ORCID Profile
0000-0002-4003-4411
Current Organisation
University of South Australia
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Aged Health Care | Aboriginal and Torres Strait Islander Health | Public Health and Health Services | Health and Community Services
ANZSRC Socio-Economic Objective (SEO)
Behaviour and Health | Disability and Functional Capacity | Health Related to Ageing | Health Status (e.g. Indicators of Well-Being) |
Related Links
Publications
An exploration of barriers and enablers to the conduct and application of research among complementary and alternative medicine stakeholders in Australia and New Zealand: A qualitative descriptive stu
Publisher: Public Library of Science (PLoS)
Date: 18-02-2022
DOI: 10.1371/JOURNAL.PONE.0264221
Abstract: Most studies examining complementary and alternative medicine (CAM) stakeholder engagement with evidence-based practice have relied on quantitative research methods, which often fail to capture the nuances of this phenomena. Using qualitative methods, this study aimed to explore the experiences of CAM stakeholders regarding the barriers and enablers to the conduct and application of research. This research was guided by a qualitative descriptive framework. CAM practitioners and researchers of multiple CAM disciplines from across Australia and New Zealand were invited to share their personal perspectives of the study phenomena. Semi-structured interviews were conducted via Zoom, which were audio-recorded and transcribed verbatim. Rigour strategies were applied to ensure the credibility of results. The transcript was analysed using thematic analysis. CAM stakeholders identified an array of barriers and enablers to the conduct and application of research within their disciplines. The barriers and enablers that emerged were found to be inter-connected with two similar constructs: capacity and culture. Captured within the construct of capacity were five themes—lack of resources, inadequate governance/leadership, lack of competency, bias directed from outside and within CAM, and lack of time for research. Within the construct of culture were two themes—intrinsic perceptions in CAM, and lack of communication within and outside CAM. Promoting evidence-based practice and engaging with research in CAM continues to face challenges. This study, for the first time, has highlighted the multitude of interlinked barriers that confront CAM stakeholders when engaging with research. These findings highlight the need for a concerted and targeted approach to tackle these challenges.
Australian podiatrists scheduled medicine prescribing practices and barriers and facilitators to endorsement: a cross-sectional survey
Publisher: Springer Science and Business Media LLC
Date: 08-02-2022
DOI: 10.1186/S13047-022-00515-W
Abstract: Non-medical prescribing is one healthcare reform strategy that has the potential to create health system savings and offer equitable and timely access to scheduled medicines. Podiatrists are well positioned to create health system efficiencies through prescribing, however, only a small proportion of Australian podiatrists are endorsed to prescribe scheduled medicines. Since scheduled medicines prescribed by Australian podiatrists are not subsidised by the Government, there is a lack of data available on the prescribing practices of Australian podiatrists. The aim of this research was to investigate the prescribing practices among Australian podiatrists and to explore barriers and facilitators that influence participation in endorsement. Participants in this quantitative, cross-sectional study were registered and practicing Australian podiatrists who were recruited through a combination of professional networks, social media, and personal contacts. Respondents were invited to complete a customised self-reported online survey, developed using previously published research, research team’s expertise, and was piloted with podiatrists. The survey contained three sections: demographic data including clinical experience, questions pertaining to prescribing practices, and barriers and facilitators of the endorsement pathway. Respondents ( n = 225) were predominantly female, aged 25–45, working in the private sector. Approximately one quarter were endorsed (15%) or in training to become endorsed (11%). Of the 168 non-endorsed respondents, 66% reported that they would like to undertake training to become an endorsed prescriber. The most common indications reported for prescribing or recommending medications include nail surgery (71%), foot infections 474 (88%), post-operative pain (67%), and mycosis (95%). The most recommended Schedule 2 medications were ibuprofen, paracetamol, and topical terbinafine. The most prescribed Schedule 4 medicines among endorsed podiatrists included lignocaine (84%), cephalexin (68%), flucloxacillin (68%), and amoxicillin with clavulanic acid (61%). Podiatrists predominantly prescribe scheduled medicines to assist pain, inflammatory, or infectious conditions. Only a small proportion of scheduled medicines available for prescription by podiatrists with endorsed status were reportedly prescribed. Many barriers exist in the current endorsement for podiatrists, particularly related to training processes, including mentor access and supervised practice opportunities. Suggestions to address these barriers require targeted enabling strategies.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Characteristics of perceived effective telesupervision practices: A case study of supervisees and supervisors
Publisher: Public Library of Science (PLoS)
Date: 11-07-2023
DOI: 10.1371/JOURNAL.PONE.0288314
Abstract: Many healthcare workers have switched from face-to-face clinical supervision to telesupervision since the onset of the COVID-19 pandemic. Given the rise in prevalence of telesupervision and continuing remote working arrangements, telesupervision is no longer only limited to rural areas. As this remains an under-investigated area, this study aimed to explore supervisor and supervisee first hand experiences of effective telesupervision. A case study approach combining in-depth interviews of supervisors and supervisees, and document analysis of supervision documentation was used. De-identified interview data were analysed through a reflective thematic analysis approach. Three supervisor-supervisee pairs from occupational therapy and physiotherapy provided data. Data analysis resulted in the development of four themes: Benefits vs limitations and risks, not often a solo endeavour, importance of face-to-face contact, and characteristics of effective telesupervision. Findings of this study have confirmed that telesupervision is suited to supervisees and supervisors with specific characteristics, who can navigate the risks and limitations of this mode of clinical supervision. Healthcare organisations can ensure availability of evidence-informed training on effective telesupervision practices, as well as investigate the role of blended supervision models to mitigate some risks of telesupervision. Further studies could investigate the effectiveness of utilising additional professional support strategies that complement telesupervision, including in nursing and medicine, and ineffective telesupervision practices.
A clinical audit of anatomical side marker use in a paediatric medical imaging department
Publisher: Wiley
Date: 25-05-2016
DOI: 10.1002/JMRS.176
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
A rapid review of the impact of COVID‐19 on clinical supervision practices of healthcare workers and students in healthcare settings
Publisher: Wiley
Date: 16-07-2022
DOI: 10.1111/JAN.15360
Abstract: To synthesize available data on the impact of the COVID‐19 pandemic on clinical supervision practices of healthcare workers and students in healthcare settings. A quantitative rapid review of the literature. A search of MEDLINE, Embase, PsycINFO, the Cochrane Library and Scopus for English language papers published between December 2019 (initial onset of the pandemic) to March 2021. Using the World Health Organization and Cochrane guidelines for rapid reviews, following an identification of relevant papers and data extraction, a narrative synthesis approach was used to develop themes. Eight studies met the inclusion criteria. Four themes identified from data synthesis were nature and extent of disruptions to clinical supervision, unmet need for psychological support, supervisors also need support and unpacking telesupervision. Findings highlight the extent and nature of disruption to clinical supervision at the point of care. Further information on factors that facilitate high‐quality telesupervision have come to light. The COVID‐19 pandemic has placed tremendous burden on healthcare workers compromising their own health and well‐being. It is essential to restore effective clinical supervision practices at the point of care, so as to enhance patient, healthcare worker and organizational outcomes into the post‐COVID‐19 pandemic period. This review has provided initial evidence on the adverse impacts of the COVID‐19 pandemic on clinical supervision of healthcare workers and students at the point of care. Available evidence indicates the urgent need to restore effective and high‐quality clinical supervision practices in health settings. The review has highlighted a paucity of studies in this area, calling for further high‐quality studies.
A mobile phone application for the assessment and management of youth mental health problems in primary care: health service outcomes from a randomised controlled trial of mobiletype
Publisher: Springer Science and Business Media LLC
Date: 19-06-2013
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Complementary and alternative medicine utilisation for the management of acute respiratory tract infection in children: A systematic review
Publisher: Elsevier BV
Date: 04-2018
DOI: 10.1016/J.CTIM.2018.03.001
Abstract: As many as one in two children across the globe use complementary and alternative medicine (CAM) to manage a health condition. Despite the high prevalence of use, there is still limited information on the types of CAM used in children, particularly for the management of one of the most common childhood health complaints - acute respiratory tract infection (ARTI). This systematic review was undertaken to address this knowledge gap. Eligible studies reporting the use of CAM in children with ARTI were identified using a targeted search of seven electronic databases and the grey literature. Data were extracted using a customised data extraction form and appraised using the McMaster critical review forms for quantitative and qualitative studies. Findings were synthesised in narrative form. The search identified 2261 papers, of which 22 studies were eligible for inclusion. The 22 studies reported the use of 118 distinct CAM interventions for the management of ARTI in children. Most (53%, n = 63) of these interventions represented biologically-based therapies, followed by whole medical systems/alternative medical systems (46%, n = 55). No studies reported the use of energy therapies, or manipulative and body-based methods, or mind-body therapies. A erse range of CAM interventions are used in the management of ARTI in children. These interventions largely represent CAM use in the southern region of Asia - India, Pakistan and Bangladesh. Further research is needed to better understand the types of CAM used among children with ARTI in western countries.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2014
Measuring the quality of allied health services in Australia: is it a case of “the more we learn, the less we know?”
Publisher: Informa UK Limited
Date: 07-2012
DOI: 10.2147/JHL.S33163
NUMBER AND FREQUENCY OF PHYSIOTHERAPY SERVICES FOR MOTOR VEHICLE-INDUCED WHIPLASH: INTERROGATING MOTOR ACCIDENT INSURANCE DATA 2006-2009
Publisher: Medical Journals Sweden AB
Date: 2012
Abstract: Whilst prognostic factors for recovery from whiplash associated disorders have been documented, factors related to high physiotherapy use are not well recognized. This study profiles predictors for high use of physiotherapy services from a large dataset from an Australian state insurer for motor vehicle accidents. A dataset of Motor Accident Commission claims in South Australia for whiplash associated disorders (2006-2009) was interrogated. The median number of physiotherapy services per claimant was 15 (range: 1-194). The typical high user of physiotherapy was female, aged 25-59 years, living in a high socio-economic area, with legal representation, who delayed obtaining physiotherapy for at least 28 days after the accident. The largest mean number of days between treatments (5.4 days) in the first 5 treatments related to the lowest subsequent use of physiotherapy services. This represents the first review of physio-therapy service use based on an insurance dataset. A range of factors were related to high use of physiotherapy services. It is hoped that identifying the mean number and spread of physiotherapy interventions for whiplash associated disorders, and the profile of high users of physiotherapy will help gauge the success of strategies to maximize the efficacy of physiotherapy management of whiplash associated disorders.
Miocene submarine fire fountain deposits, Ryugazaki Headland, Oshoro Peninsula, Hokkaido, Japan: Implications for Submarine Fountain Dynamics and Fragmentation Processes
Publisher: American Geophysical Union
Date: 2003
DOI: 10.1029/140GM20
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Barriers and enablers to access and utilization of mental health care services across Southeast Asia: A preliminary scoping review
Publisher: Wiley
Date: 21-09-2023
DOI: 10.1111/APPY.12549
<p>Timing is everything: an audit of process and outcomes from a pilot advanced scope physiotherapy model of care for women with pelvic floor conditions</p>
Publisher: Informa UK Limited
Date: 02-2019
DOI: 10.2147/CA.S180805
TRialing individualized interventions to prevent functional decline in at-risk older adults (TRIIFL): study protocol for a randomized controlled trial nested in a longitudinal observational study
Publisher: Springer Science and Business Media LLC
Date: 20-08-2013
Abstract: Functional decline (FD) is a largely preventable feature of aging, characterized as gradual erosion of functional autonomy. This reduces an older person’s capacity for safe, independent community living. The healthcare needs of an unprecedented aging population places pressure on health systems to develop innovative approaches to ensuring older people live healthy and independent lives for as long as possible. TRIIFL aims to demonstrate that: Incipient FD in older people can be identified using a simple telephone-screening process within four weeks of discharge from an emergency department presentation for a minor health event and Early engagement into a person-centered in idualized intervention arrests or reduces the rate of FD over the next 12 months. A randomized controlled trial (RCT) nested within a 13-month longitudinal cohort study. The RCT (conducted over 12 months) tests the effectiveness of a novel, early, home-based, personalized program (compared with no intervention) in arresting or slowing FD. TRIIFL focuses on older adults living independently in the community, who have not yet had a serious health event, yet are potentially on the cusp of FD. Participants in the longitudinal cohort study will be recruited as they present to one large tertiary hospital Emergency Department, providing they are not subsequently admitted to a ward. S le size calculations indicate that 570 participants need to be recruited into the longitudinal study, with 100 participants randomized into the trial arms. Measures from all subjects will be taken face-to-face at baseline (recruitment), then subsequently by telephone at one, four, seven and thirteen months later. Measures include functional abilities, quality of life, recent falls, mobility dependence, community supports and health service usage. Specific to the nested RCT, the quality of life tool (SF12) applied at one month, will identify in iduals with low mental component quality of life scores, who will be invited to enter the RCT. Assessors will be blinded to RCT arm allocation, and subjects in the RCT will be blinded to the intervention being received by other subjects. Australian & New Zealand Clinical Trials Registry: ACTRN12613000234718
Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface
Publisher: CSIRO Publishing
Date: 2019
DOI: 10.1071/AH17258
Abstract: Objective The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two Australian states. Quantitative data were collected using an online customised survey and the Manchester Clinical Supervision Scale (MCSS-26). Data were analysed using regression analyses. Results Supervisee’s work setting and choice of supervisor were found to have a positive and significant influence on clinical supervision quality. Supervisee profession and time in work role were found to have a negative and significant influence on the quality of clinical supervision. Conclusions High-quality clinical supervision is essential to achieve quality and safety of health care, as well as to support the health workforce. Information on high-quality clinical supervision identified in this study can be applied to clinical supervision practices in rural and remote settings, and to professional support policies and training to enhance the quality of supervision. What is known about the topic? There is mounting evidence on the benefits of clinical supervision to health professionals, organisations and patients. Clinical supervision enhances recruitment and retention of the health workforce. However, there are still gaps regarding the factors that contribute to high-quality clinical supervision, especially for rural and remote health professionals. What does this paper add? This study, the first of its kind, recruited rural and remote health professionals from seven allied health disciplines across two Australian states. It investigated the factors that influence high-quality clinical supervision in this under-resourced group. This paper outlines specific factors that contribute to clinical supervision quality for rural and remote allied health professionals. What are the implications for practitioners? Effective and high-quality clinical supervision of the rural and remote allied health workforce can enhance recruitment and retention in those areas. Healthcare organisations can facilitate effective clinical supervision delivery by using the evidence gathered in this study in clinical supervision policy, training and practice.
