• The determination of finger flexor critical force in rock climbers

      Giles, David; Chidley, Joel;; Taylor, Nicola; Torr, Ollie; Hadley, Josh; Randall, Tom; Fryer, Simon; University of Derby (Human Kinetics, 2019-04)
      Purpose: To determine if the mathematical model used for the estimation of critical force (CF) and the energy store component W’ is applicable to intermittent isometric muscle actions of the finger flexors of rock climbers, using a multi-session test. As a secondary aim, the agreement of estimates of CF and W’ from a single-session test were also determined. The CF was defined as the slope coefficient and W’ the intercept of the linear relationship between total “isometric work” (Wlim) and time to exhaustion (Tlim). Methods: Subjects performed three (separated by either 20 m or >24 h) tests to failure using intermittent isometric finger flexor contractions at 45, 60 and 80% of their maximum voluntary contraction (MVC). Results: Force plotted against Tlim displayed a hyperbolic relationship, correlation coefficients of the parameter estimates from the work–time CF model were consistently very high (R2 > 0.94). Climbers mean CF was 425.7 ± 82.8 N (41.0 ± 6.2% MVC) and W’ 30882 ± 11820 N·s. Good agreement was found between the single and multi-session protocol for CF (ICC(3,1) = 0.900, 95% Confidence Interval [CI95%] 0.616 – 0.979), but not for W’ (ICC(3,1) = 0.768, CI95% 0.190 – 0.949). Conclusions: The results demonstrated the sensitivity of a simple test for the determination of CF and W’, using equipment readily available in most climbing gyms. While further work is still necessary, the test of CF described is of value for understanding exercise tolerance and determine optimal training prescription to monitor improvements the performance of the finger flexors.
    • Creative ageing: the social policy challenge.

      Hogan, Susan; Bradfield, E.; University of Derby (Routledge, 2018-11-27)
      By 2071, the number of people over 65 could double to nearly 21.3 million, while the number of people aged 80 and over could more than treble to 9.5 million. Over the next 30 years, the number of people with dementia in the UK could double to 1.4 million. The current policy landscape marks a shift in thinking, away from ‘deficit’ models of later life towards a paradigm shift which ‘allows people to realise their potential for physical, social, and mental wellbeing throughout the life-course and to participate in society’ (World Health Organisation 2002, p. 3). Where previous models of later-life care have focused on supporting acute illness in older age, health-care systems are now forced to find ways to support individuals to take responsibility for their own health within their own communities. In 2008, the New Economics Foundation (NEF) was commissioned by the UK Government’s Foresight Project on Mental Capital and Wellbeing to review the interdisciplinary work of more than 400 researchers from across the world. The aim was to identify a set of evidencebased actions to improve wellbeing which individuals could be encouraged to build into their daily lives. This was distilled down to the Five Ways to Wellbeing, which is now a major driver of health policy in the UK. They are: connect, be active, take notice, keep learning, give This chapter will look at how different types of creativity in older age can meet the social policy recommendations embodied within the Five Ways to Wellbeing with specific detailed examples. The chapter will also relate this to the ongoing work on wellbeing, post-2008. Though some commentators have suggested this formulation is absurdly reductive, Five Ways to Wellbeing has had considerable success in being accessible to a wide-range of audiences and easy to embed in policy statements and to communicate to community-based organisational teams. Following a brief introduction to the British policy context, this chapter looks at ways in which Five Ways to Wellbeing can be realised through arts engagement providing detailed examples of arts practices that help sustain a creative older age.
    • The body of work as a legitimate form of independent scholarship.

      Bird, Jamie; Stephanou, Mary; Wellen, Allessandar; University of Derby (Routledge, 2018-10-25)
      This chapter will outline key principles that underpin the use of creativity within final-year projects of undergraduate and postgraduate programmes. It will set forth a rational for directing students towards using a particular form of arts-based research that aids critical thinking and reflexivity whilst engaging in art practice. The programmes referenced in this chapter are delivered at the University of Derby. The undergraduate programme – Creative Expressive Therapies – is outlined in detail within other chapters of this book. The post-graduate programmes include Art Therapy, Dramatherapy and Dance and Movement Psychotherapy. Those postgraduate programmes are regulated by various professional bodies and lead to students being able to practice in their chosen field. What those programmes share is the placing of creativity, art-making and performance at the heart of their pedagogic philosophy and practice. What they also share is a focus upon the therapeutic use of creativity and the therapeutic use of self. Whilst the undergraduate programmes are positioned within an arts in health and arts in education paradigm, the post-graduate programmes are broadly psychotherapeutic in their approach to creativity and therapeutic relationships. Either way, a better understanding of the role of the therapeutic use of creativity and self is enhanced by embedding both into the process of independent scholarship.
    • Fatigue interventions in long term, physical health conditions: a scoping review of systematic reviews.

