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Biography

My interest in research with older people began in 2003 with my postgraduate study on falls prevention. A main theme of this work has been on health promotion among older people and in particular investigating how we can best encourage people to lead physically active lifestyles. This entails the use of both the psychology of health and psychology of ageing.

I take an applied approach and bring this to my teaching with students so that they apply their knowledge to everyday life. In terms of research, this entails applying theory to everyday issues.

More recently, I have focused on the health and social care needs of people with dementia and their carers. I am a core member of the Bournemouth University Dementia Institute (BUDI) and have been since it was established in May 2012. I am now exploring how best to prevent falls and promote physical activity among older people with dementia. I am honoured to be a National Institute for Health Research (NIHR) Career Development Fellow from January 2016 to take this research forward.

Research

I am delighted to be awarded a Career Development Fellowship from the National Institute for Research (NIHR). As well as funding a training and development programme, it has provided funding to conduct a phase II randomised controlled trial to test the benefit of Tai Chi for community dwelling people with dementia. The project is called “TACIT: TAi ChI for people with demenTia”. The fellowship started in January 2016 and further details will be made available in due course.

My research has been funded by the MRC-led Multi-council Lifelong Health and Wellbeing Phase 3 programme (pilot studies); ESRC; NHS Dorset, Bournemouth & Poole; Help the Aged; Thomas Pocklington Trust; and internal grants at Bournemouth University (Fusion Investment Fund and small grants schemes) and the University of Reading (pump priming scheme and undergraduate research opportunities programme). In addition, I am co-supervisor to 4 PhD students that are funded by both Bournemouth University and an external partner: The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust; Chorus Care; Guild Care; and Age UK Dorchester.

I am regularly consulted to peer-review manuscripts submitted to scientific journals and project proposals submitted to research funders. I was also co-editor of Generations Review, the online newsletter for the British Society of Gerontology (2008 - 2010).