Bridging the evidence-practice gaps in manual therapy: Getting the balance right
Publisher: Elsevier BV
Date: 04-2017
The effectiveness of non-surgical intervention (Foot Orthoses) for paediatric flexible pes planus: A systematic review: Update
Publisher: Public Library of Science (PLoS)
Date: 16-02-2018
A systematic review of randomized controlled trials on exercise parameters in the treatment of patellofemoral pain: what works?
Publisher: Informa UK Limited
Date: 10-2011
DOI: 10.2147/JMDH.S24595
When, why and how foot orthoses (FOs) should be prescribed for children with flexible pes planus: A Delphi survey of podiatrists
Publisher: PeerJ
Date: 16-04-2018
DOI: 10.7717/PEERJ.4667
Abstract: Flexible pes planus (flat feet) in children is a common reason parents and caregivers seek health professionals consult and a frequent reason podiatrists prescribe foot orthoses. Yet no universal agreement exists on the diagnosis of this condition, or when and how foot orthoses should be prescribed. The aim of this study was to garner consensus and agreement among podiatrists on the use of FOs for paediatric flexible pes planus. A three round Delphi consensus survey was undertaken with 15 podiatry experts from Australia, New Zealand and the United Kingdom. Round One gathered consensus on the diagnosis and intervention into paediatric pes planus with specific questions on types of FOs and prescription variables used. Round Two and Three were based on answers from Round One and gathered agreement (rationale for choices) on a five point Likert scale. 70% of respondents had to agree to a statement for it to be accepted as consensus or agreement. Consensus and agreement was achieved for 83 statements directing the diagnosis of pes planus (using FPI-6 and/or rearfoot measures), common signs and symptoms (e.g., pain, fatigue, abnormal gait and other functional concerns) that direct when to intervene into paediatric flexible pes planus. Prefabricated orthoses were the preferred intervention where adequate control is gained with their use. When customised orthoses are prescribed, a vertical [heel] cast pour (71.4%) and minimal arch fill (76.9%) are the prescription variables of choice, plus or minus additional variables (i.e., medial heel (Kirby) skive, the use of a University of California Biomechanical Laboratory device or a medial flange) dependent on level of disorder and plane of excessive motion. This study identified consensus and agreement on a series of diagnosis methods and interventions for the paediatric flexible pes planus. A clinical protocol was developed from the resultant consensus statements which provides clinicians with a series of evidenced-informed statements to better guide them on when, how and why FOs are used specific to this population.
A systematic review of the individual determinants of research evidence use in allied health
Publisher: Informa UK Limited
Date: 07-2011
DOI: 10.2147/JMDH.S23144
Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain
Publisher: Public Library of Science (PLoS)
Date: 10-10-2023
Impact of the COVID‐19 pandemic on student supervision and education in health care settings: A state‐wide survey of health care workers
Publisher: Wiley
Date: 10-02-2023
DOI: 10.1111/AJR.12969
Abstract: To investigate student supervisor experiences of supervising students on clinical placements since the onset of the COVID‐19 pandemic. Studies on the impact of COVID‐19 on student clinical placements have focused largely on student reports and have been specific to in idual professions or topic areas. There is a need to investigate student supervisor experiences. This study was conducted in Queensland (Australia) in four regional and rural public health services and four corresponding primary health networks. The anonymous, mixed methods online survey, consisting of 35 questions, was administered to student supervisors from allied health, medicine, nursing and midwifery between May and August 2021. Numerical data were analysed descriptively using chi‐square tests. Free‐text comments were analysed using content analysis. Complete datasets were available for 167 respondents. Overall trends indicated perceived significant disruptions to student learning and support, plus mental health and well‐being concerns for both students and supervisors. Extensive mask wearing was noted to be a barrier to building rapport, learning and teaching. Some positive impacts of the pandemic on student learning were also noted. This study has highlighted the perceived impact of the pandemic on supervisors' mental health, and on the mental health, learning and work readiness of students. This study provides evidence of the pandemic impacts on student clinical placements from a supervisor point of view. Findings can assist in future‐proofing clinical education and ensuring that students continue to receive learning experiences of benefit to them, meeting curriculum requirements, in the event of another pandemic.
Current evidence on evidence-based practice training in allied health: A systematic review of the literature
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2012
DOI: 10.1111/J.1744-1609.2012.00295.X
Abstract: It is essential that allied health practice decisions are underpinned by the best available evidence. Therefore, effective training needs to be provided for allied health professionals to do this. However, little is known about how evidence-based practice training programs for allied health professionals are delivered, the elements contained within them, how learning outcomes are measured or the effectiveness of training components in improving learning outcomes. We conducted a systematic literature review to identify effectiveness of evidence-based practice training programs and their components for allied health professionals. Key words of evidence-based practice programs OR journal clubs OR critical appraisal AND allied health OR physiotherapists OR occupational therapists OR speech pathologists AND knowledge OR skills OR attitudes OR behaviour were applied to all available databases. Papers were critically appraised using the Joanna Briggs Institute and McMaster tools and the checklist of recommendations for educational interventions. Data were extracted on participants, training program components and underpinning theories, methods of delivery and learning outcomes. Data were synthesised using a combination of narrative and realist synthesis approaches. Six relevant studies (four randomised controlled trials and two before-and-after studies) reported on the effectiveness of evidence-based practice training programs for evidence-based practice for groups of health professionals. Specifically, only three of these studies (one randomised controlled trial and two before-and-after studies) reported on allied health professionals (physiotherapists, occupational therapists and social workers). Among these three studies on allied health, outcomes were variably measured, largely reporting on knowledge, skills, attitudes and/or behaviours. Significant changes in knowledge and skills were reported in all studies. Only the social work study, which reassessed outcomes after 3 months, reported significant changes in attitudes and behaviours. Training took from 3 hours to 2 days. While there was information on training program components, there was no evidence of effectiveness related to learning outcomes. Overall, there is limited research regarding training of allied health professionals in evidence-based practice and learning outcomes. From the limited evidence base, there was consistent evidence that any training significantly influenced knowledge, skills and attitudes, irrespective of the allied health discipline. There was little information, however, regarding how to change or measure behaviours. This review cannot recommend components of training for allied health professionals in evidence-based practice, which significantly improve learning outcomes.
<p>Parent use of complementary medicine remedies and services for the management of respiratory tract infection in children: a qualitative study</p>
Publisher: Informa UK Limited
Date: 09-2019
DOI: 10.2147/JMDH.S216687
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review
Publisher: Public Library of Science (PLoS)
Date: 19-11-2021
DOI: 10.1371/JOURNAL.PONE.0260156
Abstract: To review the impact of clinical supervision of post-registration/qualification healthcare professionals on healthcare organisational outcomes. Clinical supervision is a professional support mechanism that benefits patients, healthcare professionals and healthcare organisations. Whilst evidence is growing on the impact of clinical supervision on patient and healthcare professional outcomes, the evidence base for the impact of clinical supervision on organisational outcomes remains weak. This review used a convergent segregated approach to synthesise and integrate quantitative and qualitative research findings, as per the Joanna Briggs Institute’s recommendations for mixed methods systematic reviews. Databases searched included CINAHL, Embase, PubMed, PschINFO, and Scopus. Whilst a narrative synthesis was performed to present the findings of the quantitative and qualitative studies, the evidence from both quantitative and qualitative studies was subsequently integrated for a combined presentation. The review followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Thirty-two studies including 27 quantitative, two qualitative and three mixed methods studies, were included in the review. The results of the quantitative analysis showed that effective clinical supervision was associated with lower burnout and greater staff retention, and effective supervisor was associated with lower burnout and greater job satisfaction. Qualitative findings showed that healthcare professionals believed that adequate clinical supervision could mitigate the risk of burnout, facilitate staff retention, and improve the work environment, while inadequate clinical supervision can lead to stress and burnout. The evidence from quantitative and qualitative studies were complementary of each other. Clinical supervision can have a variable effect on healthcare organisational outcomes. The direction of this effect appears to be influenced by the effectiveness of both the clinical supervision provided and that of the clinical supervisor. This highlights the need for organisations to invest in high quality supervision practices if maximal gains from clinical supervision are to be attained.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
Characterizing the available outdoor spaces and their use in South Australian public primary schools
Publisher: Project MUSE
Date: 2023
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Skills escalator in allied health: a time for reflection and refocus
Publisher: Informa UK Limited
Date: 09-2011
DOI: 10.2147/JHL.S24271
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Cinnamon for diabetes mellitus
Publisher: Wiley
Date: 12-09-2012
An exploration of psychosocial practice within private practice musculoskeletal physiotherapy: A cross-sectional survey
Publisher: Elsevier BV
Date: 10-2019
Communication outcomes of children with permanent hearing loss developing speaking and signing concurrently: A review
Publisher: Informa UK Limited
Date: 2009
Effective use of technology in clinical supervision
Publisher: Elsevier BV
Date: 06-2017
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Immigrants experience oral health care inequity: findings from Australia's National Study of Adult Oral Health.
Publisher: Wiley
Date: 28-10-2022
DOI: 10.1111/ADJ.12942
Abstract: Oral health service utilization contributes to positive oral health and indicates realised access to services. The study aimed to describe patterns of oral health service use among overseas‐born and Australian‐born populations and assess equity in access to services. The study used data from Australia's National Study of Adult Oral Health 2017–2018 and was guided by the Aday and Andersen framework of access to health and Australia's National Oral Health Plan. Descriptive analyses of service use by perceived need, enabling and predisposing factors were compared between four groups: Australian‐born and overseas‐born who mainly speak English and Australian‐born and overseas‐born who mainly speak a language other than English. Overseas‐born who mainly speak a language other than English experienced greater oral health care inequity, largely driven by financial difficulty (avoided care due to cost: 42% vs 27%–28% avoided/delayed visiting due to cost: 48% vs. 37%–38% cost prevented treatment: 32% vs. 18%–24%). The most favourable visiting patterns were among the Australian‐born population who speak a language other than English. The study shows clear inequity experienced among immigrants in accessibility as measured through indicators of oral health care utilization and factors related to inequity, such as the ability to pay for services.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
A scoping review of resting-state brain functional alterations in Type 2 diabetes
Publisher: Elsevier BV
Date: 04-2022
DOI: 10.1016/J.YFRNE.2021.100970
Abstract: Resting-state functional magnetic resonance imaging (rs-fMRI) has been actively used in the last decade to investigate brain functional connectivity alterations in Type 2 Diabetes Mellitus (T2DM) to understand the neuropathophysiology of T2DM in cognitive degeneration. Given the emergence of new analysis techniques, this scoping review aims to map the rs-fMRI analysis techniques that have been applied in the literature and reports the latest rs-fMRI findings that have not been covered in previous reviews. Graph theory, the contemporary rs-fMRI analysis, has been used to demonstrate altered brain topological organisations in people with T2DM, which included altered degree centrality, functional connectivity strength, the small-world architecture and network-based statistics. These alterations were correlated with T2DM patients' cognitive performances. Graph theory also contributes to identify unbiased seeds for seed-based analysis. The expanding rs-fMRI analytical approaches continue to provide new evidence that helps to understand the mechanisms of T2DM-related cognitive degeneration.
Advances in Telemedicine for Health Monitoring: Technologies, Design and Applications
Publisher: Institution of Engineering and Technology
Date: 27-04-2020
DOI: 10.1049/PBHE023E
The impacts of and outcomes from telehealth delivered in prisons: A systematic review
Publisher: Public Library of Science (PLoS)
Date: 17-05-2021
DOI: 10.1371/JOURNAL.PONE.0251840
Abstract: While the delivery of healthcare services within prison systems is underpinned by different models, access to timely and optimal healthcare is often constrained by multifaceted factors. Telehealth has been used as an alternative approach to conventional care. To date, much of the focus has been on evaluation of telehealth interventions within certain geographical contexts such as rural and remote communities. Therefore, the aim of this systematic review was to synthesise the evidence base to date for the impacts of, and outcomes from, telehealth delivered in prisons. This systematic review was underpinned by best practice in the conduct and reporting of systematic reviews. A systematic search was conducted to reinforce the literature selection process. The modified McMaster Critical Appraisal Tool was used to assess the methodological quality of the included studies. A narrative synthesis of the study outcomes was undertaken. Twenty-nine quantitative studies were included. Telehealth interventions were greatly varied in terms of types of healthcare services, implementation process and intervention parameters. Methodological concerns such as rigour in data collection and analysis, and psychometric properties of outcome measures were commonly identified. Process-related outcomes and telehealth outcomes were the two overarching categories identified. This systematic review provides mixed evidence on the impact of, and outcomes from, telehealth in prisons. While the evidence base does highlight some positive impacts of telehealth, which at the least, is as effective as conventional care while achieving patient satisfaction, it is also important to consider the local context and drivers that may influence what, when and how telehealth services are provided. Addressing critical factors throughout the lifecycle of telehealth is equally important for successful implementation and sustainability.
