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  Understanding and promoting a Mediterranean diet and physical activity to prevent cognitive decline (HARDEMANW_U23FMH)


   Faculty of Medicine and Health Science

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  Prof Wendy Hardeman  No more applications being accepted  Competition Funded PhD Project (Students Worldwide)

About the Project

Background   

The number of people living with dementia continues to increase. We need effective interventions to prevent or delay dementia. Eating a Mediterranean-style diet and increasing physical activity may reduce dementia risk. The MedEx-UK study (2019-2021, Alzheimer’s Research UK/MRC funded) tested the feasibility of a 48-week Mediterranean diet and physical activity intervention among 104 participants. The intervention included group sessions and food delivery/vouchers up to 24 weeks, personal targets and a website, and increased adherence to a Mediterranean diet. 

This project provides a unique opportunity to understand what influences the adoption and maintenance of a Mediterranean diet and physical activity, and how to improve the intervention to better engage people from disadvantaged communities. The student will analyse extensive quantitative and qualitative data collected on behaviour change and potential influences, e.g., participant engagement, acceptability, utility of food delivery/vouchers, motivation, and use of behaviour change strategies. The student will also conduct a qualitative study among people from disadvantaged communities to examine how the intervention can be improved, prior to a large evaluation study.  

Research methodology 

The PhD student will conduct a systematic review, analyse existing data, and design and conduct a qualitative study. The findings will enhance our understanding about how the intervention worked, for whom, how to improve uptake and engagement in disadvantaged communities, and inform policy. Findings will be disseminated widely, including Thesis, peer-reviewed publications, evidence briefings and public engagement. 

Training 

The student joins a thriving multi-disciplinary team with experts in behavioural science, nutrition and physical activity. Training will include innovative behavioural science methods, process evaluation, mixed methods, dissemination/impact, and personal development. Affiliation with the Norwich Institute of Healthy Ageing provides extensive training in research co-production and working in multi-agency partnerships, including people with lived experience, community organisations, local government and health care.  

Person specification 

We are seeking a student with a good first degree (at least 2:1) and preferably a Masters in a related area (e.g., behavioural science, health psychology, public health, nutrition, physical activity) or equivalent research experience. The student will be interested in behaviour change, nutrition and/or physical activity, and be committed and self-directed. 


Psychology (31) Sport & Exercise Science (33)

Funding Notes

This PhD project is in a Faculty of Medicine and Health Sciences competition for funded studentships. These studentships are funded for 3 years and comprise UK fees, an annual stipend of £17,668 and £1,000 per annum for research training (RTSG). Overseas applicants (including EU) may apply but are required to fund the difference between Home and International tuition fees.

References


Shannon OM, Lee VYJ, Bundy R, Gillings R, Jennings A, Stephan BCM, Hornberger M, Balanos GM, Paddick S-M, Hanson S, Hardeman W, Holmes R, Garner N, Aldred S, Siervo M, Mathers JC and Minihane AM. Feasibility and acceptability of a multi-domain intervention to increase Mediterranean diet adherence and physical activity in older UK adults at risk of dementia: Protocol for the MedEx-UK randomised controlled trial. BMJ Open. 2021;11:e042823. doi:10.1136/bmjopen-2020-042823.
Bundy R and Minihane AM (2018). Diet, exercise and dementia: The potential impact of a Mediterranean diet pattern and physical activity on cognitive health in a UK population. Nutrition Bulletin, https://doi.org/10.1111/nbu.12339.
Moore G, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, Moore L, O’Cathain A, Tinati T, Wight D, Baird J (2015). Process evaluation of complex interventions: UK Medical Research Council guidance. British Medical Journal 350:h1258.iii.
Jennings A, Cunnane SC, Minihane AM. Can nutrition support healthy cognitive ageing and reduce dementia risk? British Medical Journal. 2020 Jun 26;369:m2269. doi: 10.1136/bmj.m2269.
Minihane AM and Murphy K. The health benefits and practical considerations for the adoption of a Mediterranean Style dietary pattern. Br J Nutr 2022 Aug 15;1-12. doi: 10.1017/S0007114522002471


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