Favourites

Journal Articles

  • Nyman, S.R. and Skelton, D.A., 2017. The case for Tai Chi in the repertoire of strategies to prevent falls among older people. Perspectives in Public Health, 137 (2), 85-86.
  • Nyman, S.R., Innes, A. and Heward, M., 2016. Social care and support needs of community-dwelling people with dementia and concurrent visual impairment. Aging and Mental Health, 1-7.
  • Nyman, S.R., Goodwin, K., Kwasnicka, D. and Callaway, A., 2016. Increasing walking among older people: A test of behaviour change techniques using factorial randomised N-of-1 trials. PSYCHOLOGY & HEALTH, 31 (3), 313-330.
  • Nyman, S.R. and Szymczynska, P., 2016. Meaningful activities for improving the wellbeing of people with dementia: beyond mere pleasure to meeting fundamental psychological needs. PERSPECTIVES IN PUBLIC HEALTH, 136 (2), 99-107.
  • Morris, R., Nyman, S.R. et al., 2016. RESPOND – A patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a mixed methods programme evaluation. Injury Prevention, 22 (2), 153-160.
  • Barker, A.L., Nyman, S.R. et al., 2014. RESPOND – A patient-centred program to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a multi-centre randomised controlled trial. Injury Prevention.
  • Nyman, S.R. and Victor, C.R., 2014. Older people’s participation and engagement in falls prevention interventions: Comparing rates and settings. European Geriatric Medicine, 5 (1), 18-20.
  • Nyman, S.R. and Victor, C.R., 2014. Use of personal call alarms among community-dwelling older people. Ageing & Society, 34 (1), 67-89.
  • Nyman, S.R., Ballinger, C., Phillips, J.E. and Newton, R., 2013. Characteristics of outdoor falls among older people: A qualitative study. BMC Geriatrics, 13, e125.
  • Nyman, S.R., Dibb, B., Victor, C.R. and Gosney, M.A., 2012. Emotional well-being and adjustment to vision loss in later life: A meta-synthesis of qualitative studies. Disability and Rehabilitation, 34, 971-981.
  • Nyman, S.R. and Victor, C.R., 2012. Older people’s participation in and engagement with falls prevention interventions in community settings: An augment to the Cochrane systematic review. Age and Ageing, 41, 16-23.
  • Whitehead, S.H., Nyman, S.R., Broaders, F., Skelton, D.A. and Todd, C.J., 2012. The quality of English-language websites offering falls-prevention advice to older members of the public and their families. Health Informatics Journal, 18, 50-65.
  • Nyman, S.R. and Victor, C.R., 2011. Older people’s recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: A supplement to the Cochrane systematic review. Age and Ageing, 40, 430-436.
  • Nyman, S.R., 2011. Introduction to the special section on falls prevention. Canadian Journal on Aging, 30, 1-2.
  • Nyman, S.R., 2011. Psychosocial issues in engaging older people with physical activity interventions for the prevention of falls. Canadian Journal on Aging, 30, 45-55.
  • Nyman, S.R., Hogarth, H.A., Ballinger, C. and Victor, C.R., 2011. Representations of old age in falls prevention websites: Implications for likely uptake of advice by older people. British Journal of Occupational Therapy, 74, 366-374.
  • McCrindle, R.J., Nyman, S.R. et al., 2011. Wearable device to assist independent living. International Journal on Disability and Human Development, 10, 349-354.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2010. Counselling for people with sight loss in the UK: The need for provision and the need for evidence. British Journal of Ophthalmology, 94, 385-386.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2010. Emotional well-being in people with sight loss: Lessons from the grey literature. British Journal of Visual Impairment, 28, 175-203.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2010. Psychosocial impact of visual impairment in working-age adults. British Journal of Ophthalmology, 94, 1427-1431.
  • Nyman, S.R. and Yardley, L., 2009. Usability and acceptability of a website that provides tailored advice on falls prevention activities for older people. Health Informatics Journal, 15, 27-39.
  • Nyman, S.R. and Yardley, L., 2009. Web-site-based tailored advice to promote strength and balance training: An experimental evaluation. Journal of Aging and Physical Activity, 17, 210-222.
  • Nyman, S.R. and Ballinger, C., 2008. A review to explore how allied health professionals can improve uptake of and adherence to falls prevention interventions. British Journal of Occupational Therapy, 71, 141-145.
  • Yardley, L. and Nyman, S.R., 2007. Internet provision of tailored advice on falls prevention activities for older people: A randomized controlled evaluation. Health Promotion International, 22, 122-128.
  • Nyman, S.R., 2007. A balancing act? The Psychologist, 20, 420-421.

Chapters

  • Nyman, S.R., 2012. Impaired vision: Psychosocial support. In: Gosney, M.A., Conroy, S. and Harper, A., eds. Oxford Desk Reference: Geriatric Medicine. Oxford: Oxford University Press, 348-349.
  • Nyman, S.R. and Oliver, D., 2010. Preventing falls and avoiding restraint. In: Hughes, R., ed. Rights, Risk and Restraint-free Care of Older People: Person-centred Approaches in Health and Social Care. London: Jessica Kingsley Publishers, 167-177.