Malaysian older persons’ perceptions about falls and their desired educational website characteristics: A qualitative study
Publisher: Public Library of Science (PLoS)
Date: 07-07-2022
DOI: 10.1371/JOURNAL.PONE.0270741
Abstract: Falls is a common and debilitating condition among the older population, intensifying the need to educate older persons about falls. Technology advancement enables effective and efficient delivery of falls education to the older population. However, there is paucity of information on the perception of Malaysian older population on falls and their preferred website characteristics such as font size, design, layout, colour, navigation, and use of graphics or videos. Physiological changes in vision, cognition and psychomotor skills can affect how the older persons use the website. As Malaysia is a multicultural country, the needs of the website characteristics and falls perception of older persons may differ greatly. The aim of this study was to explore the perceptions of the older persons about falls and their desired website characteristics. Twenty-five community-living older persons (n = 25) of age 60 years and above were involved in the focus group discussions. NvivoTM software was used for data management and thematic analysis was undertaken. Emerging themes included ’Perceptions of falls in older persons’, ’Actions taken when falls occurred’, ’Perceived prevention strategies for falls’ and ’End user requirements for falls educational website’. Falls were perceived as both an avoidable and a non-avoidable incident. Although the participants mentioned physical activity and home hazard modifications as strategies to prevent falls, they mainly discussed self-initiated precautionary approaches in falls prevention. Regarding desired website characteristics, the participants emphasized on easily readable text, appealing design, clear information, use of images/videos, and simple website navigation. Special requirements for colour selection and multi-language options were also raised. The delivery of falls education through website can be made possible by understanding the perception of older persons about falls and their requirements for the website. This is especially important as ethnic and cultural influences may play a role on their perceptions about falls and desired website characteristics.
Tips for using students during times of change in health care: lessons from the literature and from practice
Publisher: Informa UK Limited
Date: 07-2017
DOI: 10.2147/AMEP.S141414
Utilisation of beds on the general medical unit by 'non-acute medical' patients: A retrospective study of incidence and cost in two Tasmanian regional medical hospital units
Publisher: Wiley
Date: 02-2014
DOI: 10.1111/IMJ.12335
Abstract: Demand for healthcare services threatens to overwhelm the Australian healthcare system. Public hospitals have the largest component of expenditure growth and as such represent the largest opportunity for efficiency gains. Utilisation of inpatient hospital beds and in particular those on general medical units has not been studied in Australia. To undertake a retrospective patient medical record review of 200 sequential admissions to the medical wards in two regional Tasmanian hospitals to determine the incidence of non-acute medical patient admission to the medical unit, and the subsequent days in hospital that were not required for medical reasons. The cost of these days was estimated. Sixteen patient admissions (8%) could not be justified on medical grounds. Forty-eight (24%) patient admissions had at least one day hospital day that could not be justified on medical grounds. Of the 1438 total bed days, 475 (33%) were for non-medical reasons. The estimated cost of those non-medical bed days for this cohort was $764 800. The incidence of non-acute medical admissions and non-acute medical bed days to the medical unit and associated cost was significant. Further research is needed to design alternative care provision for such patients particularly in regional Australia. The potential savings to the Australian healthcare system could be significant.
The evidence of effectiveness of isometric resistance training on the management of hypertension in adults: an umbrella review
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 13-06-2023
DOI: 10.1097/MBP.0000000000000655
Abstract: Hypertension is the leading risk factor for cardiovascular disease yet also one of the most readily preventable causes of death. Isometric resistance training (IRT) has gained increasing popularity in recent times as a viable nonpharmacological management option for hypertension. Whilst there have been several reviews on this topic, with varying findings, this umbrella review aimed to summarize the current evidence underpinning the effectiveness of IRT for hypertension. Quantitative systematic reviews and meta-analyses published in English were considered for inclusion. Commercially produced and grey literature was searched between December 2021 and January 2022. Methodological quality of included reviews was determined using the AMSTAR 2 critical appraisal tool. Customized data extraction tools were developed for this review and data were synthesized using the National Health and Medical Research Council FORM Framework. Twelve reviews published between 2011 and 2021 of varying methodological quality were identified. Isometric handgrip exercise training with four sets of 2-min contractions and 1 min rest period between each set was the most utilized intervention, undertaken three times per week for at least 8 weeks. Collectively, there is consistent evidence to indicate IRT has positive impacts on SBP and DBP as well as mean arterial pressure. These positive impacts were reported for normotensive as well as hypertensive in iduals. Given IRT is a readily available, easy-to-use intervention with minimal financial cost, it could be considered a viable treatment option for people with, and at risk of, hypertension.
Effectiveness of a physiotherapy-initiated telephone triage of orthopedic waitlist patients
Publisher: Informa UK Limited
Date: 08-2011
DOI: 10.2147/PROM.S23732
How to run an effective journal club: a systematic review
Publisher: Wiley
Date: 10-2008
DOI: 10.1111/J.1365-2753.2008.01050.X
Abstract: Health-based journal clubs have been in place for over 100 years. Participants meet regularly to critique research articles, to improve their understanding of research design, statistics and critical appraisal. However, there is no standard process of conducting an effective journal club. We conducted a systematic literature review to identify core processes of a successful health journal club. We searched a range of library databases using established keywords. All research designs were initially considered to establish the body of evidence. Experimental or comparative papers were then critically appraised for methodological quality and information was extracted on effective journal club processes. We identified 101 articles, of which 21 comprised the body of evidence. Of these, 12 described journal club effectiveness. Methodological quality was moderate. The papers described many processes of effective journal clubs. Over 80% papers reported that journal club intervention was effective in improving knowledge and critical appraisal skills. Few papers reported on the psychometric properties of their outcome instruments. No paper reported on the translation of evidence from journal club into clinical practice. Characteristics of successful journal clubs included regular and anticipated meetings, mandatory attendance, clear long- and short-term purpose, appropriate meeting timing and incentives, a trained journal club leader to choose papers and lead discussion, circulating papers prior to the meeting, using the internet for wider dissemination and data storage, using established critical appraisal processes and summarizing journal club findings.
A systematic review of the factors that influence the quality and effectiveness of telesupervision for health professionals
Publisher: SAGE Publications
Date: 07-04-2018
Abstract: Whilst telesupervision (clinical supervision undertaken using communication technology) is being used more frequently, there is limited information on what factors influence its effectiveness and quality. We undertook this systematic review to address this gap. Eligible telesupervision studies were identified following targeted search of electronic databases and the grey literature. Data were synthesised thematically, resulting in development of core themes. We identified 286 papers for initial relevancy screening by title and abstract. The full text of 36 papers were then retrieved and assessed for further relevance. A total of 11 papers were included in the final analysis. We identified eight themes that contribute to effective and high-quality telesupervision: supervisee characteristics, supervisor characteristics, supervision characteristics, supervisory relationship, communication strategies, prior face-to-face contact, environmental factors and technological considerations. From the available evidence, telesupervision can be a feasible and acceptable form of clinical supervision if set up well. Further studies with robust designs are required to strengthen the existing evidence on what makes telesupervision effective, as well as to examine its cost-effectiveness.
Barriers to the conduct and application of research in complementary and alternative medicine: a systematic review
Publisher: Springer Science and Business Media LLC
Date: 23-03-2017
Effectiveness of the tailored Evidence Based Practice training program for Filipino physical therapists: A randomized controlled trial
Publisher: Springer Science and Business Media LLC
Date: 17-07-2014
Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain
Publisher: Informa UK Limited
Date: 11-2011
DOI: 10.2147/JMDH.S24733
An evidence-based framework to measure quality of allied health care
Publisher: Springer Science and Business Media LLC
Date: 26-02-2014
Trying to develop a better workforce': Stakeholders' perspectives of a practice-integrated Australian hospital pharmacist foundation residency program
Publisher: Public Library of Science (PLoS)
Date: 21-06-2022
DOI: 10.1371/JOURNAL.PONE.0270051
Abstract: Practice-integrated education and professional development programs (also known as residencies), have been available to pharmacists in America and the United Kingdom for many years. In 2016, the Society of Hospital Pharmacists of Australia launched Australia’s novel Foundation Residency Program to support the development of early-career pharmacists, and has been implemented across many hospitals nationally. This model was adopted by the South Australian (SA) public hospital pharmacy statewide service and was granted full accreditation. The study aimed to explore key stakeholders’ expectations and early perceptions of the structure, role and impact of the SA program and in that process, to identify key influencing factors and strategies informing future program planning and design. Purposeful s ling was adopted to recruit participants who oversee preceptors and residents, across all employment levels and pharmacy service sites. Stakeholders participated in in idual semi-structured interviews. Each interview was audio-recorded and transcribed verbatim. The transcribed dataset was managed using NVivo software TM (version 10) and analysed using reflexive thematic analysis through the lens of the PRECEDE-PROCEED logic model framework. Thirty-three staff consented to participate. Participants were de-identified with a randomly assigned code number. Three key themes were identified using reflexive thematic analysis alignment of program goals and visions, culture shift to prioritising workforce development as core business, program structure supports focused workforce development. Participants view the residency as beneficial for development of the residents, preceptors, and the hospital pharmacy workforce. The multisite structure was a strength of the program. Whilst it was acknowledged that the rotations, cross-site rotations, and research project presented challenges, they were deemed worth the investment. Overall, it was felt that incremental increases in program capacity will occur over time, as culture changes, and as investing in workforce development becomes core business. The findings have led to several key recommendations to guide program expansion.
Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
Publisher: Public Library of Science (PLoS)
Date: 12-11-2019
The perceived benefits of and barriers to nature-based play and learning in South Australian public primary schools: A cross-sectional study
Publisher: Informa UK Limited
Date: 05-08-2022
Effectiveness of online learning interventions on student engagement and academic performance amongst first-year students in allied health disciplines: A systematic review of the literature
Publisher: University of Otago Library
Date: 30-09-2022
Abstract: Introduction: Online learning has increased in popularity due to its perceived ability to improve access for students. With advancements in technology, traditional barriers such as location, time and space can be readily overcome. However, despite its popularity, there continues to be ongoing debate regarding its effectiveness. Methods: We searched commercially produced (six databases) and grey literature sources, limiting our search to humans and English language publications. Two reviewers independently screened the search results. Included studies were assessed for methodological quality assessment using the McMaster Critical Appraisal Tool for quantitative studies. Summarised data from the included studies were descriptively synthesised. Results: We identified a modest body of evidence (19 studies) that indicates that online learning interventions may have a positive impact on student engagement and academic performance for first-year allied health students. This finding should be considered with caution due to methodological concerns about the low-level evidence base arising from lack of adequate and representative s ling, lack of clarity and descriptions regarding the interventions utilised and lack of psychometrically sound outcome measures, just to name a few. Conclusions: There continues to remain key knowledge gaps in this field, such as who benefits the most, or the least, and the nature of any benefits and limitations, for which ongoing research is required.
“You get exposed to a wider range of things and it can be challenging but very exciting at the same time”: enablers of and barriers to transition to rural practice by allied health professionals in Au
Publisher: Springer Science and Business Media LLC
Date: 10-02-2020
DOI: 10.1186/S12913-020-4954-8
Abstract: There is consistent evidence highlighting the mal-distribution of the health workforce between urban and rural and remote regions. To date, addressing this mal-distribution has focused on medicine and nursing with limited initiatives targeted at allied health. Therefore, the aim of this research was to explore the enablers of and barriers to transition to rural practice by allied health professionals across South Australia in Australia. Qualitative descriptive methodology was used to underpin this research. In idual, in-depth semi-structured interviews were conducted with employers, managers and allied health professionals from rural regions of South Australia who were identified using purposive maximum variation s ling strategy. A total 22 participants shared their perspectives on the enablers of and barriers to transition to rural practice by allied health professionals across South Australia. Thematic analysis of the interview data resulted in a number of key issues impacting transition to rural-based practice. These findings could be broadly categorised into three stages during the transition: ‘before’ ‘during’ and ‘after’. This study identified a range of enablers of and barriers to transition to rural practice by allied health professionals. Five overarching themes – nature of rural practice, exposure to rural ‘taster’, social/lifestyle, job availability/characteristics, and mentor and support were identified. In particular, exposure to rural ‘taster’, social/lifestyle, and mentor and support were the key themes reported by the stakeholders. The multifactorial nature of the barriers and enablers highlight the complexity underpinning how AHPs transition to rural-based practice. These barriers/ enablers are often inter-linked and continually evolving which pose significant challenges for health care stakeholders to successfully addressing these. This research sheds light on the complexities that confront and successful strategies that are required for health care stakeholders when considering how best to support allied health professional transition to rural practice.
