Lee Kannis-Dymand

Lee Kannis-Dymand
University of the Sunshine Coast | USC · Discipline of Psychology

PhD; PG.DipClin.Psych(UC);Oxford.PG.DipCog.Therapy

About

68
Publications
22,198
Reads
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595
Citations
Citations since 2017
61 Research Items
569 Citations
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2017201820192020202120222023050100150200
Additional affiliations
July 2011 - present
University of the Sunshine Coast
Position
  • Professor (Associate)
Description
  • Research, research supervision, and clinical psychology training and supervision.
October 2008 - June 2011
Canterbury District Health Board
Position
  • Medical Professional
Description
  • Clinical assessment and treatment of anxiety and trauma disorders, OCD, body dysmorphia, and mood conditions.
February 2006 - November 2006
Centre for Anxiety Disorders and Trauma NHS
Position
  • Medical Professional
Education
August 2007 - June 2008
University of Oxford
Field of study
  • Cognitive Behaviour Therapy
February 1999 - February 2003
University of Canterbury
Field of study
  • Clinical Psychology
February 1999 - February 2003
University of Canterbury
Field of study
  • Psychology

Publications

Publications (68)
Article
Increasing pro-environmental behavior may combat environmental deterioration and promote animal and human welfare. Using the Theory of Planned Behavior (TPB), we investigated how an Australian zoo-based seal encounter influenced participants’ pro-environmental intentions and behavior at 1-month follow-up. Participants were 113 seal encounter visito...
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This study investigated the relationship between sport related metacognitions with state anxiety dimensions, and compared how sporting categories affected these variables, among an online sample of athletes (N = 187). A MANOVA revealed there were significant differences between sporting types in metacognitive beliefs relating to the utility of rumi...
Article
Aggressive driving behaviour (ADB) is an ongoing road safety issue that has proven difficult to deter. The purpose of this study was to: qualitatively investigate the antecedents of ADBs, document the self-regulatory processes and metacognitive beliefs associated with ADBs, and explore how metacognitive facets might influence the progression and ex...
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Background: Evidence suggests that gamers can have varying experiences of disordered gaming behaviours due to coping mechanisms and how they can act as risk or protective factor in the development and/or maintenance of disordered behaviours. A particular area of interest is how this may manifest across different countries. Understanding the interpl...
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Recent advancement in technology has made virtual reality (VR) more accessible and immersive than ever before, resulting in its increasing utility in various industries. Despite this, VR has remained an underutilised tool within clinical psychology. This study aimed to explore the potential of using VR for therapeutic benefits through examining the...
Article
The majority of research surrounding the intervention of risky driving behaviours has operated on the notion that offending behaviour is intentional, leading to a defined theoretical approach on deterrence. This study aimed to investigate the motivations, regulatory behaviours and resisting beliefs that contribute to the occurrence of risky driving...
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This study aimed to explore the self‐regulatory experiences and perceptions of drivers’ attentional processes on the road, via a metacognitive framework. Forty‐six Australian drivers participated in a phone interview and thematic analysis was applied to the data. The results revealed that effective self‐reported attention regulation was perceptuall...
Article
This study aimed to investigate the relationships among self-reported meta-memory beliefs, thought control strategies (i.e., distraction, reappraisal, worry, social control, and punishment), and posttraumatic stress disorder (PTSD) symptomology, among a sample of earthquake survivors (N = 412). Correlational analysis and structural equation modelin...
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Research of clinical patients with a pre-existing psychological disorder involved in a disaster is limited. This study investigated relationships between pre-and post-earthquake psychopathology (i.e., anxiety, depression, and posttraumatic stress), peritraumatic distress, work and social impairment, perceived support post-earthquake, and personalit...
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Gaming addiction is now a prevalent and persistent phenomenon in modern society. This study aimed to assess the metacognitive model of desire thinking and craving in explaining problematic video game use and to examine the role that specific motives for gaming have towards positive metacognitions about desire thinking. A sample of participants (N =...
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Background Intellectual disability and mental health disorders constitute a major health problem globally with higher economic burden in low- and middle-income countries such as Bangladesh. In 2017, the World Bank estimated that 85% of the global population lived in low-middle-income countries. Limited research has explored health practitioner know...
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“Cross-addiction” involves a person substituting one form of addictive behaviour for another. Indeed, cross-additive presentations have been frequently described (e.g. from drugs to alcohol, gambling to sex), and risk profiles have been assumed. Nevertheless, there has been a dearth of evidence considering the occurrence of cross-addiction risk pro...