Conferences

  • Nyman, S.R., Hayward, C., Thomas, P., Thomas, S., Vassallo, M., Raftery, J. and Allen, H., 2016. Protocol for the TACIT trial (TAi ChI for people with demenTia): A randomised controlled trial comparing the effectiveness of Tai Chi alongside usual care with usual care alone on the postural balance of community-dwelling people with dementia. In: 17th International Conference on Falls and Postural Stability 16 September 2016 Edinburgh, UK.
  • Nyman, S.R., 2016. Use of behaviour change techniques in the TACIT trial: TAi ChI for people with demenTia. In: European Health Psychology Society & BPS Division of Health Psychology Annual Conference 23-27 August 2016 Aberdeen, UK.
  • Nyman, S.R., 2015. Invited paper: Dementia friendly Tai Chi. In: Seminar on “physical activity among hard-to-reach groups: Issues of research, policy and practice”, part of the Economic and Social Research Council funded seminar series on “new directions in ageing and physical activity” 12 November 2015 Uxbridge, UK.
  • Jennings-Parkes, M. and Nyman, S.R., 2015. The effect of providing recreational activities on falls in a dementia care home. In: 16th International Conference on Falls and Postural Stability 11 September 2015 London.
  • Nyman, S.R., 2015. (Symposium chair): New directions in promoting physical activity among older people. In: IAGG VIII European International Congress 23-26 April 2015 Dublin, Ireland.
  • Nyman, S.R., Goodwin, K., Kwasnicka, D. and Callaway, A., 2015. Do strategies to increase physical activity among older people work for individuals? In: IAGG VIII European International Congress 23-26 April 2015 Dublin, Ireland. 29.
  • Barker, A.L., Nyman, S.R. et al., 2014. Falls prevention programs for older fallers presenting to the Emergency Department: A systematic review. In: 6th Biennial Australasian Falls Prevention Conference 16-18 November 2014 Sydney, Australia.
  • Morris, R.L., Nyman, S.R. et al., 2014. Respond – A patient-centred program to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for a mixed methods program evaluation. In: 6th Biennial Australasian Falls Prevention Conference 16-18 November 2014 Sydney, Australia.
  • Bray, J., Heward, M., Evans, S., Nyman, S.R. and Innes, A., 2014. The social care and support needs of adults with concurrent dementia and visual impairment. In: UK Dementia Congress 10-12 November 2014 Brighton, UK..
  • Nyman, S.R., Evans, S., Innes, A., Bray, J. and Heward, M., 2014. The social care and support needs of adults with concurrent dementia and sight loss. In: Alzheimer Europe conference 20-22 October 2014 Glasgow, UK..
  • Innes, A., Mc Parland, P. and Nyman, S.R., 2014. Evaluation of two memory advisory service models for people with dementia. In: 7th International Symposium: The Safety & Health in Agricultural & Rural Populations: Global Perspectives (SHARP) 19-22 October 2014 Saskatoon, Canada.
  • Innes, A., Mc Parland, P. and Nyman, S.R., 2014. Evaluation of two memory advisory service models for people with dementia. In: Dementia: Improving quality through collaboration across Wessex 14 October 2014 Southampton, UK.
  • Nyman, S.R. and Dunkel, C., 2014. Behaviour change techniques to increase physical activity participation for the prevention of falls. In: 15th International Conference on Falls and Postural Stability 8 September 2014 Manchester, UK.
  • Phillips, J., Ballinger, C., Newton, R. and Nyman, S.R., 2014. Older people’s experiences of falling outdoors: Challenging the person-environment fit. In: British Society of Gerontology conference 1-3 September 2014 Southampton, UK..
  • Nyman, S.R., Innes, A. and Heward, M., 2014. Developing best practice in social care and support for adults with concurrent sight loss and dementia within different housing settings. In: North Sea European Dementia conference 14-16 May 2014 Dijon, France.