Patients’ experiences and perspectives of patient-reported outcome measures in clinical care: A systematic review and qualitative meta-synthesis
Publisher: Public Library of Science (PLoS)
Date: 21-04-2022
DOI: 10.1371/JOURNAL.PONE.0267030
Abstract: Patient-reported outcome measures (PROMs) or patient-reported outcomes (PROs) are used by clinicians in everyday clinical practice to assess patients’ perceptions of their own health and the healthcare they receive. By providing insight into how illness and interventions impact on patients’ lives, they can help to bridge the gap between clinicians’ expectations and what matters most to the patient. Given increasing focus on patient-centred care, the objective of this meta-synthesis was to summarise the qualitative evidence regarding patients’ perspectives and experiences of the use of PROMs in clinical care. A systematic search of the following databases was undertaken in August 2020: Medline, EMBASE, EMCARE, PsychINFO, Scopus and the Cochrane Library. This review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Methodological quality of the included studies was assessed using the Critical Appraisal Skills Programme checklist for qualitative research (CASP). A meta-ethnographic approach was used for data extraction and meta-synthesis of findings (PROSPERO registration: CRD42020202506). Fourteen studies from a range of countries with differing qualitative research methodologies were identified. Three themes were identified, namely ‘patient preferences regarding PROMs’, ‘patient perceived benefits’ and ‘barriers to patient engagement with PROMs’. The perspectives of patients suggested they preferred PROMs that were simple and relevant to their conditions and found benefits in the way they facilitated self-reflection and effective communication with their clinicians. Patients, however, questioned the relevance of some in idual questions and purpose. PROMs can be a useful tool in the clinical setting by enabling in idualisation and patient centred care. This meta-synthesis provides insights into what patients find beneficial as well as barriers to their engagement, highlighting the importance of educating patients about PROMs.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision
Publisher: Public Library of Science (PLoS)
Date: 14-03-2019
Interrater Reliability of the Adapted Fresno Test across Multiple Raters
Publisher: University of Toronto Press Inc. (UTPress)
Date: 04-2013
DOI: 10.3138/PTC.2012-15
Abstract: Purpose: The Adapted Fresno Test (AFT) is a seven-item instrument for assessing knowledge and skills in the major domains of evidence-based practice (EBP), including formulating clinical questions and searching for and critically appraising research evidence. This study examined the interrater reliability of the AFT using several raters with different levels of professional experience. Method: The AFT was completed by physiotherapists and occupational therapists, and a random s le of 12 tests was scored by four raters with different levels of professional experience. Interrater reliability was calculated using intra-class correlation coefficients (ICC [2, 1]) for the in idual AFT items and the total AFT score. Results: Interrater reliability was moderate to excellent for items 1 and 7 (ICC=0.63–0.95). Questionable levels of reliability among raters were found for other items and for the total score. For these items, the raters were clustered into two groups—“experienced” and “inexperienced”—and then examined for reliability. The reliability estimates for rater 1 and rater 2 (“inexperienced”) increased slightly for items 2 and 5 and for the total score, but not for other items. For raters 3 and 4 (“experienced”), ICCs increased considerably, indicating excellent reliability for all items and for the total score (0.80–0.99), except for item 4, which showed a further decrease in ICC. Conclusion: Use of the AFT to assess knowledge and skills in EBP may be problematic unless raters are carefully selected and trained.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
The effectiveness of massage therapy for the treatment of nonspecific low back pain: a systematic review of systematic reviews
Publisher: Informa UK Limited
Date: 09-2013
DOI: 10.2147/IJGM.S50243
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
Effectiveness of the tailored EBP training program for Filipino physiotherapists: A randomised controlled trial
Publisher: Springer Science and Business Media LLC
Date: 13-04-2011
Group‐based exercise interventions for community‐dwelling older people in Southeast Asia: A systematic review
Publisher: Wiley
Date: 19-07-2023
DOI: 10.1111/AJAG.13227
Abstract: Southeast Asia (SEA) is a rapidly ageing and a ersely populated region that requires strategies to maintain its populations' physical activity and sense of well‐being. While the benefits of group exercise programs are known, the characteristics and types of exercises in terms of their effectiveness for physical function and fidelity of the programs have yet to be defined within this population. Ovid, MEDLINE, Scopus, PEDro (Physiotherapy Evidence Database), EBSCOHOST, Cochrane library and Open Grey databases were searched to identify relevant studies. Methodological quality was assessed using the PEDro Scale and the Newcastle Ottawa Scale (NOS). Meta‐analysis was undertaken when the same outcome measures were reported in a minimum of two studies with appropriate data. (PROSPERO: CRD42020177317). Eleven studies with 900 participants were included, out of which 395 participants were allocated to group exercise programs and 383 completed the program. Culturally adapted Thai dance programs and multicomponent exercise programs were the most‐commonly reported group exercises. The Timed Up and Go test (TUG) and attendance rates were the most‐frequently reported outcomes. Meta‐analysis demonstrated significant improvement in physical function assessed using the Timed Up and Go test (Random effect model −1.27 s, 95% CI −1.65, −0.88, I 2 = 74%). In two studies, adherence (81% and 94%) and dropout rates (4% and 19%) were reported. Group‐based exercise programs in Southeast Asia consisting mostly of culturally adapted Thai dance programs and multicomponent exercise programs appear to have positive effects on physical function. However, better descriptions of fidelity, including adherence, are required in future studies.
Parent and early childhood educator perspectives of unstructured nature play for young children: a qualitative descriptive study
Publisher: Public Library of Science (PLoS)
Date: 07-06-2023
DOI: 10.1371/JOURNAL.PONE.0286468
Abstract: Nature play is growing in popularity, with many early childhood settings transforming their outdoor play environments to incorporate more natural elements. Current research highlights the benefits of engaging in unstructured nature play for children’s health and development yet little is known about the experiences of key nature play end-users such as parents and early childhood educators, even though they directly impact the application of nature play within early childhood settings. This study aimed to address this knowledge gap by exploring parent and early childhood educator (ECE) perspectives to gain an understanding about their experiences with nature play. Using a qualitative descriptive approach, semi-structured in-person and telephone interviews were conducted with 18 ECE and 13 parents across four early childhood centres (from various socio-economic regions) across metropolitan Adelaide, South Australia during 2019–2020. Interviews were audio-recorded and transcribed verbatim. Thematic analysis identified five main themes positive affirmations of nature play, factors influencing nature play engagement, defining nature play, outdoor play space design and risky play. Children’s connection to the natural world, learning about sustainability, emotional regulation, and children discovering their own capabilities were perceived advantages of engaging in nature play. Despite the benefits, ECE’s described institutional barriers such as resourcing, adhering to policies and scheduling conflicts, whereas, parents described time, getting dirty and proximity to nature play spaces as barriers to nature play engagement. Parents and ECEs alike described adults as gatekeepers for play, especially when other daily tasks compete for their time, or when faced with weather-imposed barriers (cold, rain, extreme heat in summer). The findings suggest that parents and ECEs may need additional resources and guidance on how to engage with nature play and how to overcome barriers within early childhood settings and the home environment.
The Adapted Fresno test for speech pathologists, social workers, and dieticians/nutritionists: Validation and reliability testing
Publisher: Informa UK Limited
Date: 02-2014
DOI: 10.2147/JMDH.S58603
Effectiveness of powered exoskeleton use on gait in individuals with cerebral palsy: A systematic review
Publisher: Public Library of Science (PLoS)
Date: 26-05-2021
DOI: 10.1371/JOURNAL.PONE.0252193
Abstract: Cerebral palsy (CP) is a leading cause of childhood disability. The motor impairments of in iduals with CP significantly affect the kinematics of an efficient gait pattern. Robotic therapies have become increasingly popular as an intervention to address this. Powered lower limb exoskeletons (PoLLE) are a novel form of robotic therapy that allow the in idual to perform over-ground gait training and yet its effectiveness for CP is unknown. To determine the effectiveness of PoLLE use on gait in in iduals with CP. A systematic search of eight electronic databases was conducted in March 2020. Studies included children (0–18 years) and or adults (18+ years) diagnosed with CP who used a PoLLE for gait training. This review was conducted and reported in line with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement, with the methodology registered with PROSPERO (CRD42020177160). A modified version of the McMaster critical review form for quantitative studies was used to assess the methodological quality. Due to the heterogeneity of the included studies, a descriptive synthesis using the National Health & Medical Research Council (NHMRC) FORM framework was undertaken. Of the 2089 studies screened, ten case series and three case studies met the inclusion criteria highlighting the current evidence base is emerging and low level. A range of PoLLEs were investigated with effectiveness measured by using a number of outcome measures. Collectively, the body of evidence indicates there is some consistent positive evidence on the effectiveness of PoLLE in improving gait in in iduals with CP, with minimal adverse effects. While this is a positive and encouraging finding for an emerging technology, methodological concerns also need to be acknowledged. With rapidly evolving technology, PoLLEs could play a transformative role in the lives of people impacted by CP. Ongoing research is required to further strengthen the evidence base and address current methodological concerns.
Whole-Body Vibration to Treat Low Back Pain: Fact or Fad?
Publisher: University of Toronto Press Inc. (UTPress)
Date: 2011
DOI: 10.3138/PTC.2009.44
Abstract: Purpose: The purpose of this systematic review was to evaluate the current evidence base for whole-body vibration as a treatment for low back pain (LBP). Summary of key points: Whole-body vibration through occupational exposure has previously been recognized as an aetiological factor in LBP. Previous studies have identified whole-body vibration (WBV) as a cause of LBP in various sitting-based occupations that involve machinery and repetitive vibration. In the last decade, however, WBV has been advocated as a safe and effective treatment for LBP. Despite the growing popularity of WBV in clinical practice, this systematic review of the literature identified only two studies that investigated the effectiveness of WBV as a treatment option for LBP, and an assessment of the quality of these studies demonstrated several methodological problems that may have biased their findings. While there is emerging evidence for the effectiveness of WBV in treating some medical conditions, the evidence for WBV as a treatment for LBP remains equivocal. Recommendations: Based on the current body of evidence, routine use of WBV to treat LBP should be undertaken with caution. Further rigorous research designed to investigate the effectiveness of WBV as a safe and high-quality treatment for LBP is required.
Exercise parameters in the treatment of clinical depression: A systematic review of randomized controlled trials
Publisher: Wiley
Date: 25-05-2010
DOI: 10.1111/J.1365-2753.2009.01188.X
Abstract: Previous systematic reviews have concluded that exercise programmes are effective in the management of clinical depression. The aim of this review was to analyse the parameters of exercise programmes reported in the primary research, in order to provide clinicians with evidence-based recommendations for exercise prescription for clinical depression. A systematic review of randomized controlled trials was undertaken. Only trials that reported exercise to be effective in treating depression were included and our review was limited to adults. Appropriate databases and reference lists were searched using established keywords. Data relating to the type, intensity, frequency, duration, mode of exercise and mode of application of exercise was extracted and collated. A total of 14 randomized controlled trials were included in this review and from these trials 20 intervention arms were analysed. The majority of trials used an aerobic exercise intervention and were supervised. The most common exercise parameters were 60-80% of maximum heart rate for 30 minutes three times per week for an overall duration of 8 weeks. There is an equal volume of evidence supporting group as opposed to in idually completed exercise programmes and no trends were identified which would support one mode of exercise over another. Currently the primary research on this topic supports the use of aerobic exercise which is supervised in some capacity. The current evidence base supports a prescription of three 30-minute sessions per week of aerobic exercise at 60-80% of maximum heart rate for at least 8 weeks.
Physiotherapists' assessment of patients' psychosocial status: Are we standing on thin ice? A qualitative descriptive study
Publisher: Elsevier BV
Date: 04-2015
The impacts of unstructured nature play on health in early childhood development: a systematic review
Publisher: Public Library of Science (PLoS)
Date: 13-02-2020
Developing a needs-based integrative service delivery model to deliver best practice care for chronic nonspecific low back pain
Publisher: Elsevier BV
Date: 08-2022
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Addressing barriers to the conduct and application of research in complementary and alternative medicine: a scoping review
Publisher: Springer Science and Business Media LLC
Date: 15-07-2021
DOI: 10.1186/S12906-021-03371-6
Abstract: Over the past few decades, the popularity of complementary and alternative medicine (CAM) has grown considerably and along with it, scrutiny regarding its evidence base. While this is to be expected, and is in line with other health disciplines, research in CAM is confronted by numerous obstacles. This scoping review aims to identify and report the strategies implemented to address barriers to the conduct and application of research in CAM. The scoping review was undertaken using the Arksey and O’Malley framework. The search was conducted using MEDLINE, EMBASE, EMCARE, ERIC, Scopus, Web of Science, The Cochrane Library, JBI and the grey literature. Two reviewers independently screened the records, following which data extraction was completed for the included studies. Descriptive synthesis was used to summarise the data. Of the 7945 records identified, 15 studies met the inclusion criteria. Using the oBSTACLES instrument as a framework, the included studies reported erse strategies to address barriers to the conduct and application of research in CAM. All included studies reported the use of educational strategies and collaborative initiatives with CAM stakeholders, including targeted funding, to address a range of barriers. While the importance of addressing barriers to the conduct and application of research in CAM has been recognised, to date, much of the focus has been limited to initiatives originating from a handful of jurisdictions, for a small group of CAM disciplines, and addressing few barriers. Myriad barriers continue to persist, which will require concerted effort and collaboration across a range of CAM stakeholders and across multiple sectors. Further research can contribute to the evidence base on how best to address these barriers to promote the conduct and application of research in CAM.
Bridging the training-practice gap in interprofessional student supervision
Publisher: Ubiquity Press, Ltd.
Date: 21-02-2017
DOI: 10.1007/S40037-017-0330-8
Abstract: Background Workforce recruitment and retention issues are common in highly dispersed regions such as Queensland in Australia. Provision of student placements in these non-metropolitan areas is one way of promoting staff recruitment. However, healthcare professionals in these areas face a number of challenges in accessing training opportunities including student supervision training. Funding was made available to develop and run a series of targeted, evidence-based, interprofessional student supervision workshops in non-metropolitan Queensland. Methods Workshop participants were health professionals from both public and private health service providers in Queensland. Using a pre-post design, anonymous data were collected through surveys administered before and after workshop participation. Descriptive statistics were used to analyze participant information. Free text responses were categorized using an iterative process to identify prevalent themes. Results A total of 147 participants attended nine face-to-face workshops and provided data. Allied health participants represented 70% of the population, with the remainder largely from nursing, medicine and dentistry. There was a positive shift in self-reported level of confidence in student supervision following training. Of the participants 143 (97%) reported that they acquired new skills and knowledge from training. A number of enablers of and barriers to translation of learning to practice following interprofessional student supervision training were identified. Conclusions Targeted interprofessional student supervision training is valuable and can increase participants’ self-reported level of confidence in student supervision. It is recommended that health organizations promote a culture of providing positive student placement experiences in order to maximize future workforce opportunities.
Non-surgical management of a pediatric “intoed” gait pattern – a systematic review of the current best evidence
Publisher: Informa UK Limited
Date: 2012
DOI: 10.2147/JMDH.S28669
What Can Evidence Implementation Learn from Barack Obama's Campaign?
Publisher: University of Toronto Press Inc. (UTPress)
Date: 10-2009
Nature and extent of disruptions to staff clinical supervision practices in health care settings due to COVID‐19: A survey study
Publisher: Wiley
Date: 11-09-2023
DOI: 10.1111/AJR.13036
Anterior cruciate ligament repair with LARS (ligament advanced reinforcement system): A systematic review
Publisher: Springer Science and Business Media LLC
Date: 12-2010
Abstract: Injury to the anterior cruciate ligament (ACL) of the knee is common. Following complete rupture of the ACL, insufficient re-vascularization of the ligament prevents it from healing completely, creating a need for reconstruction. A variety of grafts are available for use in ACL reconstruction surgery, including synthetic grafts. Over the last two decades new types of synthetic ligaments have been developed. One of these synthetic ligaments, the Ligament Advanced Reinforcement System (LARS), has recently gained popularity. The aim of this systematic review was to assess the current best available evidence for the effectiveness of the LARS as a surgical option for symptomatic, anterior cruciate ligament rupture in terms of graft stability, rehabilitation time and return to pre-injury function. This systematic review included studies using subjects with symptomatic, ACL ruptures undergoing LARS reconstruction. A range of electronic databases were searched in May 2010. The methodological quality of studies was appraised with a modified version of the Law critical appraisal tool. Data relating to study characteristics, surgical times, complication rates, outcomes related to knee stability, quality of life, function, and return to sport as well as details of rehabilitation programs and timeframes were collected. This review identified four studies of various designs, of a moderate methodological quality. Only one case of knee synovitis was reported. Patient satisfaction with LARS was high. Graft stability outcomes were found to be inconsistent both at post operative and at follow up periods. The time frames of rehabilitation periods were poorly reported and at times omitted. Return to pre-injury function and activity was often discussed but not reported in results. There is an emerging body of evidence for LARS with comparable complication rates to traditional surgical techniques, and high patient satisfaction scores. However, this systematic review has highlighted several important gaps in the existing literature that require future prospective investigation. The findings of this review were equivocal with regards to other measures such as graft stability and long term functional outcomes. While the importance of rehabilitation following LARS is well recognised, there is limited evidence to guide rehabilitation protocols.