      Hulme, Katrin; Safari, Reza; Thomas, Sarah; Mercer, Tom; White, Claire; Van der Linden, Marietta; Moss-Morris, Rona; University of Derby; King’s College London; Staffordshire University; Bournemouth University; Queen Margaret University (PLOS, 2018-10-12)
      Fatigue is prominent across many long term physical health conditions. This scoping review aimed to map the fatigue intervention literature, to ascertain if certain interventions may be effective across conditions, and if novel interventions tested in specific long term conditions may be promising for other conditions.
    • Trigeminal neuralgia: Imaging and the patient experience of Magnetic Resonance Imaging (MRI) of the brain: Findings from an on-line survey of patient experience of MRI imaging.

      de Witt, Julie T; Gallagher, S; University of Derby (2018-10-06)
      Background This is the first study to explore the experience of this group of patients and their experience of having an MRI brain scan. It is also unique in specifically focusing on MRI brain scan alone. This gives a new perspective on the nature of patient-centred service we should be delivering, not only to patients with this rare condition, but perhaps when scanning anyone with a pain condition – or indeed in personalizing an examination for any patient. Aims/Objectives To understand the patient’s lived experience of having an MRI brain scan, to understand what made a positive difference and what the patient would like or expect the radiographer to know about their condition. Methods Qualitative method utilized an online survey (Lime survey) with free text responses and some limited demographic data. Survey was advertised on closed social media group and on National charity website (Trigeminal Neuralgia Association UK). 96 responses were received, with 50 free text responses to the open questions. These were analysed using thematic analysis. Results Five themes emerged, with a number of subthemes within each. These are that there are some good stories, there are some not so good experiences, that care and communication makes a difference, that Trigeminal neuralgia (TN) pain is more than just a headache and finally that we need to be involving our patients in their scan. In describing the experience of having an MRI brain scan it was striking that narratives seemed to be clear cut in terms of ‘good or bad’ , but an interesting key difference seemed to be the perceived ‘kindness’ of the staff. Conclusions A recommendation is given in terms of working with a TN patient and their pain triggers, this is for everyone’s benefit as this is also more likely to result in a timely scan with minimal blur artefacts if the patient’s pain is minimized.
    • A systematic review of variables used to assess clinically acceptable alignment of unilateral transtibial amputees in the literature.

      Tafti, Nahid; Hemmati, Fatemeh; Safari, Reza; Karimi, Mohammad Taghi; Farmani, Farzad; Khalaf, Ali; Mardani, Mohammad Ali; University of Derby; University of Social Welfare and Rehabilitation Sciences; Shiraz University of Medical Sciences; Hamedan University of Medical Sciences (Sage, 2018-08-08)
      Prosthetic alignment is a subjective concept which lacks reliability. The outcome responsiveness to prosthetic alignment quality could help to improve subjective and instrument assisted prosthetic alignment. This study was aimed to review variables used to assess clinically acceptable alignment in the literature. The search was done in some databases including: Google Scholar, PubMed, EBSCO, EMBASE, ISI Web of Knowledge and Scopus. The first selection criterion was based on abstracts and titles to address the research questions of interest. The American Academy of Orthotics and Prosthetics checklists were used for paper risk of bias assessment. A total of 25 studies were included in this study. Twenty-four studies revealed the critics of standing position or walking to locate clinically acceptable alignment, only one study measured outcomes in both situations. A total of 253 adults with transtibial amputations and mean age of 48.71 years participated in included studies. The confidence level of included studies was low to moderate, and before-after trial was the most common study design (n = 19). The joint angle, load line location with respect to joints and center of pressure-related parameters were reported as sensitive outcomes to prosthetic alignment quality in standing posture. The amount of forces at various parts of gait cycle and time of events were sensitive to prosthetic alignment quality during walking. Standing balance and posture and temporal parameters of walking could help to locate clinically acceptable alignment.
    • Exploring the potential role of coaching skills.

