The MEAH Manual and Training

The MEAH has been designed as a screening tool and an intervention. As a screening tool it is able to capture self-defined difficulties which can be evaluated to consider how an individual has psychologically adapted 

The results from the screening tool can provide the basis for a storytelling intervention. This is because of the unique properties of the tool and how it represents the psychology of experience. the interventions that have been developed use the principles of storytelling and metaphor.  

The MEAH Scale as a screening tool & accompanying therapeutic questions

The screening tool and training has been developed across multiple stages and now had its first testing.

Development stages 

Stage 1:

Initial piloting on eight expert patients to develop the intervention and consider the application of the MEAH tool. The tool was adapted following patient’s responses and communication and training was developed for stage 2. 

Stage 2:

Training presentation to forty-eight final year physiotherapy students (37 female students and 11 males). Forty-six (46/48) identified training as useful for their clinical practice. Mainly (n=28, >50%) because of the ability to integrate mental health care in rehabilitation treatment. However, 43/48 wanted further training. In particular this included practice of using the tool and watching scenarios for how it is used. This assessment was identified as a critical need for work steam 1 in the current application. This training is now embedded into the Complex Integrated Care module for the University of Birminghams, BSc Physiotherapy degree program.

Stage 3:

A coffee morning event was undertaken for individuals with experience of cancer or cancer care services. It allowed input from service users. Individuals were asked to consider the design of the study and its conduct.

Stage 4:

The MEAH training and tool were presented at a steering group meeting of the inter- professional student education group. This steering group includes students of all UHB HCP groups and clinical disciplines and 4 service users with critical illness.


Recently completed screening and supporting research: Study 1  

The MEAH has been tested a screening and support tool during COVID for physiotherapy students. We have found that a simple conversation based around results from the MEAH can positively benefit emotions, hope and adaptation. The results have been accepted for publication please see:

 The main finding was the significant change from the experience of worry to an experience of hope and ability to overcome. 

Recently completed screening and supporting research: Study 2  

We are now (as from Monday 31 January 2022) training students to screen and support individuals with chronic neurological conditions using the MEAH. This is a qualitative study and will look to consider the reactions of students and people with neurological conditions to using the MEAH. 

The MEAH Scale as part of a storytelling intervention

Storytelling interventions are currently being developed and tested. 

Completed Project

Project 1: 

Testing the model of emotion, adaptation and hope (MEAH) training for Physiotherapy students; a randomized control trial.

This project was exclusively designed using a e-learning intervention train student physiotherapists to provide psychological support to patients within the health care system. The project has identified significant changes in the students perceived ability to communicate during interactions that are identified as being distressing and also improved empathy.  The study has been submitted to a journal for review 

Future projects

Project 1: 

The testing of a screen, intervene and train intervention using MEAH to help student health care professionals deal with their own mental health and then support their patients. The idea is like having a personal trainer who is fit and healthy come and teach you to be physically fitter. The training will support the mental health of health care professionals then training them on how to support patients. 

Project 2: 

The Application of the Model of Emotions, Adaptation and Hope for people treated for head and neck cancer (H&NC)

(project TAMEAH)

This project has been exclusively designed to support the psychological well-being of individuals with H&NC. The project will be lead by Dr Soundy and Dr Reid and is supported by Prof Jeanette Littlemore. It expected to begin within 2020 following ethical clearance. 

For more information please contact Dr A Soundy on