Supporting allied health practitioners in evidence-based practice: A case report
Publisher: Mark Allen Group
Date: 04-2009
DOI: 10.12968/IJTR.2009.16.4.41196
Abstract: The Centre for Allied Health Evidence in collaboration with the Department of Health, South Australia, initiated structured journal clubs across selected metropolitan and country allied health-care sites. The aim was to provide a sustainable model of journal club to keep allied health practitioners informed of the current best evidence. This case report describes the development of the journal club, and its evaluation to date. The journal club development and its component processes are described. Evaluation of the journal club was conducted using a survey to ascertain participants knowledge and attitude towards evidence-based practice and their expectations of journal clubs. Semi-structured interviews were used to explore reasons for interest in journal clubs, local barriers to implementation and sustainability, and members perspectives of journal clubs. The processes involved in the journal club comprised six distinct steps, from development of a clinical scenario to reflect issues in current clinical practice, to dissemination of the research publication and its critical appraisal at the health service site. Evaluation of participants attitudes revealed a lack of confidence in research interpretation, positive expectations of the journal club (in applying research to practice), and a reliance on peers for research information. The journal club model was found to be effective in addressing the significant barriers of access and evaluation of research evidence. The case report demonstrates how this unique model of collaborative partnership between researchers and allied health practitioners can address the barriers in evidence-based practice, which could potentially impact on overall health service quality. Further evaluation of this model is needed.
A systematic review of professional supervision experiences and effects for allied health practitioners working in non-metropolitan health care settings
Publisher: Informa UK Limited
Date: 08-2015
DOI: 10.2147/JMDH.S84557
Perspectives on research evidence and clinical practice: a survey of Australian physiotherapists.
Publisher: Wiley
Date: 21-03-2007
DOI: 10.1002/PRI.363
Abstract: Physiotherapists' use of research evidence with clinical decision-making has interested researchers world-wide since 1980 however, little is known about such practices in Australia. The present survey sought information on Australian physiotherapists' perceptions of the importance of research, and barriers to uptake of evidence in clinical practice, when compared with an international cohort from 2001. An Australian-relevant version of an English (UK) National Health Service (NHS) survey instrument was used to canvass 453 physiotherapists, randomly selected from the South Australian Physiotherapy Registration Board 2004-2005 records. The first survey was mailed in August 2005, a reminder was sent two weeks later to non-responders and a follow-up survey was sent in April 2006 to non-responders whose addresses had changed since 2005. There was a 51% response rate. Of the non-responders, 12% were not contactable at their listed address, highlighting the mobility of Australian physiotherapists. Most respondents had undertaken research as students (59.5%) or as students and clinicians (11.5%). Of these, 37.1% were encouraged to embark on more research, and 20.5% were discouraged. The significant predictors of positive perceived importance of research were: previous research experience being positive about undertaking further research working in hospitals and holding a postgraduate degree. Clinicians working privately were significantly less likely than managers to be positive about research importance. The only significant predictor for not perceiving barriers to uptake of evidence was being positive about undertaking future research. The study identified constraints on uptake of evidence into practice that were related to accessing, reading and interpreting published research, and implementing findings. Found consistently across employment categories were barriers relating to lack of time, uncertainty about what the research reported, scepticism about the value of research and being isolated from peer support and literature sources. The responses indicated a positive shift towards evidence uptake since the 2001 NHS survey, suggesting an influence of increased exposure to information on evidence-based practice. A greater focus on research whilst training, the application of educational strategies for empowerment, better knowledge transfer and upskilling within the workplace, and ensuring dedicated time and organizational support for research activities are indicated.
The physical therapy profile questionnaire (PTPQ): development, validation and pilot testing.
Publisher: Springer Science and Business Media LLC
Date: 19-09-2011
Measuring the impact of allied health research
Publisher: Informa UK Limited
Date: 06-2011
DOI: 10.2147/JMDH.S20265
Exploring the Impact of a Structured Model of Journal Club in Allied Health–A Qualitative Study
Publisher: Scientific Research Publishing, Inc.
Date: 2012
The Use of Anatomical Side Markers in General Radiology: A Systematic Review of the Current Literature
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 11-05-2020
A clinical audit of anatomical side marker use in a pediatric medical imaging department: A quantitative and qualitative investigation
Publisher: Public Library of Science (PLoS)
Date: 24-11-2020
DOI: 10.1371/JOURNAL.PONE.0242594
Abstract: The presence of a radiopaque or digital anatomical side marker (ASM) is an important diagnostic feature on radiographs and should be a routine feature on every radiographic image. Despite its importance, research has indicated numerous instances where ASMs were absent which have the potential to lead to adverse events. To date, few studies have systematically examined the use of ASMs in clinical practice and explored medical imaging professionals’ perspectives on ASM use. This research aimed to address this knowledge gap. This investigation was conducted in two stages. Stage 1 involved a retrospective clinical audit of 421 randomly selected radiographs within 12-months at a pediatric medical imaging department. The data were analyzed for overall presence and type of marker use. Stage 2 comprised of semi-structured interviews with 11 radiographers to garner their perspectives on ASM use, and barriers and enablers to their use in clinical practice. The interviews were transcribed verbatim and thematically analyzed. The overall presence of ASMs (radiopaque and digital) was observed on 99 per cent of radiographs. There was a noticeable shift towards the use of digital (78.8 per cent) compared to radiopaque ASMs (20.2 per cent), highlighting the growing trend towards using ASM in post-processing. A handful of images ( N = 4) did not include any ASMs. Semi-structured interviews revealed multifaceted barriers (time, infection precautions, and patient factors) and few enablers (professionalism, legal requirement) for ASM use. This investigation, informed by quantitative and qualitative research paradigms, has shed new light on an important area of radiography practice. While missing ASMs were a small feature, there continue to remain opportunities where best practice standards can be improved. The increasing use of digital ASMs potentially highlights a shift in clinical practice standards.
Systematic review on the contents and parameters of self‐management education programs in older adults with knee osteoarthritis
Publisher: Wiley
Date: 03-09-2020
DOI: 10.1111/AJAG.12844
The ethics of evidence implementation in health care
Publisher: Wiley
Date: 06-2010
DOI: 10.1002/PRI.479
Abstract: Evidence based practice is increasingly mandated by all stakeholders as an integral process of ensuring safe and quality health care. It is recognised that evidence based practice can contribute to minimising misuse, overuse and underuse of health care. Operationalising evidence based practice requires physiotherapists to access relevant evidence, appraise the evidence for its methodological quality, extract information relevant to their practice, and implement it as part of health care service delivery. The final step in this process is to evaluate evidence implementation and reflect what, if any, changes to health care processes and outcomes was achieved. From a theoretical perspective, these steps seem logical and readily achievable. However, practical application in clinical practice settings has encountered numerous barriers. One such barrier, which is commonly encountered and is a contentious area, is the issue of ethics in evidence implementation. Using two hypothetical case studies, we aim to highlight common frustrations encountered by physiotherapists when implementing evidence into practice, ethical ambiguity underpinning evidence implementation and discuss implications in terms of clinical practice and research.
Impact of the COVID-19 Pandemic on Clinical Supervision of Healthcare Students in Rural Settings: A Qualitative Study
Publisher: MDPI AG
Date: 03-05-2022
Abstract: The COVID-19 pandemic has caused significant disruptions to healthcare student placements worldwide, including already challenged rural areas in Australia. While accounts are emerging of student experiences in larger centers and from a student perspective, there is a need for in-depth exploration of student supervisor experiences in rural areas at the onset of the pandemic. This study aims to address this gap through 23 in idual, semi-structured interviews with healthcare workers from ten health professions who were either direct student supervisors or in roles supporting student supervisors A reflexive thematic analysis approach was used to develop four themes, namely compounding stress, negative impacts on student learning, opportunity to flex and innovate, and targeted transitioning support strategies. The findings indicate that healthcare workers with student supervision responsibilities at the onset of the pandemic experienced high levels of stress and wellbeing concerns. This study sheds light on the importance of supporting student supervisors in rural areas, and the need for implementing targeted support strategies for new graduates whose placements were impacted by the pandemic. This is not only essential for supporting the rural healthcare workforce but is also imperative for addressing inequalities to healthcare access experienced in rural communities.
Impact of treatment summaries for cancer survivors: a systematic review
Publisher: Springer Science and Business Media LLC
Date: 06-02-2020
The effectiveness of hydrotherapy in the treatment of social and behavioral aspects of children with autism spectrum disorders: a systematic review
Publisher: Informa UK Limited
Date: 02-2014
DOI: 10.2147/JMDH.S55345
'I was trying to look after myself, but I really wasn't': understanding patient's perspectives on risk factors for lower extremity amputations
Publisher: Springer Science and Business Media LLC
Date: 12-12-2022
DOI: 10.1186/S13047-022-00589-6
Abstract: Lower extremity utations (LEAs) as a result of type 2 diabetes mellitus (T2DM) cause considerable morbidity, mortality, and burden on the healthcare system. LEAs are thought to be preventable, yet the rate of LEAs, particularly in Australia, has risen despite the availability of preventative healthcare services. Understanding patient’s perspectives of risk factors for LEAs may provide valuable insight into why many LEAs occur each year. The aim of this study was to explore patient’s perspectives of risk factors for LEAs as a result of T2DM. A qualitative descriptive methodology involving non-probability purposive s ling was used to recruit inpatients at a tertiary metropolitan hospital in South Australia. Semi-structured interviews were conducted, and data were transcribed verbatim. Data from the interviews were analysed using thematic analysis and the constant comparison approach. A total of 15 participants shared their perspectives of risk factors for lower extremity utations. Most (86%) of participants were male and Caucasian, with a median age of 66.4 years ranging from 44-80 years. The median duration of diabetes was 25.2 years, ranging from 12-40 years. More than half of the participants had undergone a previous utation with 86% being unemployed or retired and 73% living in metropolitan Adelaide. Two main themes emerged: competing priorities and awareness. Finance and family care were identified as subthemes within competing priorities. While subthemes in the context of awareness related to lack of awareness of risk, experiences with health care professionals and perspectives of disease severity. The findings from this research indicate that addressing risk factors for LEAs for patients with T2DM require a holistic and nuanced approach which considers in idual patient’s circumstances, and its influence on how risks are viewed and managed.
Allied health: integral to transforming health
Publisher: CSIRO Publishing
Date: 2016
DOI: 10.1071/AH15044
Abstract: Objective South Australia is taking an innovative step in transforming the way its healthcare is organised and delivered to better manage current and future demands on the health system. In an environment of transforming health services, there are clear opportunities for allied health to assist in determining solutions to various healthcare challenges. A recent opinion piece proposed 10 clinician-driven strategies to assist in maximising value and sustainability of healthcare in Australia. The present study aimed to seek the perspectives of allied health clinicians, educators, researchers, policy makers and managers on these strategies and their relevance to allied health. Methods A survey of allied health practitioners was undertaken to capture their perspectives on the 10 clinician-driven strategies for maximising value and sustainability of healthcare in Australia. Survey findings were then layered with evidence from the literature. Results Highly relevant across allied health are the strategies of discontinuation of low value practices, targeting clinical interventions to those getting greatest benefit, active involvement of patients in shared decision making and self-management and advocating for integrated systems of care. Conclusions Allied health professionals have been involved in the South Australian healthcare system for a prolonged period, but their services are poorly recognised, often overlooked and not greatly supported in existing traditional practices. The results of the present study highlight ways in which healthcare services can implement strategies not only to improve the quality of patient outcomes, but also to offer innovative solutions for future, sustainable healthcare. The findings call for concerted efforts to increase the utilisation of allied health services to ensure the ‘maximum value for spend’ of the increasingly scarce health dollar. What is known about the topic? In medicine, clinician-driven strategies have been proposed to minimise inappropriate and costly care and maximise highly appropriate and less expensive care. These strategies were developed based on clinical experiences and with supporting evidence from scientific studies. What does this paper add? Major changes to the health system are required to slow down the growth in healthcare expenditure. This paper describes opportunities in which allied health practitioners can implement similar strategies not only to improve the quality of patient outcomes, but also to offer cost-effective solutions for a sustainable healthcare. What are the implications for practitioners? Allied health practitioners can provide solutions to healthcare challenges and assist in the transformation of healthcare in Australia. However, for this to happen, there should be concerted efforts to increase recognition of and support for the use of allied health services.
The development of a survey instrument to measure the barriers to the conduct and application of research in complementary and alternative medicine: a Delphi study
Publisher: Springer Science and Business Media LLC
Date: 12-2018
Visibility and meanings of partnership in health care for older people who need support to live at home.