Article
This study evaluated whether the metacognitive model of desire thinking, with the addition of the Proteus Effect (i.e. the behavioural transformation of a gamer based on their avatar characteristics), contributes to problematic gaming behaviour. The research project was conducted using an online survey and quantitative research methodology. Inclusi...
Article
Self-regulatory ability has been linked to a) the tendency to engage in risky behaviours, and b) the ability to focus attention. This study investigated the relationships between metacognitions, emotion regulation difficulties, risky driving behaviours, and attentional lapses on the road, among an online sample of Australian drivers (N = 255). Firs...
Article
Objective Socially anxious individuals may prefer social media platforms over in-person interactions. For those with high social anxiety (SA), Facebook-related tasks have been associated with anxiety, negative thoughts, and safety behaviours. However, Instagram-related research remains limited. The present study aimed to assess Instagram use alongs...
Article
Immersion in nature provides various psychological benefits to well-being. Recent research examines whether these benefits can be replicated in virtual reality (VR). This study aimed to systematically review the literature on the psychological effects on well-being of virtual immersion in nature. Databases searched included Scopus, EBSCO, Web of Sc...
Article
Cognitive behaviour therapy (CBT) has the strongest evidentiary support for the treatment of panic disorder. Specifically, interoceptive exposure (IE) has been found to be a critical component in the research literature. International studies have suggested that psychologists often avoid undertaking IE or do so in ways not consistent with evidence-...
Article
Sexual wellbeing is an integral part of human existence, characterised by physical, emotional, mental, and sociocultural factors. This study aimed to synthesise and evaluate psychometric measures of sexual wellbeing. Following systematic review methodology, searches were conducted in August 2020 and articles were screened by two independent reviewe...
Article
Road rage is a serious issue impacting road safety on Australian roads. This study investigated the psychological antecedents involved in aggressive driver behaviours. Specifically, the study investigated the relationships between metacognitive beliefs, anger rumination, trait driver anger, and driver aggression; and examined the extent of aggressi...
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Cyberbullying contributes to poor mental health outcomes and quality of life (QoL), and peer victimisation has been shown to be positively associated with both positive and negative metacognition. Whilst metacognitive beliefs are associated with pathological worry, obsessive–compulsive symptoms, and rumination in depression, research is yet to exam...
Preprint
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Background Perinatal mental illness is prevalent and can be associated with poorer health outcomes for mother and fetus if untreated. Mindfulness is a contemporary approach to managing mental health concerns; however, little is known about the effectiveness of Mindfulness-based Interventions during pregnancy, especially within the context of peer s...
Article
Objective Cognitive behavioural case formulations (CBCFs) have been widely used in Cognitive Behavioural Therapy (CBT). However, sparse research has examined how clients experience the shared formulation process. The current study aimed explored the role of CBCFs in an outpatient student-staffed community clinic. Method A 30 adult participants age...
Article
Pornography represents a prevalent and easily accessible form of media which, if consumed in excess, may contribute to personal distress and impaired functioning. Problematic pornography users may experience craving for sexually explicit material and research supports the conceptualization of craving within a metacognitive framework. That is, the e...
Article
Objective: Research and theory suggest the aetiological nature and symptomatic profile of eating disorders (EDs) can be explained by multiple factors, including the development of early maladaptive schemas (EMS). Yet, there is lack of consensus regarding the evidence supporting the relationship between EMS and EDs. Therefore, this systematic revie...
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Introduction COVID-19 has resulted in major life changes to the majority of the world population, particularly adolescents, with social-distancing measures such as home-based schooling likely to impact sleep quality. Increased worry is also likely considering the substantial financial, educational and health concerns accompanying COVID-19. White ma...
Article
The metacognitive model of PTSD implicates metacognitive beliefs, meta-memory beliefs, and metacognitive control strategies in perpetuating and maintaining symptoms of PTSD. Despite this expanding area of research, the evidence for the metacognitive model of PTSD has not been reviewed. A systematic review according to the PRISMA statement was condu...
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Background: Massively multiplayer online games (MMOs) evolve online, whilst engaging large numbers of participants who play concurrently. Their online socialization component is a primary reason for their high popularity. Interestingly, the adverse effects of MMOs have attracted significant attention compared to their potential benefits. Methods: T...