  • Nyman, S.R., Innes, A. and Mc Parland, P., 2013. Evaluation of two models of social care for people in the community affected by dementia. In: British Society of Gerontology 11-13 September 2013 Oxford.
  • Nyman, S.R., Ballinger, C., Phillips, J. and Newton, R., 2013. Learning from older people’s experiences of falling over outdoors. In: British Society of Gerontology 11-13 September 2013 Oxford.
  • Nyman, S. and Victor, C.R., 2012. Current evidence on older people’s participation in exercise interventions for the prevention of falls. In: World Congress on Active Ageing 13-17 August 2012 Glasgow, Scotland. S107.
  • Nyman, S., Tiedemann, A., Campbell, J. and Rose, D., 2012. Enhancing participation in exercise interventions for the prevention of falls. In: World Congress on Active Ageing 13-17 August 2012 Glasgow, Scotland. S107.
  • Aspinall, P., Ballinger, C., Codinhoto, R., Newton, R., Nyman, S.R., Ormerod, M., Pearce, J., Phillips, J., Skelton, D.A. and Ward Thompson, C., 2011. Go-Far: Going outdoors; falls, ageing and resilience. In: 12th International Conference on Falls and Postural Stability 9 September 2011 Manchester, UK.
  • Nyman, S.R. and Victor, C.R., 2011. Older people’s participation in falls prevention interventions in institutional settings: A supplement to the Cochrane Systematic Review. In: 12th International Conference on Falls and Postural Stability 9 September 2011 Manchester, UK.
  • Nyman, S.R. and Victor, C.R., 2011. Current status of older people’s participation in exercise interventions for the prevention of falls in institutional settings. In: IAGG VII European International Congress 14-17 April 2011 Bologna, Italy. 19.
  • Iliffe, S. and Nyman, S.R., 2011. Optimising older people’s participation in exercise interventions for the prevention of falls (Symposium: Chaired by S. Iliffe & S.R. Nyman). In: IAGG VII European International Congress 14-17 April 2011 Bologna, Italy.
  • Newton, R., Nyman, S.R., Ormerod, M., Skelton, D. and Ward Thompson, C., 2011. Falling out: What do we really know about outdoor falls? In: British Society of Gerontology 40th Annual Conference 5-7 July 2011 Plymouth, England.
  • Nyman, S.R., Victor, C.R. and Catling, C., 2010. Older people’s use of personal call alarms. In: 11th International Conference on Falls and Postural Stability 20 September 2010 Oxford, England.
  • Nyman, S.R., Victor, C.R. and Catling, C., 2010. Older people’s use of personal fall alarms. In: International Society for Gerontechnology 7th World Conference 27-30 May 2010 Vancouver, Canada. 317.
  • Catling, C., Nyman, S.R. and Victor, C.R., 2010. Older people’s use of personal fall alarms. In: 39th BSG (British Society of Gerontology) Conference: Identities, Care and Everyday Life 6-8 July 2010 Brunel University, Uxbridge, England.
  • Nyman, S.R., 2010. Research impact - falls (In J. Goodwin [Chair], Research impact – now or never! Maximising research benefits for older people). In: 39th BSG (British Society of Gerontology) Conference: Identities, Care and Everyday Life 6-8 July 2010 Brunel University, Uxbridge, England.
  • Nyman, S.R., Hogarth, H.A., Ballinger, C. and Victor, C.R., 2010. The likely acceptance of falls prevention websites by older people. In: 39th BSG (British Society of Gerontology) Conference: Identities, Care and Everyday Life 6-8 July 2010 Brunel University, Uxbridge, England.
  • McCrindle, R.J., Nyman, S.R. et al., 2010. Wearable device to assist independent living. In: Sharkey, P.M. and Sánchez, J., eds. 8th International Conference on Disability, Virtual Reality & Associated Technologies, 31 August-2 September 2010 Viña del Mar/Valparaíso, Chile. New York: International Society for Virtual Rehabilitation, 17-26.