      de Witt, Julie T; University of Derby (2018-07-04)
      Part of our role is to develop and inspire the leaders of the future; so they will go onto deliver high quality healthcare services for all of us. However, inspiring leaders of the future is not as simple as including in a curriculum. Various reports examining the failures within the UK NHS seem to emphasize this unfortunately (Francis, 2012: Keogh, 2012: Morecambe Bay, 2015). Addressing intrinsic motivation is key in embedding the concept of leadership into our graduates, as future clinical leaders within the NHS. This is also where a coaching approach in both personal tutoring and in the class setting (team coaching) can work. Using a coaching approach we may begin to tap into that area below the waterline and encourage the student to reach their own solution; one which addresses their inherent motivation. In this invited talk I will outline some of those strategies and why you should consider building some of them into your practice.
    • Mental health and wellbeing in parents of excessively crying infants: prospective evaluation of a support package.

      Powell, Charlotte; Bamber, Deborah; Long, Jaqui; Garratt, Rosemary; Brown, Jayne; Rudge, Sally; Morris, Tom; Bhupendra Jaicim, Nishal; Plachcinski, Rachel; Dyson, Sue E.; Boyle, Elaine; St James-Roberts, Ian (John Wiley & Sons Ltd, 2018-07-01)
      Background During the first four months of age, approximately 20% of infants cry a lot without an apparent reason. Most research has targeted the crying and its causes, but there is a need for equal attention to the impact of the crying on parents and subsequent outcomes. This study reports the findings from a prospective evaluation of a package of materials designed to support the wellbeing and mental health of parents who judge their infant to be crying excessively. The resulting ‘Surviving Crying’ package comprised a website, printed materials, and a programme of Cognitive Behaviour Therapy - based support sessions delivered to parents by a qualified practitioner. It was designed to be suitable for National Health Service (NHS) use. Methods Parents were referred to the study by NHS Health Visitors or Community Public Health Nurses. Fifty seven parents of excessively crying babies received the support package and provided rating scale measures of depression, anxiety, frustration because of the crying, and other measures before receiving the support package, together with outcome measures afterwards. Results Significant reductions in depression and anxiety were found with the number of parents meeting clinical criteria for depression or anxiety halving between baseline and outcome. These improvements were not explained by changes in infant crying. Reductions also occurred in the number of parents reporting the crying to be a large or severe problem (from 28 to 3 parents) or feeling very or extremely frustrated by the crying (from 31 to 1 parent). Other findings included increases in parents’ confidence, knowledge of infant crying and improvements in parents’ sleep. Conclusions The findings suggest that the Surviving Crying package may be effective in supporting the wellbeing and mental health of parents of excessively crying babies. Further, large-scale controlled trials of the package in NHS settings are warranted.
    • Myalgic Encephalomyelitis / Chronic Fatigue Syndrome and early maladaptive schemas: A single case study.

      Stalmeisters, Dzintra; University of Derby (British Psychological Society, 2018-06-01)
      Background/Aims: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a complex illness, one that is devastating and life changing for many people. Early maladaptive schemas (EMS), as described by Young et al., (2003), have been observed in some patients with ME/CFS; seemingly adversely impacting on psychological and physical well-being. This study explores the experience of working at schema level with a woman with ME/CFS and endorsed EMS. It provides an overview of the therapeutic treatment, with the aim of adding to the limited research in this area. Method: The instrumental single case study takes place within a clinical context. The client received 20 sessions of therapy. Standard cognitive behavioural therapy (CBT) was initially utilised to work with the client’s depression; once reduced, schema work commenced. Beck’s Depression Inventory (BDI-II) was used to measure mood, and Young’s Schema Questionnaire (YSQ-S3) was employed to measure schemas. Findings: By the end of therapy only two schemas from the nine schemas that the client had endorsed at the start of therapy remained at a level of ‘therapeutic significance’; three schemas diminished once the depression had been treated. The client reported that her quality of life had improved and that she had taken up part-time paid employment. Conclusion: The results appear to offer some support for working at schema level with people that have ME/CFS and also endorse EMS. However, treating existing depression first is recommended.
    • Digital interventions to promote self-management in people with osteoarthritis: systematic review and meta-analysis - Study protocol

      Safari, Reza; Jackson, Jessica; Dhadda, Buk; Watkins, Merryl; Sheffield, David; Anthony, Denis; Ward, Derek; University of Derby; NHS Southern Derbyshire; Lincolnshire County Council (National Health Service (NHS), 2018-05-11)
      The proposed research is a systematic review and meta-analysis of available randomised controlled trials of digital interventions to promote self-management in people with osteoarthritis. The effects of self-management programs, on patient outcomes such as pain, disability, function and quality of life will be analysed in direct pairwise meta-analysis. The health service outcomes and cost effectiveness data will also be extracted if reported in the papers and will be synthesised narratively.
    • Physical activity and sport evaluation toolkit.