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Background Internet Gaming Disorder (IGD) behaviours involve excessive use of Internet games to the extent that one’s everyday life is compromised. It has been suggested that IGD symptoms are dependent on whether one is more individualistic or collectivistic. However, the range of potential individualism-collectivismeffects on IGD presentations rem...
Article
Objective: Clark and Wells cognitive model of social anxiety has significant empirical support and has informed evidence-based treatments for Social Anxiety Disorder. However, to date, research for this model is related to face-to-face social interactions. Considering the increased rates of Internet use and social media worldwide, this study aimed...
Preprint
Full-text available
Background Internet Gaming Disorder (IGD) involves excessive use of Internet games to the extent that one’s everyday life is compromised. It has been suggested that IGD symptoms are dependent on a person’s cultural orientation. However, the range of potential cultural orientation effects on IGD presentations remains largely unknown. The current stu...
Article
Social anxiety disorder (SAD) is a prevalent chronic condition with a large demand for treatment. This community outpatient study examined the effectiveness of a group intervention version of the established one-to-one cognitive therapy derived from the Clark and Wells model for SAD. Questionnaires were completed pre-treatment and post-treatment fo...
Article
Background Premature ejaculation (PE) and erectile dysfunction (ED) are prevalent sexual problems, with evidence to suggest variation across sexual orientation. Contributing factors have traditionally been divided into organic and psychological categories. While limited research has found support for the influence of metacognitive beliefs, these st...
Article
Several theories exist regarding the role of memory in the development of PTSD. The metacognitive model of PTSD contends beliefs about trauma memory are pivotal in the development and maintenance of PTSD. The Beliefs About Memory Questionnaire (BAMQ) was developed to measure metacognitive beliefs about trauma memory. This study aimed to test the ps...
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The Brief COPE is a widely used instrument to measure coping behaviours. However, the number of factors can vary across populations and the contexts in which they are utilised, raising concerns about the generalisability of the coping subscales from one study to another. The current study used participants who had experienced the Canterbury earthqu...
Article
Introduction: Intellectual disability (ID) and co-morbid mental health problems are more common in developing countries such as Bangladesh. However, little is known about how Bangladeshi health practitioners diagnose mental health disorders in people with an ID. Studies in developed countries have explored the impact of the diagnostic overshadowing...
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Objectives This study investigated associations between triathletes’ sports-specific metacognitive beliefs, metacognitive processes measured prior to a triathlon (n = 193), and in-event flow measured post event (n = 76).. Method The Metacognitive questionnaires were administered to triathletes one day prior to the event, and the flow scale was adm...
Article
Background High rates of post-traumatic stress disorder (PTSD) are documented within refugee populations. Although research supports effectiveness of trauma-focused cognitive behaviour therapy (TF-CBT) among Western populations, little research exists for its efficacy among refugees living in camps and settlements in developing nations. Aims To in...
Article
The aim of this study was to investigate the impact of whale encounters on tourists’ pro-environmental intentions, and possible influences of individual characteristics. Data were collected from whale watching/swim-with-whale experiences within Australia and the Kingdom of Tonga. Comparison of pre and post trip survey data (N = 267) indicated that...
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Dysregulated sexuality refers to sexual thoughts, feelings, and behaviors that are perceived as out of control and distressing. This study aimed to explore the relationships between desire thinking and metacognition about desire thinking in relation to dysregulated sexuality and craving. Approximately 1,042 participants completed a battery of self-...
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Background Metacognition and perfectionism are factors found to be associated with both anxiety and depression. A common component that underlies these factors is the influence of perseverance, or the tendency to continue a behaviour or thought even if it is no longer productive. Aims This study aimed to investigate the relationships between metac...
Article
Adolescence is a period when complex interactions occur between mental health risk factors. The Longitudinal Adolescent Brain Study (LABS) commenced in 2018, to monitor environmental and psychosocial factors thought to influence mental health in 500 young people. Participants commence at 12 years of age, via a community-based recruitment model, and...
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Metacognitive model is a theoretical approach aimed to explain emotion dysregulation and others emotion‐related issues, such anger, and aggressive behavior. From this model, people having higher maladaptive metacognitive beliefs (e.g., “I can't control my thoughts”) are more likely to activate and maintain anger rumination and, in turn, to experien...
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Whale-related tourism is an increasingly popular activity which may be used to drive conservation efforts. This study explored the relationships between empathy, conservation behaviors, anthropomorphism, connectedness to nature, and experiences of whale watchers and swim-with whale tourists. Participants (n = 45) from Australia and the Kingdom of T...
