and Midwifery

Background: Most critically ill children in the paediatric intensive care unit (PICU) are immobilised. Prolonged immobilisation in the PICU negatively affects children's physical health outcomes. Aim: The aim of the study was to evaluate the effectiveness of an early progressive exercise (EPE) intervention to improve the PICU-acquired muscle weakness and to assess the safety of the EPE intervention. Study Design: A single-centre pre- and post-intervention design was adopted. The intervention was the EPE starting within 48–72 h after PICU admission. Primary outcome was the 7-day difference of right rectus femoris muscle cross-sectional area (RRMCSA). Secondary outcomes were the 7-day difference …

Using Wellbys To Demonstrate The Social Value Of Social Prescribing At A National Level: Evidence From Green Social Prescribing In England, C Dayson, Ian Wilson, D Leather, A Foster, R Jaques, A Haywood, R Garside, C Harris, H Hunt, E Holding, Kerryn Husk, Rebecca Lovell, Katie Shearn, J Dobson, J Thompson

Peninsula Medical School

Social prescribing is a health policy initiative that aims to create closer links betweenhealth services and community activities. Despite its rapid adoption there are concernsabout efficacy and value for money. We used a WELLBY (Wellbeing Adjusted Life Year)approach to identify the social value created through a national mental health-focussedgreen social prescribing (GSP) programme in England (2021-23). We found that GSP canlead to significant wellbeing benefits for people experiencing mental ill-health, with asocial return on investment (SROI) of between £2.38-£5.90. However, we argue that theWELLBY approach should not be used uncritically. In our study WELLBYs proved to be aneffective social value …

Holistic Management Of Epilepsy In Adults With Intellectual Development Disorders, Elena Fonseca, Antonella Riva, Samuel López‐Maza, Malin Zaddach, Marie‐Claire Porter, Ingo Borggraefe, Lance Watkins, Andreas Schulze‐Bonhage, Rohit Shankar, Pasquale Striano, Lina Nashef

Peninsula Medical School

This seminar addresses the complexity of the management of epilepsy in adults with intellectual development disorders (IDD), advocating holistic and multidisciplinary care aligned with the learning objectives of the International League Against Epilepsy. Epilepsy is significantly more prevalent in people with IDD, presenting unique diagnostic, therapeutic, and psychosocial challenges. Accurate diagnosis is hampered by limitations in communication, necessitating reliance on caregivers' observations. In adults with IDD and epilepsy, utilization of diagnostic tools, e.g., video electroencephalograph (EEG) monitoring, is helpful but can be challenging. Management requires careful consideration of cognitive and behavioral comorbidities and the effects of antiseizure medications (ASMs) on …

Proceedings Of The 2026 International Conference On Decision Support System Technology (Icdsst 2026), Huilan Chen, Dulekha Kasturiratne, Guoste Pivoraite, Xinyi Li, Xiaoning Chen, Shaofeng Liu

More Faculty of Arts, Humanities and Business Research

No abstract provided.

Songs For A Burning World: Youth-Led Storytelling Through Vr And 360° Opera, Toby Young, Lucinda Jarrett, Misha Myers

School of Art, Design and Architecture

Songs for a Burning World is a youth-led, co-created immersive opera realised through 360° film, VR, and dome exhibition. Developed through extended online workshops with young participants across twenty countries, the project mobilises operatic voice and sound-led XR practices to articulate climate experience as lived, situated, and plural. Youth and community members are positioned as authors and co-researchers, shaping narrative, sonic material, pacing, and modes of address, rather than contributing testimony to pre-existing frames. Their songs, spoken texts, field recordings, and visual material form both the content and the method of the work, foregrounding embodied knowledge about the climate crisis …