      Giles, David; University of Derby (County Sports Partnerships Network, 2018-05)
      The physical activity and sport evaluation toolkit has been produced through collaboration between the East Midlands County Sports Partnership and the University of Derby. The purpose of the toolkit is to support the identification tools and methods to monitor and evaluate the effectiveness of physical activity interventions. The monitoring and evaluation of physical activity programmes should be considered from their conception. This toolkit was created for this purpose. To aid with the design and implementation of evaluation and monitoring Sport England has recently (June 2017) released an online evaluation toolkit. While the Sport England toolkit was conceived for the evaluation of their commissioned programmes and for their staff, the process may be applied to any programme. The sport and physical activity toolkit developed as a product of this evaluation consultancy fits within stage 4 of Sport England's framework “select data collection methods and tools”.
    • Development and preliminary evaluation of a new anatomically based prosthetic alignment method for below-knee prosthesis.

      Tafti, Nahid; Karimlou, Masoud; Mardani, Mohammad Ali; Jafarpisheh, Amir Salar; Aminian, Gholam Reza; Safari, Reza; University of Social Welfare and Rehabilitation Sciences; Islamic Azad University; University of Derby (Taylor and Francis, 2018-04-20)
      The objectives of current study were to a) assess similarities and relationships between anatomical landmark-based angles and distances of lower limbs in unilateral transtibial amputees and b) develop and evaluate a new anatomically based static prosthetic alignment method. First sub-study assessed the anthropometrical differences and relationships between the lower limbs in the photographs taken from amputees. Data were analysed via paired t-test and regression analysis. Results show no significant differences in frontal and transverse planes. In the sagittal plane, the anthropometric parameters of the amputated limb were significantly correlated to the corresponding variables of the sound limb. The results served as bases for the development of a new prosthetic alignment method. The method was evaluated on a single subject study. Prosthetic alignment carried out by an experienced prosthetist was compared with such alignment adjusted by an inexperienced prosthetist but with the use of the developed method. In sagittal and frontal planes, the socket angle was tuned with respect to the shin angle, and the position of the prosthetic foot was tuned in relation to the pelvic landmarks. Further study is needed to assess the proposed method on a larger sample of amputees and prosthetists.
    • Oral nutritional supplements in care homes and the community: Nutrition review and staff education.

      Giles, David; Lewis, Rachel; Ward, Derek; University of Derby (University of Derby, 2018-03-29)
      The University of Derby’s Health and Social Care Research Centre has been commissioned to support the delivery of Southern Derbyshire CCG’s review of oral nutritional supplements (ONS) and education of care home staff. Southern Derbyshire currently spends £1,409,099 on ONS prescribing (SH3-OT26 PID, 2016). While the efficacy of the use of ONS in malnourished patients is well understood (Agarwal, Miller, Yaxley, & Isenring, 2013), their use may not always be appropriate and other methods such as food fortification may result in either equal or better outcomes for considerably lower cost (Baldwin & Weekes, 2012). A successful pilot in five care homes by Southern Derbyshire CCG achieved cost savings of £183,203.33, along with the associated benefits of increased dietetic support to those residents who required input. On this basis, building on the pilot work, the present programme of work was conceived. Broadly, the project aimed to: (a) improve the nutritional state of residents in 112 care homes and at home; and (b) reduce spend on ONS prescribing. This was divided into two work streams: (1) evaluating the efficacy of a training programme on the identification, prevention and treatment of malnutrition, through a “Food First” approach including MUST training; and (2) the assessment, review and support of GP practices with patients prescribed ONS within their own home. This report provides an overview of the work done by the dietetics team up until the end of February 2018. The analysis of the dataset provides context for the recommendations presented.
    • Is ultrasound screening for vasa praevia clinically justified and a financially viable screening test? A literature review.

