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  Sedentary behaviour and physical activity interventions for people living with Rheumatoid Arthritis


   School of Sport, Exercise and Rehabilitation Sciences

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Dr S Fenton Prof Jet Veldhuijzen van Zanten Prof J Duda  No more applications being accepted  Funded PhD Project (European/UK Students Only)

About the Project

Research interests/description of main research theme:
Rheumatoid Arthritis (RA) is characterised by high-grade systemic inflammation, leading to joint pain, fatigue, physical dysfunction and increased cardiovascular co-morbidity. Behavioural strategies that support self-management of RA symptoms are increasingly advocated.

Moderate-to-vigorous physical activity (MVPA) is recommended as a behavioural intervention in RA, due to its anti-inflammatory and cardio-protective effects. Distinct from MVPA, sedentary behaviour (“too much sitting”) is suggested to exacerbate inflammation and may contribute independently to the progression of RA outcomes. Unfortunately, people with RA sit for prolonged periods, and demonstrate very low MVPA.

Research to date is yet to examine the independent effects of MVPA vs. sedentary behaviour on different health outcomes among people with RA. This is an important first step in determining the potential of these behaviours for improving health and quality of life in this patient group. Further, behaviour change interventions targeting sedentary behaviour vs. MVPA have not been compared in terms of patient-preference and/or potential for clinical efficacy. For example, due to pain, people with RA may perceive reducing sedentary behaviour (via increasing standing/light-intensity activity) to be more achievable than participating in MVPA.

The project:

This PhD studentship will explore interventions targeting sedentary behaviour vs. MVPA for improving health outcomes in RA. The research undertaken will include quantitative and qualitative studies (e.g., a cross-sectional study, interviews/focus groups), leading to the development and piloting of interventions to reduce sedentary behaviour or increase MVPA in this patient group. Studies will be conducted as a collaboration between the University of Birmingham, University of Nottingham, Glasgow Caledonian University and Dudley Group of Hospitals NHS Foundation Trust. Skills developed will include; practical research and clinical skills required to assess a broad range RA health outcomes (e.g., phlebotomy, pain algometry), advanced capabilities in the objective measurement of physical activity/sedentary time, qualitative research skills and a knowledge/application of behaviour change theory.

Person Specification
Applicants should have a strong background in Exercise and/or Health Sciences, and preferably a background in physical activity/sedentary behavior epidemiology. They should hold or realistically expect to obtain at least an Upper Second Class Honours Degree in Sport and Exercise Science, Health/Medical Sciences or a related field.
Other essential criteria:
• Excellent communication (oral and written) and teamwork skills.
• Ability to successfully recruit participants for research studies.
• Ability to contribute towards the design of research studies and experience of writing research ethics applications.
• Ability to systematically analyse research data and interpret results.
• Knowledge of theories and approaches to support behaviour change.

Desirable criteria
• Masters degree in a relevant discipline (e.g., Sport and Exercise Psychology/Physiology, Exercise Medicine, Health Sciences) and/or significant research experience.
• Experience of using objective methods to assess physical activity/sedentary time among adults/patient populations.
• Experience of collecting data for research studies examining biological outcomes in human subjects (e.g., inflammation).
• Experience of working in a clinical setting or with patient groups.
• Experience of conducting statistical analyses (e.g., using SPSS; Statistical Package for the Social Sciences).

How to apply
Informal enquiries should be directed to Dr. Sally Fenton ([Email Address Removed]) or Dr. Jet Veldhuijzen van Zanten ([Email Address Removed]).
Applications should be directed to Lisa Fuller (email: [Email Address Removed] ). To apply, please send:
• A detailed CV, including your nationality and country of birth;
• Names and addresses of two referees;
A covering letter stating the project you are applying for and highlighting your research experience/capabilities

Interviews will take place on Tuesday the 6th of March 2018

Funding Notes

• 3-year funded studentship through the MRC-ARUK Centre for Musculoskeletal Ageing Research (CMAR). Students should have home or EU status: and have been 'ordinarily resident' in the UK for 3 years prior to the start of the studentship to be eligible for the full award (tuition fees, research support costs, and a tax-free stipend at the Research Council rate). Applicants who have been 'ordinarily resident' in another EU member state may be eligible for a fees only award. Please see RCUK terms and conditions for further information.
This studentship is full-time and will begin on 1st of October 2018