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Research evidence has shown that in childhood, a secure attachment to a reliable caregiver is important for future mental health and well‐being. The theoretical and research basis for attachment theory continues to grow. As attachment theory has become more widely adopted there are challenges and opportunities both theoretically and in terms of its...
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The purpose of this study was to develop a sport-specific self-report measure of metacognitive beliefs: The Metacognitive Beliefs about Performances Questionnaire (MBPQ). Firstly, principal components analysis and reliability tests showed that the MBPQ retained a reliable five-factor solution: positive beliefs about competitive worry; positive beli...
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Nature-based experiences can contribute to individuals’ connection to nature and intentions toward sustainable environmental behaviours. Conservation psychology can use tourism as a platform to modify tourists’ intentions and behaviours regarding key marine threats such as single-use plastics. This study examined changes to pro-environmental intent...
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Objective A validated, brief measure of anger is needed in clinical settings to screen for problematic anger. This study examined the validity of the seven‐item Dimensions of Anger Reactions‐Revised (DAR‐R), including a version for the Spanish population. Method Multiple psychometric instruments administered to 541 (76.6% female) adults in Austral...
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Objective Metacognitive models posit that beliefs about thoughts and memories influence the development of posttraumatic stress disorder (PTSD) symptoms following traumatic events. This study examined the relationship of beliefs about memory with peritraumatic experiences in the development of PTSD symptoms following the Canterbury earthquakes and...
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Objectives: This study aimed to develop and validate a sport-specific self-report measure of metacognitive processes: The Metacognitive Processes during Performance Questionnaire (MPPQ). Design: Three sub studies were used to: a) test the internal validity of the MPPQ in an online athlete sample; b) retest the internal validity of the MPPQ in a tr...
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This study investigated two primary research aims surrounding health anxiety: a) to examine what differences exist in emotion regulations strategies of health anxious and non-health anxious populations, and b) to investigate what emotion regulation strategies predict health anxiety, before and after controlling for trait cognitive and somatic anxie...
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This study investigated triathletes’ metacognitions and mindfulness traits ( N = 232) measured prior to competition, and flow ( N = 63), post competition. The primary aim was to investigate whether metacognitions (measured by the Metacognitions Questionnaire) would associate with mindfulness facets (measured by the Five Facet Mindfulness Questionna...
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Purpose Metacognitive beliefs and processes have been found to perpetuate anxiety and depression in youth and adults. However, the presence of metacognitive beliefs in children with autism spectrum disorder (ASD) is somewhat unclear and has received limited research attention to date. The aim of the current research was to explore metacognitive be...
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This study investigated how metacognitive beliefs in triathletes covary with state anxiety dimensions, prior to competition. It also examined how metacognitions relate to concentration, after controlling for state anxiety. Regression analyses revealed that specific metacognitive beliefs were differentially predictive of state anxiety dimensions and...
Article
Exercise is an effective evidenced-based intervention for a range of mental health conditions, however sparse research has investigated the exercise prescription behaviours of mental health practitioners as a collective, and the barriers faced in prescribing exercise for mental health. A self-report survey was completed online by 325 mental health...
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Objective: Binge eating and alcohol consumption have been associated with attempts to reduce negative affect such as anger. Anger rumination has been associated with maintaining anger. The aim of the current study was to explore the association between anger rumination and binge eating and at-risk alcohol use. Method: Participants were 563 universi...
Article
Aims: To examine differences in depression, anxiety, and stress across people with type 2 diabetes mellitus (t2d) classified according to a four level processed food addiction (PFA) severity indicator dichotomy. Methods: Four hundred and eight participants with a t2d diagnoses completed an online survey including the Yale Food Addiction Scale (Y...
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Rumination has been empirically supported in the experience of anger. The Anger Rumination Scale ( ARS ) was developed to assess ruminative processes in anger. The aim of this study was to evaluate the psychometric properties of the ARS in Australia and Spain. A large non-clinical sample (N = 1,752) completed a battery including the ARS and measure...
Article
Defined as sexually explicit material that elicits erotic thoughts, feelings, and behaviours, internet pornography is a prevalent form of media that may facilitate problematic use and craving for engagement. Research suggests that superordinate cognitions and information processing, such as desire thinking and metacognition, are central to the acti...