Publisher: Wiley
Date: 24-11-2018
DOI: 10.1111/SCS.12545
Abstract: Problems experienced by older people with complex needs to live at home have been reported in the literature. This qualitative study builds on previous research and investigates enduring issues older people face when interacting with healthcare services. To gain an in-depth understanding of what is involved in providing good quality health care for older people who need support to live at home. We adopted an interpretive descriptive approach and conducted semi-structured interviews with older people (n = 7), carers (n = 8) and key informants (n = 11). Initial and secondary analysis of qualitative data was completed. Major themes emerged about meanings of partnership in health care, and invisibility of the older person as a partner in health care. Partnership in health care was understood to mean being treated as an equal, being involved in decision-making, and making contributions which impact on health care and health systems. The metaphorical concept of 'invisibility' related to the older person not being seen and heard as a partner in health care, as well as being a recipient of care. We concluded that older people who need support to live at home are not highly visible to health providers, policymakers and researchers as a central partner and consumer to be meaningfully engaged in shaping their health care. Opportunities to address persistent issues with quality of health care may in future be achieved through stronger partnerships between older people and health providers, to find new ways to improve the quality of care for older people.
Mindfulness and chronic musculoskeletal pain: an umbrella review
Publisher: Informa UK Limited
Date: 02-2023
DOI: 10.2147/JMDH.S392375
Complementary and alternative medicine use in Australian children with acute respiratory tract infection - A cross-sectional survey of parents
Publisher: Elsevier BV
Date: 05-2020
Good, bad or indifferent: a longitudinal multi-methods study comparing four modes of training for healthcare professionals in one Australian state
Publisher: BMJ
Date: 08-2018
DOI: 10.1136/BMJOPEN-2017-021264
Abstract: The aim of the study was to compare the differences in learning outcomes for supervision training of healthcare professionals across four modes namely face-to-face, videoconference, online and blended modes. Furthermore, changes sustained at 3 months were examined. A multimethods quasi-experimental longitudinal design was used. Data were collected at three points—before training, immediately after training and at 3 months post-training. Quantitative and qualitative data were collected through anonymous surveys and reflective summaries, respectively. Participants reported an increase in supervision knowledge and confidence immediately after training that was sustained at 3 months with all four modalities of training. Using analysis of variance, we found these changes were sustained at 3 months postcompletion (confidence p .01 and knowledge p .01). However, there was no statistically significant difference in outcomes between the four modes of training delivery (confidence, p=0.22 or knowledge, p=0.39). Reflective summary data highlighted the differences in terminology used by participant to describe their experiences across the different modes, the key role of the facilitator in training delivery and the merits and risks associated with online training. When designed and delivered carefully, training can achieve comparable outcomes across all four modes of delivery. Regardless of the mode of delivery, the facilitator in training delivery is critical in ensuring positive outcomes.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
The Psychometric Properties of the Short Physical Performance Battery to Assess Physical Performance in Older Adults: A Systematic Review
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 19-04-2022
Oceans apart, yet connected: Findings from a qualitative study on professional supervision in rural and remote allied health services
Publisher: Wiley
Date: 05-06-2015
DOI: 10.1111/AJR.12192
Abstract: Improving the quality and safety of health care in Australia is imperative to ensure the right treatment is delivered to the right person at the right time. Achieving this requires appropriate clinical governance and support for health professionals, including professional supervision. This study investigates the usefulness and effectiveness of and barriers to supervision in rural and remote Queensland. As part of the evaluation of the Allied Health Rural and Remote Training and Support program, a qualitative descriptive study was conducted involving semi-structured interviews with 42 rural or remote allied health professionals, nine operational managers and four supervisors. The interviews explored perspectives on their supervision arrangements, including the perceived usefulness, effect on practice and barriers. Themes of reduced isolation enhanced professional enthusiasm, growth and commitment to the organisation enhanced clinical skills, knowledge and confidence and enhanced patient safety were identified as perceived outcomes of professional supervision. Time, technology and organisational factors were identified as potential facilitators as well as potential barriers to effective supervision. This research provides current evidence on the impact of professional supervision in rural and remote Queensland. A multidimensional model of organisational factors associated with effective supervision in rural and remote settings is proposed identifying positive supervision culture and a good supervisor-supervisee fit as key factors associated with effective arrangements.
Clinical supervision of allied health professionals in country S outh A ustralia: A mixed methods pilot study
Publisher: Wiley
Date: 27-08-2015
DOI: 10.1111/AJR.12231
Abstract: Recent times have witnessed dramatic changes in health care with overt recognition for quality and safety to underpin health care service delivery. In addition to systems-wide focus, the importance of supporting and mentoring people delivering the care has also been recognised. This can be achieved through quality clinical supervision. In 2010, Country Health South Australia Local Health Network developed a holistic allied health clinical governance structure, which was implemented in 2011. This research reports on emergent findings from the evaluation of the clinical governance structure, which included mandating clinical supervision for all allied health staff. A mixed method approach was chosen with evaluation of the impact of clinical supervision undertaken by a psychometrically sound instrument (Manchester Clinical Supervision Scale 26-item version), collected through an anonymous online survey and qualitative data collected through semistructured interviews and focus groups. Overall, 189 allied health professionals responded to the survey. Survey responses indicated allied health professionals recognised the importance of and valued receiving clinical supervision (normative domain), had levels of trust and rapport with, and were supported by supervisors (restorative domain) and positively affected their delivery of care and improvement in skills (formative domain). Qualitative data identified enablers such as profession specific gains, improved opportunities and consistency for clinical supervision and barriers such as persistent organisational issues, lack of clarity (delineation of roles) and communication issues. The findings from this research highlight that while clinical supervision has an important role to play, it is not a panacea for all the ills of the health care system.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Rack ‘em, pack 'em and stack ‘em: challenges and opportunities in teaching large classes in higher education
Publisher: F1000 Research Ltd
Date: 12-02-2013
DOI: 10.12688/F1000RESEARCH.2-42.V1
Abstract: The higher education sector is undergoing tremendous change, driven by complex driving forces including financial, administrative, and organisational and stakeholder expectations. It is in this challenging environment, educators are required to maintain and improve the quality of teaching and learning outcomes while contending with increasing class sizes. Despite mixed evidence on the effectiveness of large classes on student outcomes, large classes continue to play an important part in higher education. While large classes pose numerous challenges, they also provide opportunities for innovative solutions. This paper provides an overview of these challenges and highlights opportunities for innovative solutions.
Altered cytochrome 2E1 and 3A P450‐dependent drug metabolism in advanced ovarian cancer correlates to tumour‐associated inflammation
Publisher: Wiley
Date: 05-08-2019
DOI: 10.1111/BPH.14776
F1000Prime Recommendation
Publisher: No publisher found
Date: 2014
Exercise parameters in the management of breast cancer: A systematic review of randomized controlled trials
Publisher: Wiley
Date: 30-12-2010
DOI: 10.1002/PRI.505
Abstract: Previous systematic reviews have examined the efficacy of exercise in improving the quality of life for patients with, and survivors of, breast cancer. This review sets out to determine the parameters of exercise programmes used in randomized controlled trials. A systematic review of randomized controlled trials was conducted. Only trials that reported significant improvement on the quality of life outcome were included. Data relating to the parameters of exercise (mode, duration, frequency and intensity and delivery method) were analyzed. Nine randomized controlled trials were included in this review. Overall quality of the trials was average. Aerobic exercise was featured in eight of the nine trials and was used in combination with resistance training in four trials. All the trials were gym-based, were under the supervision of a physiotherapist and included a warm-up and cool-down phase. This review concludes that aerobic exercise performed with or without weight training is a common feature of exercise programmes that report significant quality of life-related outcomes. The most commonly reported exercise parameters were three sessions per week, at moderate intensity being equivalent to 50% to 80% of the maximum heart rate for greater than 30 minutes.
Factors influencing the perceived quality of clinical supervision of occupational therapists in a large Australian state
Publisher: Wiley
Date: 04-08-2016
Abstract: Clinical supervision is important for effective health service delivery, professional development and practice. Despite its importance there is a lack of evidence regarding the factors that improve its quality. This study aimed to investigate the factors that influence the quality of clinical supervision of occupational therapists employed in a large public sector health service covering mental health, paediatrics, adult physical and other practice areas. A mixed method, sequential explanatory study design was used consisting of two phases. This article reports the quantitative phase (Phase One) which involved administration of the Manchester Clinical Supervision Scale (MCSS-26) to 207 occupational therapists. Frequency of supervision sessions, choice of supervisor and the type of supervision were found to be the predictor variables with a positive and significant influence on the quality of clinical supervision. Factors such as age, length of supervision and the area of practice were found to be the predictor variables with a negative and significant influence on the quality of clinical supervision. Factors that influence the perceived quality of clinical supervision among occupational therapists have been identified. High quality clinical supervision is an important component of clinical governance and has been shown to be beneficial to practitioners, patients and the organisation. Information on factors that make clinical supervision effective identified in this study can be added to existing supervision training and practices to improve the quality of clinical supervision.
Evaluating the reliability of the oBSTACLES Instrument
Publisher: Elsevier BV
Date: 03-2021
Cost-effectiveness of Simvastatin plus Ezetimibe for Cardiovascular Prevention in CKD: Results of the Study of Heart and Renal Protection (SHARP)
Publisher: Elsevier BV
Date: 04-2016
The holy grail of clinical supervision.
Publisher: Wiley
Date: 15-07-2019
DOI: 10.1111/MEDU.13927
Does journal club membership improve research evidence uptake in different allied health disciplines: A pre-post study
Publisher: Springer Science and Business Media LLC
Date: 29-10-2012
Allied health assistants and what they do: A systematic review of the literature
Publisher: Informa UK Limited
Date: 08-2010
DOI: 10.2147/JMDH.S12106
Primary School Educators’ Perspectives and Experiences of Nature-Based Play and Learning and Its Benefits, Barriers, and Enablers: A Qualitative Descriptive Study
Publisher: MDPI AG
Date: 08-03-2022
Abstract: Nature-based play and learning is of increasing interest to primary schools and research suggests that it has many potential benefits for children’s health and development. However, little is known about educators’ perspectives and experiences of nature-based play and learning, particularly the barriers, benefits and enablers, despite their direct relevance to the uptake of nature-based play and learning in schools. A qualitative descriptive methodology was employed to uncover these. In idual, semi-structured interviews were conducted with 12 principals and educators from South Australian public primary schools, recruited via a participant contact list from a previous study. The participants were two principals, eight educators and two in iduals with dual principal and educator positions. Metropolitan and rural schools were equally represented. Interviews were audio-taped, transcribed verbatim and analysed using thematic analysis. Analysis identified four overarching themes: the practice, perceived benefits, barriers and enablers of nature-based play and learning. Children’s learning, enjoyment, creativity, and a relaxed and flexible environment were clear benefits. Meanwhile educator knowledge and confidence and the crowded curriculum were barriers. Enablers were nature-based play and learning ch ions and support from school leadership. The findings suggest that schools can help engage students with nature-based play and learning activities by mitigating these barriers and promoting these enablers.
Implementing evidence in clinical practice: the 'therapies' dilemma
Publisher: Elsevier BV
Date: 12-2004
Bidirectional association between executive and physical functions among older adults: A systematic review
Publisher: Wiley
Date: 11-2021
DOI: 10.1111/AJAG.13008
Abstract: We aimed to examine the bidirectional associations between specific executive function (EF) and physical function (PF) subdomains among older adults. A systematic literature search (MEDLINE, EMBASE, PsycINFO, EBSCOHOST, Scopus and EmCare) was undertaken from February 2018 to May 2020. Observational studies measuring associations between EF and PF subdomains among older adults were included. Twenty‐nine studies met the inclusion criteria. Twenty‐seven studies reported associations between EF and PF. There were bidirectional associations between slower processing speed and slower gait speed slower processing speed and lower muscle strength and lower verbal fluency and slower gait speed. Lower muscle strength was unilaterally associated with lower working memory. We found consistent bidirectional associations between processing speed with gait speed and muscle strength, and verbal fluency and gait speed. There was a unidirectional association between muscle strength and working memory. Common causal mechanisms for EF and PF require further studies.
A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes
Publisher: Springer Science and Business Media LLC
Date: 31-03-2009
Abstract: Athletes competing in sports that require running, changes in direction, repetitive kicking and physical contact are at a relatively higher risk of experiencing episodes of athletic groin pain. To date, there has been no systematic review that aims to inform clinicians about the best available evidence on features of exercise interventions for groin pain in athletes. The primary aim of this systematic review was to evaluate the available evidence on the effectiveness of exercise therapy for groin pain in athletes. The secondary aim of this review was to identify the key features of exercise interventions used in the management of groin pain in an athletic population. MEDLINE, CINAHL, PubMed, SPORTSDiscus, Embase, AMED, Ovid, PEDro, Cochrane Controlled Trials Register and Google Scholar databases were electronically searched. Data relating to research design, s le population, type of sport and exercise intervention was extracted. The methodological evaluation of included studies was conducted by using a modified quantitative critical appraisal tool. The search strategy identified 468 studies, 12 of which were potentially relevant. Ultimately five studies were included in this review. Overall the quality of primary research literature was moderate, with only one randomised controlled trial identified. All included studies provided evidence that an exercise intervention may lead to favourable outcomes in terms of return to sport. Four of the five studies reviewed included a strengthening component and most utilised functional, standing positions similar to those required by their sport. No study appropriately reported the intensity of their exercise interventions. Duration of intervention ranged from 3.8 weeks to 16 weeks. All five studies reported the use of one or more co-intervention. Best available evidence to date, with its limitations, continues to support common clinical practice of exercise therapy as a key component of rehabilitation for groin pain in athletes. Overall, the available evidence suggests that exercise, particularly strengthening exercise of the hip and abdominal musculature could be an effective intervention for athletes with groin pain. Literature provides foundational evidence that this may need to be in the form of progressive exercises (static to functional) and performed through range. There is currently no clear evidence regarding the most effective intensity and frequency of exercise, because of a lack of reporting in the primary literature.
Acute whiplash associated disorders (WAD)
Publisher: Informa UK Limited
Date: 04-2011
DOI: 10.2147/OAEM.S17853
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Supporting strategies for enhancing vegetable liking in the early years of life: An umbrella review of systematic reviews
Publisher: Elsevier BV
Date: 05-2021
DOI: 10.1093/AJCN/NQAA384
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
What is the impact of chronic kidney disease stage and cardiovascular disease on the annual cost of hospital care in moderate-to-severe kidney disease?
Publisher: Springer Science and Business Media LLC
Date: 29-04-2015
The discharge of individuals from hospital: Do we need to refocus our research?