      Coleman, Gillian; Venables, Heather; University of Derby; College of Health and Social Care, University of Derby, Derby, UK; College of Health and Social Care, University of Derby, Derby, UK (Sage, 2018-02-01)
      Vasa praevia is an obstetric complication currently not screened for within the United Kingdom, which if undetected prenatally can lead to fetal death when the membranes rupture. Internationally, guidelines are available providing guidance on the best screening policy and management pathways. However, the UK National Screening Committee and Royal College of Obstetricians and Gynaecologists do not support screening due to a lack of evidence. Recent studies explore the ability of ultrasound to detect vasa praevia prenatally in both the general and high-risk populations. Whilst there is no consensus on the ‘best’ screening strategy, the majority of authors note that targeted screening of the high-risk population is the most achievable and cost-effective strategy. Although not infallible, a standard screening protocol could identify the majority of cases in the high-risk group. Introduction of a screening strategy would affect training needs of professionals within the UK and would have implications on the need to produce guidelines on management and quality assurance. Further research is also needed to define a relevant high-risk population and explore how this would impact on service provision. This review explores the current evidence base for systematic screening and the implications for service.
    • Sonographic parameters for diagnosing fetal head engagement during labour.

      Wiafe, Yaw Amo; Whitehead, Bill; Venables, Heather; Odoi, Alexander T.; University of Derby; Kwame Nkrumah University of Science and Technolog; Department of Nursing, Radiography and Healthcare, University of Derby, Derby, UK; Department of Nursing, Radiography and Healthcare, University of Derby, Derby, UK; Department of Nursing, Radiography and Healthcare, University of Derby, Derby, UK; Department of Obstetrics and Gynaecology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital, Kumasi, Ghana (Sage, 2018-02-01)
      The purpose of this study was to investigate the diagnostic performance of the head–perineum distance, angle of progression, and the head–symphysis distance as intrapartum ultrasound parameters in the determination of an engaged fetal head. Two hundred and one women in labour underwent both ultrasound and digital vaginal examination in the estimation of fetal head station. The transperineal ultrasound measured head–perineum distance, angle of progression, and head–symphysis distance for values correlating with digital vaginal examination head station. Using station 0 as the minimum level of head engagement, correlating cutoff values for head–perineum distance, angle of progression, and head–symphysis distance were obtained. Receiver operating characteristics were used in determining the diagnostic performance of these cut-off values for the detection of fetal head engagement. With head–perineum distance of 3.6 cm the sensitivity and specificity of sonographic determination of engaged fetal head were 78.7 and 72.3%, respectively. A head–symphysis distance of 2.8 cm also had sensitivity and specificity of 74.5 and 70.8%, respectively, in determining engagement, whilst an angle of progression of 101 was consistent with engagement by digital vaginal examination with 68.1% sensitivity and 68.2% specificity. Ultrasound shows high diagnostic performance in determining engaged fetal head at a head–perineum distance of 3.6 cm, head–symphysis distance of 2.8 cm, and angle of progression of 101.
    • True cowmen and commercial farmers: Exploring vets’ and dairy farmers’ contrasting views of ‘good farming’ in relation to biosecurity.

      Shortall, Orla; Sutherland, Lee-Ann; Ruston, Annmarie; Kaler, Jasmeet; University of Nottingham; The James Hutton Institute; University of Derby; Social, Economic and Geographical Sciences, The James Hutton Institute; Craigiebuckler Aberdeen AB15 8QH Scotland, UK; Social, Economic and Geographical Sciences, The James Hutton Institute; Craigiebuckler Aberdeen AB15 8QH UK; College of Health and Social Care; University of Derby, Kedleston Road; Derby DE22 1GB UK; The School of Veterinary Medicine and Science; The University of Nottingham, Sutton Bonington Campus; Sutton Bonington Leicestershire LE12 5RD UK (Wiley, 2018-01-22)
      Responsibility for biosecurity in UK farming is being devolved from government to industry, with a greater emphasis on the veterinarian (vet)‐farmer relationship. Although social science has shown that care for animals is part of ‘good farming’, the British dairy sector sees a need to improve biosecurity. This research uses the good farmer concept to compare how vets and dairy farmers define good farming for biosecurity based on qualitative interviews with 28 vets and 15 dairy farmers in England. The results revealed two conflicting ‘good farmer’ identities: the large, commercial farmer who has the economic capital to invest in biosecurity and veterinary services; and the self‐sufficient stock keeper whose cultural and social capital lead them to manage herd health independently. These identities reflect changing ‘rules of the game’, following Bourdieu's use of the term, and increasing penetration of vets’ cultural capital into the sector. They involve different constructions of risk which need to be recognised within debates about good biosecurity.
    • Development of materials to support parents whose babies cry excessively: findings and health service implications.