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Project supervisors

Career overview

Dr Sally A. M. Fenton obtained both her BSc in Sport and Exercise Sciences in 2008 and her PhD in Sport and Exercise Psychology in 2014 from the School of Sport, Exercise and Rehabilitation Sciences at the University of Birmingham. Following the completion of her PhD, she served as a Post-doctoral Research Fellow, collaborating across the University of Birmingham and the Dudley NHS Foundation Trust on projects focused on physical activity and sedentary behaviour change in patients with Rheumatoid Arthritis (RA). In October 2017, Dr Fenton was appointed as a Lecturer in Lifestyle Behaviour Change and was promoted to Associate Professor in 2021. She has recently been awarded an NIHR Advanced Fellowship for the MISSION-RA project, which she will undertake until November 2027. Dr Fenton''s research primarily centres on the development, delivery, and evaluation of theory-based interventions aimed at promoting physical activity, particularly within clinical populations. She also possesses expertise in device-based assessments of physical activity and sedentary behaviour, utilising tools such as accelerometers and commercial wearables for intervention evaluation.


Research interests

Dr Sally A. M. Fenton''s research focuses on the development, delivery, and evaluation of theory-based interventions to promote physical activity, particularly among clinical populations. She has expertise in device-based assessments of physical activity and sedentary behaviour, utilising tools such as accelerometers and commercial wearables for both intervention purposes and to evaluate intervention efficacy. Dr Fenton aims to validate device-based measures of physical activity and sedentary behaviour and investigates their role in health and disease, with a recent emphasis on individuals living with Rheumatoid Arthritis (RA). Her current projects include developing motivation-theory grounded interventions to enhance physical activity and reduce sedentary behaviour in clinical populations, including patients awaiting liver transplants, those with lung cancer, and individuals with RA. Additionally, she leads research on behaviour change interventions to increase movement and decrease sitting time in cohorts associated with the NIHR Birmingham Biomedical Research Centre (BRC). Dr Fenton has been awarded an NIHR Advanced Fellowship for the MISSION-RA project, which focuses on innovative intervention development methods that integrate theory and data science to support physical activity in people with RA.

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Prof Jet Veldhuijzen van Zanten's profile is coming soon

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Career overview

Professor Joan Duda is a Professor of Sport and Exercise Psychology at the School of Sport, Exercise and Rehabilitation Sciences at the University of Birmingham and an Adjunct Professor in the Faculty of Psychology at the University of Bergen, Norway. She completed her Bachelor of Arts in psychology at Rutgers University in 1977, followed by a Master of Science in physical education at Purdue University in 1978, and a PhD in Sport Psychology/Kinesiology at the University of Illinois at Urbana-Champaign in 1981. Professor Duda is internationally recognised for her expertise in motivational processes and determinants of adherence and optimal functioning in sport, exercise, and dance. She has extensive experience as a mental skills consultant, working with athletes, coaches, and performers at various competitive levels. Professor Duda is the Director of a significant multinational project funded by the European Commission, aimed at promoting quality engagement in youth sport. Her research interests include developing, implementing, and evaluating theory-based interventions across healthy and clinical populations throughout the lifespan. She leads the Motivating Healthy Lifestyle theme within the Centre for Obesity Research and is associated with the Centre on Healthy Ageing and the Institute of Sport, Exercise and Movement. In addition to her research, Professor Duda has held various leadership roles within professional organisations, including serving as Past-President of the Association for the Advancement of Applied Sport Psychology and being a member of the executive boards of several prestigious societies. She has published over 220 scientific and applied papers and book chapters, and has edited significant works in the field of sport and exercise psychology. Professor Duda has been an invited keynote speaker globally and has received numerous accolades, including an honorary doctoral degree from the Norwegian School of Sport Sciences in 2008. She has been involved in high-profile projects with substantial funding and has contributed to the development of mental skills training programmes for various sports, including her role with the USA Gymnastics Women’s Artistic National Team during the 1996 Atlanta Olympics. Currently, she continues to consult with elite athletes and coaches, focusing on performance excellence and motivational strategies.


Research interests

Professor Duda''s research focuses on motivational processes and determinants of adherence and optimal functioning in sport, exercise, and dance. She is experienced in developing, implementing, and evaluating theory-based interventions in both healthy and clinical populations across the lifespan. Her work integrates major theoretical frameworks and methodological advancements, employing both field and lab-based studies with sophisticated quantitative techniques and qualitative approaches. Professor Duda leads the Motivating Healthy Lifestyle theme within the Centre for Obesity Research and is associated with the Centre on Healthy Ageing and the Institute of Sport, Exercise and Movement. She has contributed significantly to the field through her roles in various professional organisations and editorial boards, and has published over 220 scientific and applied papers and book chapters.

View Professor Joan Duda PhD's profile