Publisher: Sciedu Press
Date: 13-05-2012
DOI: 10.5430/JNEP.V2N3P1
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
The effectiveness of animal-assisted therapy for children and adolescents with autism spectrum disorder: A systematic review
Publisher: Elsevier BV
Date: 02-2023
Case Study of Allied Health and Complementary and Alternate Medicine
Publisher: Springer International Publishing
Date: 2016
Experiences of health care for older people who need support to live at home: A systematic review of the qualitative literature
Publisher: Elsevier BV
Date: 07-2017
DOI: 10.1016/J.GERINURSE.2016.12.001
Abstract: Perceived experiences of health care for older people who need support to live at home can illuminate areas needing improvement in quality of care, and guide towards better ways to support ageing populations to live at home. This systematic review synthesized findings from the qualitative literature about perceived experiences of health care for older people who need support to live at home, from the perceptions of older people, carers and health providers. Searches of electronic databases and eligibility screening produced 46 included studies for review. Thematic synthesis revealed how health care impacts on the older person's sense of autonomy, both in health care decisions and everyday life. Autonomy is empowered by the older person's own capacity and by respectful conduct of health providers. Engagement between older people, carers and health providers is a negotiated interaction, affected by multiple factors.
The clinical effectiveness of Ginger (Zingiber officinale) in adults with osteoarthritis
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2008
DOI: 10.1111/J.1744-1609.2008.00106.X
Abstract: Background Osteoarthritis (OA) is a degenerative joint disease, which is associated with increased pain and disability, and a simultaneous decline in the quality of life of sufferers. While there is no cure for OA, there are numerous treatments that aim to reduce sufferers' symptoms and disability, and improve their quality of life. Medications, which have long been integral interventions for the management of OA, have recently been found to cause harm in some patients. Simultaneously, the increasing recognition of complementary and alternative therapies as part of mainstream health care, has seen many sufferers of OA use these therapies. Ginger has been commonly prescribed by herbalists for sufferers of OA due to its anti-inflammatory and circulatory stimulant effects. However, to date there has been no systematic review of the literature to evaluate the clinical effectiveness of Ginger for OA. Objective The objective of this systematic review was to evaluate the safety and effectiveness of Ginger in adults with OA. Data sources A comprehensive search was undertaken on 18 electronic databases from their inception to January 2007, including AARP Ageline, AMED, AMI, BioMed central gateway, CAM on PubMed, CENTRAL, CINAHL, Cochrane library, Current controlled trials, Current contents connect, DARE, Dissertations Abstract International, EMBASE, Health Source Nursing/Academic edition, International Pharmaceutical Abstract, MEDLINE, Natural medicines comprehensive database and TRIP. Review methods Randomised controlled trials or clinical controlled trials were sought, which evaluated the effectiveness of mono-preparations of ginger in adults with OA of the knee or hip. Critical appraisal of study quality was undertaken using Joanna Briggs Institute critical appraisal instruments. Data extraction was via the Joanna Briggs Institute standard data extraction form for evidence of effectiveness. Results Five randomised controlled trials were identified from the search, of which three met the inclusion criteria. The methodological quality of the included studies was good. However, given that studies were clinically and methodologically heterogeneous, meta-analysis could not be conducted. Instead, evidence was summarised in narrative form. For changes in pain severity, studies comparing ginger extract (n = 110) to placebo (n = 111) reported mixed findings in support of the use of Ginger. Studies comparing ginger to an active control found participants who received Ibuprofen (n = 96) had a greater change in median pain intensity compared with participants who received Ginger (n = 110), and while findings were statistically significant for only one of the two studies, the results had limited clinical significance. Similarly, while two placebo-controlled studies reported differences between ginger (n = 70) and placebo (n = 71) for changes in disability and functional capacity, the difference was statistically and clinically significant for only one study. In one study comparing ginger to an active control, participants receiving Ibuprofen (n = 56) reported a statistically significant improvement in disability and functional capacity over time when compared with participants receiving Ginger (n = 56). In terms of safety, Ginger was well tolerated when compared with Ibuprofen, with infrequent reports of mild, and predominantly gastrointestinal, adverse effects. Conclusion Current evidence is weak for the use of Ginger in adults with OA of the knee and/or hip. Much of this can be attributed to significant heterogeneity between studies. Improvements in research design, instrumentation and ginger dosage, which more closely reflect current clinical practice, may help to demonstrate the safe and effective use of Ginger in OA sufferers.
Interferometric porous silicon transducers using an enzymatically amplified optical signal
Publisher: Elsevier BV
Date: 12-2011
Development and implementation of an online hybrid model for teaching evidence-based practice to health professions: processes and outcomes from an Australian experience
Publisher: Informa UK Limited
Date: 08-2010
DOI: 10.2147/AMEP.S12110
Impact and feasibility of the Allied Health Professional Enhancement Program placements – experiences from rural and remote Queensland
Publisher: Informa UK Limited
Date: 02-2016
DOI: 10.2147/AMEP.S92879
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
Barriers to the conduct and application of research among complementary and alternative medicine professions in Australia and New Zealand: A cross-sectional survey
Publisher: Elsevier BV
Date: 08-2021
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
A systematic review of guidelines for the prevention of heat illness in community-based sports participants and officials
Publisher: Elsevier BV
Date: 02-2007
DOI: 10.1016/J.JSAMS.2006.07.008
Abstract: This paper presents the findings of a systematic review of guidelines on preventing heat illness in sports participants and officials. University library databases and Internet sources were searched for guidelines pertaining to community-based sports, and occupational health and safety, using a comprehensive list of search terms. Guidelines were included if they met the criteria of English language, full text and fully referenced, and dealt specifically with, or could be extrapolated to, prevention of heat illness in sports participants and officials. Guideline inclusion was evaluated by two independent reviewers, who also independently assessed guideline quality using the AGREE instrument. Common guideline themes were identified by synthesis and recommendations for each theme were extracted. A synthesis of recommendations for common themes was then undertaken. Thirteen eligible guidelines were included. Thirty-two guidelines were excluded, as they did not provide sufficient information on construction or references. The methodological quality of the included guidelines was variable. The evidence-base of the guidelines varied, reflecting primary and secondary research. While five common heat-illness prevention themes were identified (fluid intake, heat limits, clothing, acclimatisation, precautionary interventions), variable recommendations were made pertaining to these themes. This potentially reflected the variable underpinning evidence of the guidelines. This review highlighted the need for better quality guideline construction related to defensible and transparent evidence sources regarding sports participation in hot weather. The synthesised recommendations cautiously provide a framework of current best evidence upon which sporting organisations internationally can base strategies for safe participation in the heat.
Barriers to and facilitators of endorsement for scheduled medicines in podiatry: a qualitative descriptive study
Publisher: Springer Science and Business Media LLC
Date: 10-03-2021
DOI: 10.1186/S13047-021-00457-9
Abstract: Australian podiatrists and podiatric surgeons who have successfully completed the requirements for endorsement for scheduled medicines, as directed by the Podiatry Board of Australia, are eligible to prescribe a limited amount of schedule 2, 3, 4 or 8 medications. Registration to become endorsed for scheduled medicines has been available to podiatrists for over 10 years, yet the uptake of training has remained low (approximately 2% of registered podiatrists odiatry surgeons). This study aimed to explore barriers to and facilitators of engagement with endorsement for scheduled medicines by podiatrists. Qualitative descriptive methodology informed this research. A purposive maximum variation s ling strategy was used to recruit 13 registered podiatrists and a podiatric surgeon who were either endorsed for scheduled medicines, in training or not endorsed. Semi-structured interviews were employed to collate the data which were analysed using thematic analysis. Three overarching super-ordinate themes were identified which encompassed both barriers and facilitators: (1) competence and autonomy, (2) social and workplace influences, and (3) extrinsic motivators. Within these, several prominent sub-themes emerged of importance to the participants including workplace and social networks role in modelling behaviours, identifying mentors, and access to supervised training opportunities. Stage of life and career often influenced engagement. Additionally, a lack of financial incentive, cost and time involved in training, and lack of knowledge of training requirements were influential barriers. Rural podiatrists encountered a considerable number of barriers in most of the identified areas. A multitude of barriers and facilitators exist for podiatrists as part of the endorsement for scheduled medicines. The findings suggest that a lack of engagement with endorsement for scheduled medicines training may be assisted by a more structured training process and increasing the number of podiatrists who are endorsed to increase the numbers of role models, mentors, and supervision opportunities. Recommendations are provided for approaches as means of achieving, and sustaining, these outcomes.
Exploring the individual determinants of evidence uptake in allied health using a journal club as a medium
Publisher: Informa UK Limited
Date: 03-2013
DOI: 10.2147/AMEP.S43420
Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian
Publisher: MDPI AG
Date: 04-04-2021
Abstract: Knee osteoarthritis (OA) is a prevalent chronic disorder in the older population. While timely management is important to minimize the consequences of knee OA, information on the utilization of healthcare services among this population remains limited. Therefore, the objectives of this study were to determine the healthcare utilization and its associated factors in older persons with knee OA. Cross-sectional data from 1073 participants aged 60 years and above from the Malaysian Elders Longitudinal Research (MELoR) study were included. The utilization rate of healthcare services was quantified. Factors related to the utilization of healthcare services were determined using logistic regression analysis. Healthcare utilization among participants with knee OA was significantly higher than those without knee OA (p 0.01). Outpatient usage was higher (p 0.01) in comparison to inpatient and pharmacotherapy. Being married and having an income were significantly associated with seeking outpatient care (OR: 11.136, 95% CI: 1.73–52.82, p 0.01) and pharmacotherapy (OR: 10.439, 95% CI: 1.187–91.812, p 0.05), while females were less likely to utilize inpatient care services (OR: 0.126, 95% CI: 0.021–0.746, p 0.05). The higher rate of healthcare utilization among older persons with knee OA indicates the increased healthcare needs of this population, who are commonly assumed to suffer from a benign disease.
Impact of clinical supervision of health professionals on organizational outcomes: a mixed methods systematic review protocol
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 23-08-2019
Describe the population receiving orthotic/prosthetic services using telehealth in Australia, and their experience and satisfaction: a quantitative and qualitative investigation
Publisher: Informa UK Limited
Date: 18-04-2023
A systematic review of the content of critical appraisal tools
Publisher: Springer Science and Business Media LLC
Date: 16-09-2004
Rebooting effective clinical supervision practices to support healthcare workers through and following the COVID-19 pandemic
Publisher: Oxford University Press (OUP)
Date: 04-2022
Abstract: The importance of clinical supervision, a professional support and clinical governance mechanism, to patients, healthcare workers and organizations has been well documented. Clinical supervision has been shown to support healthcare workers during challenging times, by reducing burnout, enhancing mental health and wellbeing at work, and improving job satisfaction. However, clinical supervision participation and effectiveness are pre-requisites for realising these benefits. During times of stress and increased workloads (e.g. during the Coronavirus pandemic), healthcare workers tend to prioritise clinical duties and responsibilities over clinical supervision. Effective supervision practices can be restored, and healthcare workers can be better supported in their roles during and in the post-pandemic period only if healthcare workers, policy makers, healthcare organizations, clinical supervision trainers and researchers join forces. This paper sheds light on this important topic and offers a number of practical recommendations to reboot effective clinical supervision practices at the point of care.
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Plantar fasciitis – to jab or to support? A systematic review of the current best evidence
Publisher: Informa UK Limited
Date: 05-2011
DOI: 10.2147/JMDH.S20053
Readiness towards online learning among physiotherapy undergraduates
Publisher: Springer Science and Business Media LLC
Date: 10-07-2021
DOI: 10.1186/S12909-021-02803-8
Abstract: Online learning is an attractive option for educators, especially as means of overcoming the challenges posed by the global pandemic. Although it is best to evaluate student readiness prior to commencement of an online course, to ensure successful development and delivery of student-centric teaching and learning strategies, readiness towards online learning among physiotherapy undergraduates is unknown. The main aim of this study was to examine physiotherapy undergraduates’ readiness towards online learning. In this cross-sectional study, participants were selected through a combination of total population and convenience s ling. The Student Online Learning Readiness questionnaire was distributed among physiotherapy undergraduates from two public and two private universities in Malaysia to investigate their technical, social and communication competencies. Information about device characteristics were obtained to evaluate their equipment readiness. Descriptive and group comparisons were conducted using independent t-test, and analysis of variance with p 0.05 as level of significance. A total of 352 physiotherapy undergraduates participated. The response rate was 81.6%. The results showed that physiotherapy undergraduates in these four institutions had moderate levels of readiness towards technical competencies (M = 3.7 ± 0.5), social competencies with instructor (M = 3.7 ± 0.6), social competencies with classmates (M = 3.8 ± 0.6) and communication competencies (M = 3.6 ± 0.5) related to online learning. The overall readiness for these four competencies was moderate (M = 3.7 ± 0.4), however the physiotherapy undergraduates had high ( 80% possessed smartphones and laptop) level of equipment readiness. Institution and gender had no significant effect on the level of readiness ( p 0.05). Year 1 and 2 had significantly higher levels of social competencies with instructor compared to final year physiotherapy undergraduates ( p 0.05). Physiotherapy undergraduates in these four institutions had moderate to high levels of readiness towards online learning. Technical, social and communication competencies could be further enhanced with appropriate strategies. This study provides an insight into the level of readiness towards online learning among physiotherapy undergraduates. The findings of our study shed light on issues to consider when designing online courses. A pre-course training for undergraduates prior to the commencement of online courses may be useful. Not Applicable.