      Long, Jaqui; Powell, Charlotte; Bamber, Deborah; Garratt, Rosemary; Brown, Jayne; Dyson, Sue E.; St James-Roberts, Ian (Cambridge University Press, 2018-01-10)
      Aim: To develop evidence-based materials which provide information and support for parents who are concerned about their baby's excessive crying. As well as meeting these parents' needs, the aim was to develop a package of materials suitable for use by the UK National Health Service (NHS). Background: Parents report that around 20% of 1-4 month-old infants in western countries cry excessively without apparent reason. Traditionally, research has focused on the crying and its causes. However, evidence is growing that how parents evaluate and respond to the crying needs to receive equal attention. This focus encompasses parental resources, vulnerabilities, wellbeing, and mental health. At present, the UK NHS lacks a set of routine provisions to support parents who are concerned about their baby's excessive crying. The rationales, methods and findings from a study developing materials for this purpose are reported. Method: Following a literature review, 20 parents whose babies previously cried excessively took part in focus groups or interviews. They provided reports on their experiences and the supports they would have liked when their baby was crying excessively. In addition, they identified their preferred delivery methods and devices for accessing information and rated four example support packages identified by the literature review. Findings: During the period their baby cried excessively, most parents visited a health service professional and most considered these direct contacts to have provided helpful information and support. Websites were similarly popular. Telephones and tablets were the preferred means of accessing online information. Groups to meet other parents were considered an important additional resource by all the parents. Three package elements - a Surviving Crying website, a printed version of the website, and a programme of Cognitive Behaviour Therapy-based support sessions delivered to parents by a qualified practitioner, were developed for further evaluation.
    • Music, public health, and health promotion: Can music be a social determinant of health?

      Stewart, Donald E.; Irons, J. Yoon; Griffith University (Palgrave Macmillan, 2018-01-02)
      Although much of the research and policy development relating to the impact of the social determinants of health has centred around differences in socio-economic position, in occupation, income, housing, education and residential environment, for example, we are in the early stages of understanding the complex way that music works within the psycho-social-cultural field to influence people’s health and well-being. Rapid social change and its impact on individual and community well-being provides many fertile opportunities for innovative research in the music-health space. Music is an invisible thread that weaves between the social determinants of health and relates the individual, through culture and social affiliation, to risk and protective factors relating to health.
    • Critical Pedagogy in Nursing: Transformational Approaches to Nurse Education in a Globalized World

      Dyson, Sue E. (Palgrave Macmillan, 2018)
      This book explores the academic processes of nursing education in times of uncertainty around healthcare policy and healthcare provision. Grounded in research examining current theory, policy and culture around nursing pedagogy, Sue Dyson addresses the core issues facing nurses today and argues that the current curriculum no longer reflects or serves contemporary nursing practice. In a time of scandals, cuts in funding and shortfalls in the profession, this book provides an answer to the growing call for a dynamic restructuring of nurse education. Offering a critical analysis of innovative pedagogies for nursing, the author proposes the notion of the co-created curriculum as a way forward for nurse education in the post-Francis era. This will be an invaluable read to academics, practitioners and policy makers in the fields of nursing, medicine, education, education policy and medical sociology.
    • Personal resilience for diagnostic radiographer healthcare education: Lost in translation?

      de Witt, Julie T.; University of Derby (Coventry University, 2017-12)
      A research study was undertaken to gain a better understanding of the concept of resilience from the perspective of the undergraduate students on a BSc (Hons) Diagnostic Radiography programme; and the impact of resilience ‘training’ interventions (based on some resilience coaching principles) prior to their first clinical placement. This article sets out the findings from a qualitative research study, analysed using thematic analysis, where students were asked about their definition of personal resilience. Few students used an approximation of the ‘traditional’ definition of resilience; indeed, some seemed to view resilience as a weakness or something to be guarded against. In terms of what students thought affected their resilience, there was no clear pattern; thus seeming to confirm that resilience is personal, and therefore questioning a one-size approach in relation to resilience ‘training’. There could be some merit in encouraging discussion around resilience in the academic setting, but there are some considerable caveats. At the outset fostering an understanding of resilience as a positive trait seems important, otherwise discussion about resilience in a class or tutorial setting may not be received by the learner in the way we may hope or expect.