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We examined the comparative effectiveness of the Dove Evolution commercial and disclaimer labels as media literacy interventions. Women (N = 287) viewed thin-ideal images by themselves, preceded by the Dove Evolution commercial, or containing specific or generic disclaimer labels. Participants completed pre- and post-test measures of body satisfact...
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We modified the Weight Control Behaviours scale to explore unhealthy/healthy behaviours to increase, decrease or maintain weight in young adults (N = 1082) and associations with body mass index, depression and body image. Females reported more use of all strategies except those which increase body size or exercising to exhaustion. Although the samp...
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This study examined a graduated severity level approach to food addiction classification against associations with World Health Organization obesity classifications (body mass index, kg/m2) among 408 people with type 2 diabetes. A survey including the Yale Food Addiction Scale and several demographic questions demonstrated four distinct Yale Food A...
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Objectification theory has yielded mixed results when utilized to explain male's body image concerns. This study investigated whether a revised model of objectification theory would represent the processes associated with male's engagement in muscle dysmorphia (MD) characteristics. Specifically the mediating role of body shame, which has previously...
Book
Self-Help Publication: Everyone feels anxious from time to time, and worry is a natural part of life. But it is all too common to allow concerns about our health, our security, our relationships or our place in the world to become a negative cycle and a burden. Anxiety gets called GAD when the worry is repetitive, becomes associated with a variety...
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This paper examined differences in familial/friend surrogate decision makers’ (N = 93) post-bereavement grief and guilt associated with decisions to either prioritize comfort or longevity in determining end-of-life care for decisionally incapacitated adult palliative loved ones. Results demonstrated that participants prioritizing the longevity of l...
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Cognitive themes in two communities differentially affected by the September 2010 Christchurch earthquake and aftershocks were investigated. Participants (N = 124) completed questions about their thoughts during the earthquake and aftershocks as well as measures of acute stress, anxiety, and depression. Cognitions were qualitatively analyzed into t...
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This study aimed to explore posttraumatic distress and the cognitive variables of controllability and predictibility in two demographically matched communities differentially affected by the September 4 Christchurch earthquake (N = 124). A door-to-door survey was conducted 8–10 weeks after the initial quake. The two communities did not differ on ac...

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Projects (2)
Project
Impostor Phenomenon (also referred to as Impostor Syndrome) describes intense feelings of fraudulence and chronic self-doubt. These feelings are often experienced by high-achievers, who despite objective and external evidence of their knowledge and ability, consistently feel that their success is due to factors such as chance or error. People who experience impostor feelings often fear that their incompetence will one day be discovered and they will be exposed as a fraud. Impostor Phenomenon (IP) has been associated with a range of negative psychological issues, including depression and anxiety and has been linked to negative career outcomes, including burnout and turnover. IP has been identified as a concern amongst students in the medical and health field, although there are no studies that examine the prevalence of IP with students from paramedicine. This is of concern, as paramedic students experience similar role demands and exposure to trauma as other students in the health and medical field. In addition, while research into IP and associated negative sequalae has been reported for over 40 years, there is a paucity of studies evaluating interventions to mitigate IP. The PhD research will contribute to understanding IP among paramedics and identify effective and feasible strategies that can be implemented within a university setting. It aims to a) explore impostor experiences of paramedic staff and students (RQ1), b) identify prevalence rates of IP amongst paramedic students (RQ2), c) develop and evaluate two brief interventions designed to reduce impostor feelings, compared to psychoeducation only (RQ3), and d) identify elements that increase the perceived usefulness of the interventions and uncover any associated implementation issues (RQ4). The project will be a mixed methods RCT study, with quantitative and qualitative components. Participants will be drawn from paramedic staff and students at USC. The RCT will evaluate psychoeducation of IP against two brief interventions based on cartoon graphics (to evoke self-enhancing humour) and self-compassion activities, both of which have been identified as possible resilience factors for IP. The quantitative research uses online surveys at baseline, 3, and 6 months that includes validated instruments for IP, psychological distress, self-compassion, and humour. Statistical analyses (e.g., RM ANOVAs) will compare the three groups at the three time points over time to assess effectiveness of the interventions. The qualitative research uses interviews and focus groups to enable students and staff to explore their experiences with IP, report on their experiences with the interventions being trialled, and identify implementation issues associated with the interventions. The research aims to contribute to the understanding of impostorism among paramedics and to identify effective and feasible strategies that can be implemented within a university setting.