Developing a Model of Allied Health Professional (AHP) Rehabilitation Services in Dementia. (Project ID SHSC0055)

Historically rehabilitation has tended to be considered as a mechanism of response to aid recovery associated with a range of diseases or injury occurring because of physical impairment (Clare, 2020). Recently however, there has been a growing focus on how and in what way approaches to rehabilitation can evolve to include neurological conditions, including dementia (WHO, 2023). Set within this context, the Allied Health Professions (AHPs), in particular occupational therapists and physiotherapists, have been recognised as key to enable enhanced outcomes for people living with dementia, including their caregivers, through a range of rehabilitation interventions (WHO, 2023, Alzheimer Scotland, 2017). Nevertheless, people living with dementia are often prevented access to rehabilitation services (Goodwin & Allan, 2019), with ‘rehab potential’ often cited as a reason not to provide input (Wade, 2022). In addition, access to multidisciplinary rehabilitation programmes can be limited for people living with dementia, unlike other neurological conditions (Laver et al 2020). Where services do exist, concern has been highlighted connected to the focus of delivery, encapsulating a tendency towards risk reduction (O’Sullivan & Hocking, 2013), which can privilege a deficit-focused therapeutic approach (Kantartzis et al, 2023). Whilst pockets of excellence exist, access to AHP-led rehabilitation services for people living with dementia remains difficult, and as a result, people with dementia are often left to search for services on their own (Laver, 2020). 

The aims of this proposed doctoral study therefore are twofold: First, to map the existing provision of approaches to dementia rehabilitation, including interventions offered by occupational therapists and physiotherapists in Scotland; second, to reimagine alongside key stakeholders, including people living with dementia, what an inclusive and accessible model of AHP-led dementia rehabilitation services could look like.

This doctoral study would likely adopt a mixed methods approach which could explore:

1.     A scoping review of existing literature that underpins the evidence base of occupational therapy and physiotherapy rehabilitation approaches in dementia.

2.    Map the existing rehabilitation approaches adopted by occupational therapists and physiotherapists in dementia practice.

3.    Engage with essential stakeholders, including people with lived experience, to re-imagine dementia rehabilitation models of service practice led by AHPs that are inclusive and accessible.

The use of specific methods could depend on the candidate’s interests and intended focus of the project. This doctoral project provides a unique opportunity to contribute to the growth of AHP research at ENU, supported by a supervisory team who are experienced in dementia education and research, including rehabilitation more widely (Dr Fiona Maclean, Dr Steph Valentin and Dr Nicola Roberts). The successful candidate would have access to a range of networks and supports now established at ENU connected to dementia, including membership of the Centre for Mental Health Practice, Policy and Law Research.  

Indicative dates for interviews are week commencing 8th and/or 15th July 2024.

Academic qualifications

A first degree (at least a 2.1) ideally in an Allied Health Profession with a good fundamental knowledge of  occupational therapy, physiotherapy, rehabilitation and dementia.

English language requirement

IELTS score must be at least 6.5 (with not less than 6.0 in each of the four components). Other, equivalent qualifications will be accepted. Full details of the University’s policy are available online.

Essential attributes:

·        Experience of fundamental qualitative and quantitative research methods  

·        Competent in undertaking systematic review of literature

·        Knowledge of and experience with working with people living with dementia

·        Good written and oral communication skills

·        Strong motivation, with evidence of independent research skills relevant to the project

·        Good time management

Desirable attributes:

Knowledge and/or experience of working with people living with dementia, their families and caregivers

MSc in an allied health profession or similar postgraduate qualification 

Experience of using quantitative and/or qualitative research methods such as surveys, questionnaires, interviews or focus groups

Experience of using quantitative and/or qualitative data analysis software such as NVivo and/or SPSS 

TO APPLY PLEASE CLICK ON THE ‘INSTITUTION WEBSITE’ LINK ON THE RIGHT-HAND SIDE OF THIS PAGE.

When applying, please quote the application reference SHSC0055  on your form.

 APPLICATION CHECKLIST

·        Completed application form 

·        CV

·        2 academic references, using the Postgraduate Educational Reference Form (Found on the application process page)

·        A personal research statement (This should include (a) a brief description of your relevant experience and skills, (b) an indication of

·        What you would uniquely bring to the project and (c) a statement of how this project fits with your future direction.)

·        Evidence of proficiency in English (if appropriate)