  • Nyman, S.R., Gosney, M.A., Victor, C.R. and Sadiq, S., 2009. Emotional well-being in older people with vision loss: A systematic review of qualitative studies. In: BSG 2009: 38th Annual Conference of the British Society of Gerontology: Culture, Diversity and Ageing 2-4 September 2009 University of Bristol, England.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2009. Evidence update of the psychosocial impact of vision loss in older people. In: IAGG World Congress of Gerontology and Geriatrics 5-9 July 2009 Paris, France. S670.
  • Nyman, S.R., 2009. Psychosocial issues in engaging older people with falls prevention interventions (In S.R.Nyman [Chair], The state of the art: Falls prevention in older people). In: BSG 2009: 38th Annual Conference of the British Society of Gerontology: Culture, Diversity and Ageing 2-4 September 2009 University of Bristol, England.
  • Nyman, S.R., Hogarth, H.A., Ballinger, C. and Victor, C.R., 2009. The likely acceptance of falls prevention websites by older people. In: 10th International Conference on Falls and Postural Stability 7 September 2009 Blackpool, England.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2009. The psychosocial impact of sight loss: An update of the evidence. In: British Geriatrics Society Spring Meeting 1-3 April 2009 Bournemouth, UK. ii65.
  • Nyman, S.R., 2009. The state of the art: Falls prevention in older people (Symposium: Chaired by S.R.Nyman). In: BSG 2009: 38th Annual Conference of the British Society of Gerontology: Culture, Diversity and Ageing 2-4 September 2009 University of Bristol, England.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2008. The psychosocial impact of sight loss on older people: An update of the evidence. In: BSG 2008: 37th Annual Conference of the British Society of Gerontology: Sustainable futures in an ageing world 6-9 September 2008 University of the West of England, Bristol, England.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2008. Assessment of the current provision of psychological support to older people with sight loss. In: BSG 2008: 37th Annual Conference of the British Society of Gerontology: Sustainable futures in an ageing world 6-9 September 2008 University of the West of England, Bristol, England.
  • Nyman, S.R., Gosney, M.A. and Victor, C.R., 2008. The psychosocial impact of sight loss on older people: An update of the evidence. In: VISION 2008 7-11 July 2008 Montreal, Canada. 86.4.
  • Nyman, S.R. and Yardley, L., 2007. The efficacy of a website that tailors information on strength and balance training. In: BSG 2007: 36th Annual Conference of the British Society of Gerontology: Realities of Ageing: Research Into Action 6-8 September 2007 Sheffield Hallam University, England.
  • Nyman, S.R. and Yardley, L., 2007. Internet provision of tailored advice on falls prevention activities for older people (In C. Foster [Chair], Self managing health related problems). In: BPS Division of Health Psychology Annual Conference September 2007 University of Nottingham, England.
  • Nyman, S.R. and Yardley, L., 2006. The acceptability of a balance training website: A qualitative study. In: BPS Health Psychology Self Management of Mental & Physical Health in Acute and Chronic Conditions Conference November 2006 Southampton, England.
  • Nyman, S.R. and Yardley, L., 2006. The acceptability of a balance training website: A qualitative study. In: BPS Division of Health Psychology Annual Conference 13-15 September 2006 University of Essex, England.
  • Nyman, S.. Current status of older people’s participation in exercise interventions for the prevention of falls. In Nyman, S. R. (Chair). Physical activity promotion: Current issues and developments. In: British Society of Gerontology 11-13 July 2012 Keele, UK.
  • Nyman, S.. Physical activity promotion: Current issues and developments (symposium). In: British Society of Gerontology 11-13 July 2012 Keele, UK.

Reports

PhD Students

  • Iram Bibi (Evaluation of the use of behaviour change techniques in delivering Tai Chi to improve quality of life among older people with dementia)
  • Yolanda Barrado-Martin (Process evaluation of a Tai Chi exercise intervention to prevent falls among older people with dementia)
  • Mary Duah-Owusu White (Improving the Short-term Management of Patients with Dementia Admitted to Hospital)
  • Sophie Bushell (Promoting well-being in dementia in a purpose built care environment)
  • Christopher Poyner (A critical evaluation of the strategic implementation of a new model of dementia care)
  • Natalia Adamczewska (Improving older people’s recovery from falls using psychological theory)
  • Ben Hicks (Exploration of the use of game technology to improve the quality of life of older men with dementia in rural Dorset)

Profile of Teaching UG

  • Dr Nyman will not be teaching on the BSc Psychology course during his NIHR-funded Career Development Fellowship (January 2016 - December 2018)

Invited Lectures

  • Nyman, S. R. (2014, April). Tips and tools for engaging older people with exercise interventions for the prevention of falls. Workshop presented at, “Moving forward in patient safety: Implementation, leadership and culture”, Melbourne, Australia.
  • Nyman, S. R. (2014, April). Older people’s uptake and adherence to falls prevention interventions. Paper presented at, “Knowledge to action in falls prevention across the care continuum”, Melbourne, Australia.
  • Nyman, S. R. (2014, April). Outdoor falls among older people in the community. Paper presented at, “Knowledge to action in falls prevention across the care continuum”, Melbourne, Australia.
  • Nyman, S. R., & Yardley, L. (2006, April). Development and evaluation of an interactive website for matching falls prevention advice to self-rated capabilities, needs and preferences. Invited paper presented at the Work Package 4 meeting of the Prevention of Falls Network Europe group, Leiden, the Netherlands.
  • Nyman, S. R., & Yardley, L. (2006, November). Use of the Internet for delivering interventions to support self management. Invited paper presented as part of the Online support: Supporting self management online workshop, at the BPS Health Psychology Self Management of Mental & Physical Health in Acute and Chronic Conditions Conference, Southampton, UK.
  • Nyman, S. R. (2009, January). A website to engage older adults in balance training. Invited paper presented at the Core Satellite Symposium on Increasing Adherence to Falls Prevention Interventions, held by the School of Health and Social Care, Glasgow Caledonian University, in conjunction with Prevention of Falls Network Europe (ProFaNE), Glasgow, UK.
  • Nyman, S. R., & Bond, C. S. (2010, September). Web based approaches to falls prevention. Invited workshop presented at the 11th International Conference on Falls and Postural Stability, Oxford, UK.
  • Nyman, S. R. (2011, June). eLearning for patients – Tailoring web-based patient education. Invited seminar presented at the Arthritis Research UK – Musculoskeletal Educators conference, Southampton, UK.
  • Nyman, S. R. (chair) (2012, August). Enhancing participation in exercise interventions for the prevention of falls. Invited symposium presented at the World Congress on Active Ageing, Glasgow, UK.
  • Barker, S., & Nyman, S. R. (2013, May). Falls and mental health. Invited paper presented at the Osteoporosis Dorset conference: “A positive approach to preventing falls and broken hips in care homes”, Bournemouth, UK.
  • Nyman, S. R., & Newton, R. (2013, September). Outdoor falls: Characteristics and prevention strategies. Invited workshop presented at the 14th International Conference on Falls and Postural Stability, Bristol, UK.
  • Nyman, S. R. (2009, October). The emotional support needs of people with sight loss: The case for research. Invited conference plenary address presented at the Vision Impaired Network for Counselling and Emotional support (VINCE) conference, Birmingham, UK.
  • Nyman, S. R. (2012, September). Older people’s participation in falls prevention interventions. Invited conference plenary address presented at the 13th International Conference on Falls and Postural Stability, Leeds, UK.
  • Nyman, S. R. (2013, June). Uptake and adherence to falls prevention interventions. Invited conference plenary address presented at, “Current topics in hospital falls prevention: Accreditation standards, managing delirium, patient engagement and education”, Melbourne, Australia.

Grants

  • Developing a sustainable research programme to prevent falls and promote physical activity among older people with dementia (National Institute for Health Research, 01 Jan 2016). In Progress
  • Improving the Short-term Management of Patients with Dementia Admitted to Hospital (Match-funded PhD studentship with The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust, 01 Oct 2015). In Progress
  • A critical evaluation of the strategic implementation of a new model of dementia care (Match-funded PhD studentship with Guild Care, 01 Oct 2013). In Progress
  • Promoting well-being for residents with dementia living in a purpose built care environment (Match-funded PhD studentship with Chorus Care, 01 Oct 2013). In Progress
  • Dementia programme (Gracewell Health Care, 16 Jan 2013). Completed
  • Dorset memory service evaluation (NHS Dorset, Bournemouth & Poole, 01 Oct 2012). Completed
  • Older men with dementia in rural areas: An exploration of the potential for computer game technology to promote physical, social and mental well-being (Match-funded PhD studentship with Age UK Dorchester, 01 Oct 2012). In Progress
  • Going Outdoors: Falls, Ageing and Resilience (Go Far) (Led by the MRC: Multi-council Lifelong Health and Wellbeing Phase 3 - pilot studies, 01 Feb 2012). Completed
  • Emotional support to people with sight loss (Thomas Pocklington Trust, 01 Oct 2008). Completed
  • Literature review on implementing falls prevention recommendations in everyday practice (Help the Aged, 01 Aug 2007). Completed
  • Evaluation of a website designed to encourage older people to undertake balance training for the prevention of falls (ESRC, 01 Oct 2003). Completed

Qualifications

  • BSc (Hons) in Psychology (University of Portsmouth, 2001)
  • MSc in Research Methods in Psychology (University of Southampton, 2004)
  • PhD in Psychology (University of Southampton, 2007)

Memberships

  • European Health Psychology Society, Member,
  • Faculty of the National Institute for Health Research, Fellow (2016-2018),
  • Falls and Bone Health Section of the British Geriatrics Society, Member,
  • Higher Education Academy, Associate,
  • Prevention of Falls Network Earth (Community Online), Member,
The data on this page was last updated at 04:03 on April 27, 2017.