The effect of equine-assisted therapies on behavioural, psychological and physical symptoms for children with attention deficit/hyperactivity disorder: A systematic review
Publisher: Elsevier BV
Date: 05-2020
The effectiveness of reflexology on mental health in cancer patients: A systematic review and meta-analysis of randomised controlled trials
Publisher: Elsevier BV
Date: 02-2023
DOI: 10.1016/J.CTCP.2022.101708
Abstract: The current body of research examining the effectiveness of reflexology in patients with cancer have predominantly focused on managing physical symptoms and treatment side effects. This review aimed to synthesise evidence from randomised controlled trials (RCTs) examining the effectiveness of reflexology on mental health outcomes in people with cancer. RCTs published in English and measuring stress, anxiety, depression or quality of life (QoL) were included. Eligible RCTs were identified through search of MEDLINE, Embase, Emcare, PsycINFO, Scopus, the Cochrane Library, OTseeker, PEDro (18 June 2021) and Google and Google Scholar (21 June 2021). The Critical Appraisal Skills Programme Randomised Controlled Trials Checklist was used to assess risk of bias. Meta-analysis and narrative synthesis were undertaken. The certainty of evidence was assessed by using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) framework. Fifteen RCTs (1356 adult participants) were included. Evidence for stress and anxiety (primary outcomes), as well as depression and QoL (secondary outcomes), were mixed and conflicting. The certainty of the evidence was low to very low. An unequivocal recommendation supporting reflexology cannot be made. Greater utilisation of well-established reporting guidelines, together with increased investment in well-designed, high-quality clinical research are required.
Intra- and inter-rater reliability of the Behaviour Mapping Schedule: A direct observational tool for classifying children's play behaviour
Publisher: SAGE Publications
Date: 10-02-2021
Abstract: Identifying and describing children’s play behaviours is an important component of evaluating child development. The Behaviour Mapping Schedule is a direct observational tool which aims to describe and quantify children’s play behaviours but is yet to undergo reliability testing. This study aimed to determine the intra- and inter-rater reliability of the Behaviour Mapping Schedule. Twelve children aged 3–5 years were each video recorded for one 20-minute playtime period at a purposively selected Community Children’s Centre in Adelaide, South Australia. The video recordings were coded independently by two raters against 23 behaviour codes. Intraclass correlation coefficients (ICCs) were calculated. Intra-rater ICCs for nearly 70% of the behaviour codes were considered ‘excellent’ likewise, for inter-rater ICCs on more than 50% of the behaviour codes. Overall, the Behaviour Mapping Schedule is a reliable tool for observing children’s play behaviour however, additional training resources may be useful to further strengthen inter-rater reliability.
The outcomes of nature-based learning for primary school aged children: a systematic review of quantitative research
Publisher: Informa UK Limited
Date: 26-05-2021
The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study
Publisher: Public Library of Science (PLoS)
Date: 30-03-2020
Obesity, the new childhood disability? An umbrella review on the association between adiposity and physical function
Publisher: Wiley
Date: 10-08-2020
DOI: 10.1111/OBR.13121
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
Exploring the perspectives of allied health practitioners toward the use of journal clubs as a medium for promoting evidence-based practice: A qualitative study
Publisher: Springer Science and Business Media LLC
Date: 23-09-2011
Perspectives of older people about contingency planning for falls in the community: A qualitative meta-synthesis
Publisher: Public Library of Science (PLoS)
Date: 31-05-2017
When I say … clinical supervision
Publisher: Wiley
Date: 17-02-2017
DOI: 10.1111/MEDU.13258
Components of effective randomized controlled trials of hydrotherapy programs for fibromyalgia syndrome: A systematic review
Publisher: Informa UK Limited
Date: 11-2009
DOI: 10.2147/JPR.S8052
Mapping guideline‐informed care for chronic non‐specific low back pain with the biopsychosocial approach: A rapid review
Publisher: Wiley
Date: 07-03-2023
DOI: 10.1111/PAPR.13214
Abstract: Current evidence favors a multidisciplinary biopsychosocial approach to the management of chronic non‐specific low back pain (CLBP). However, it is unclear whether such an approach is facilitated by current clinical guidelines. This rapid review set out to examine the extent to which clinical guideline recommendations for managing CLBP address domains of the biopsychosocial approach. MEDLINE, EMBASE, CINAHL, and the gray literature were searched for any clinical guidelines targeting the management of CLBP, published within the last 6 years. Title/abstract and full‐text screening were undertaken by two reviewers using the accelerated approach. Data extraction and critical appraisal were completed by two reviewers, independently. Extracted data were synthesized in narrative form. Fifteen guidelines met the review inclusion criteria. One‐half of the guidelines were considered to be of medium quality. All guidelines provided management recommendations addressing the biological domain of the biopsychosocial approach 13 (87%) guidelines reported recommendations addressing the psychological domain, and 8 (53%) guidelines presented recommendations addressing the social domain. Only 53% (8/15) of guidelines reported recommendations addressing all three domains of the biopsychosocial approach. Guideline recommendations both across and within the biopsychosocial domains were varied and inconsistent. The CLBP clinical guidelines included in this review provided detailed guidance on the biological domain, yet limited attention and detail were afforded to the psychological and social domains. Several recommendations are presented on how to improve the quality of future CLBP guidelines, and to help foster the provision of a biopsychosocial approach to CLBP management.
Overcoming the tyranny of distance: An audit of process and outcomes from a pilot telehealth spinal assessment clinic
Publisher: SAGE Publications
Date: 17-08-2016
Abstract: There is consistent evidence to indicate people living in rural and remote regions have limited access to healthcare and poorer health outcomes. One way to address this inequity is through innovative models of care such as telehealth. The aim of this pilot trial was to determine the feasibility, appropriateness and access to a telehealth clinic. In this pilot trial, the telehealth clinic outcomes are compared with the outreach clinic. Both models of care are commonly utilised means of providing healthcare to meet the needs of people living in rural and remote regions. A prospective audit was conducted on a Spinal Assessment Clinic Telehealth pilot trial for patients with spinal disorders requiring non-urgent surgical consultation. Data were recorded from all consultations managed using videoconferencing technology between the Royal Adelaide Hospital and Port Augusta Community Health Service, South Australia between September 2013 and January 2014. Outcomes included analysis of process, service activity, clinical actions, safety and costs. Data were compared to a previous spinal assessment outreach clinic in the same area between August and December 2012. There were 25 consultations with 22 patients over the five-month telehealth pilot trial. Spinal disorders were predominantly of the lumbar region (88%) the majority of initial consultations (64%) were discharged to the general practitioner. There were three requests for further imaging, five for minor interventions and three for other specialist/surgical consultation. Patient follow-up post telehealth pilot trial revealed no adverse outcomes. The total cost of AUD$11,187 demonstrated a 23% reduction in favour of the spinal assessment telehealth pilot trial, with the greatest savings in travel costs. The telehealth model of care demonstrated the efficient management of patients with spinal disorders in rural regions requiring non-urgent surgical consultation at low costs with no adverse outcomes reported.
Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health
Publisher: Public Library of Science (PLoS)
Date: 30-08-2019
F1000Prime Recommendation
Publisher: No publisher found
Date: 2015
Barriers to, and enablers of, participation in the Allied Health Rural and Remote Training and Support (AHRRTS) program for rural and remote allied health workers: a qualitative descriptive study
Publisher: Springer Science and Business Media LLC
Date: 19-09-2014
F1000Prime Recommendation
Publisher: No publisher found
Date: 2011
<p>Complementary And Alternative Medicine Practitioner’s Management Of Acute Respiratory Tract Infections In Children – A Qualitative Descriptive Study</p>
Publisher: Informa UK Limited
Date: 11-2019
DOI: 10.2147/JMDH.S230845
A Qualitative Study on Evidence Based Practice for Filipino Physiotherapists
Publisher: Bentham Science Publishers Ltd.
Date: 15-06-2012
Enablers of and barriers to high quality clinical supervision among occupational therapists across Queensland in Australia: findings from a qualitative study
Publisher: Springer Science and Business Media LLC
Date: 06-2015
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
Getting help quickly: older people and community worker perspectives of contingency planning for falls management
Publisher: Informa UK Limited
Date: 10-11-2016
DOI: 10.1080/09638288.2016.1247470
Abstract: Older people living in the community need to plan for getting help quickly if they have a fall. In this paper planning for falls is referred to as contingency planning and is not a falls prevention strategy but rather a falls management strategy. This research explored the perspectives of older people and community workers (CWs) about contingency planning for a fall. Using a qualitative descriptive approach, participants were recruited through a community agency that supports older people. In-depth interviews were conducted with seven older people (67-89 years of age) and a focus group was held with seven workers of mixed disciplines from the same agency. Older people who hadn't fallen were included but were assumed to be at risk of falls because they were in receipt of services. Thematic analysis and concept mapping combined the data from the two participant groups. Four themes including preconceptions about planning ahead for falling, a fall changes perception, giving, and receiving advice about contingency plans and what to do about falling. Both CWs and older people agree contingency planning requires understanding of in idual identity and circumstances. CWs have limited knowledge about contingency planning and may be directive, informative, or conservative. Implications for Rehabilitation Falls can result in serious consequences for older people. There is an evidence-practice gap as availability of and access to contingency planning does not necessarily mean older people will use it in a falls emergency. Older people prefer community workers to be directive or informative about contingency planning options but they do want choice and control. Increased community workers knowledge of, and collaborative decision-making about, contingency planning may promote patient-centered services and assist in closing the evidence-practice gap.
Assisting allied health in performance evaluation: A systematic review
Publisher: Springer Science and Business Media LLC
Date: 14-11-2014
Stakeholder expectations, experiences, and perceived outcomes: Implementation of a practice-integrated hospital pharmacist foundation residency program
Publisher: Elsevier BV
Date: 09-2023
Identifying opportunities for strengthening advice to enhance vegetable liking in the early years of life: Qualitative consensus and triangulation methods
Publisher: Cambridge University Press (CUP)
Date: 03-05-2022
DOI: 10.1017/S1368980021001907
Abstract: To prioritise and refine a set of evidence-informed statements into advice messages to promote vegetable liking in early childhood, and to determine applicability for dissemination of advice to relevant audiences. A nominal group technique (NGT) workshop and a Delphi survey were conducted to prioritise and achieve consensus (≥70 % agreement) on thirty evidence-informed maternal (perinatal and lactation stage), infant (complementary feeding stage) and early years (family diet stage) vegetable-related advice messages. Messages were validated via triangulation analysis against the strength of evidence from an Umbrella review of strategies to increase children’s vegetable liking, and gaps in advice from a Desktop review of vegetable feeding advice. Australia. A purposeful s le of key stakeholders (NGT workshop, n 8 experts Delphi survey, n 23 end users). Participant consensus identified the most highly ranked priority messages associated with the strategies of: ‘in-utero exposure’ (perinatal and lactation, n 56 points) and ‘vegetable variety’ (complementary feeding, n 97 points family diet, n 139 points). Triangulation revealed two strategies (‘repeated exposure’ and ‘variety’) and their associated advice messages suitable for policy and practice, twelve for research and four for food industry. Supported by national and state feeding guideline documents and resources, the advice messages relating to ‘repeated exposure’ and ‘variety’ to increase vegetable liking can be communicated to families and caregivers by healthcare practitioners. The food industry provides a vehicle for advice promotion and product development. Further research, where stronger evidence is needed, could further inform strategies for policy and practice, and food industry application.
The effectiveness of non-surgical interventions in the treatment of Charcot foot
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-12-2007
DOI: 10.1111/J.1479-6988.2007.00081.X
Abstract: Background Charcot neuropathic osteoarthropathy is commonly known as 'Charcot foot'. It is a serious foot complication of diabetes mellitus that can frequently lead to foot ulceration, gangrene, hospital admission and foot utation. A multidisciplinary approach to the management of Charcot foot is taken involving medical and allied health professionals. The management approach may also differ between different countries. To date, there is no systematic review of the literature undertaken to identify the clinical effectiveness of non-operative interventions in the treatment of acute Charcot foot. Objective The objective of this review was to identify the effectiveness of non-surgical interventions with reducing lesions, ulceration, the rate of surgical intervention, reducing hospital admissions and improve the quality of life of subjects with Charcot foot. Search strategy A comprehensive search strategy was undertaken on databases available from University of South Australia from their inception to November 2006. Selection criteria Randomised controlled trials or clinical controlled trials were primarily sought. Critical appraisal of study quality and data extraction was undertaken using Joanna Briggs Institute instruments. Review Manager software was used to calculate comparative statistics. Results This review identified 11 trials and five trials were included in the review. Three trials involved the use of bisphosphonate, a pharmacological agent. Two experimental treatments were also included, evaluating palliative radiology and magnetic fields. No trials were found using immobilisation and off-loading interventions for acute Charcot foot. The overall methodological quality score of the five studies was moderate. Owing to heterogeneous data, meta-analysis could not be performed. The trials did not report on reducing lesions, ulceration, rate of surgical intervention, hospital admissions and the quality of life of subjects with Charcot foot. The trials evaluating bisphosphonates reported greater reduction in foot temperature and disease activity for intervention subjects compared with controls. Another outcome of this review indicated additional beneficial effects of bisphosphonates in reducing pain and discomfort. The trial evaluating palliative radiotherapy found no difference between groups on any outcome. A significant reduction in the amount of deformity and reduced healing time to consolidation was found after treatment in the group receiving magnetic therapy treatment. Discussion There is a lack of clinical trials evaluating the effectiveness of non-operative interventions for the management of Charcot foot (immobilisation, removable cast walkers, advice/dispensing of footwear and prescribing of orthotics). Bisphosphonates may be useful adjuncts to standard management of Charcot foot by improved healing demonstrated by a reduction in disease activity indicated by skin temperature and bone destruction. Magnetic therapy may reduce deformity, joint destruction and improve mobility. Conclusion There is a lack of evidence supporting the use of pharmacological or non-surgical interventions with reducing lesions, ulceration, rate of surgical intervention, hospital admissions and improving the quality of life of subjects with Charcot foot. Bisphosphonates may improve the healing of Charcot foot by reducing skin temperature and disease activity of Charcot foot, when applied in addition to standard interventions to control the position and shape of the foot.
Estimating the risk of functional decline in the elderly after discharge from an Australian public tertiary hospital emergency department
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/AH12034
Abstract: Objective. To estimate the risk of functional decline after discharge for older people presenting to, and discharged from, a large emergency department (ED) of a tertiary hospital. Methods. The cohort was generated by consecutive s ling of non-Indigenous males and females aged 65 years or over or Aboriginal and Torres Strait Islander males and females aged 45 years or more, without diagnosed dementia, who were living independently in the community before presenting at ED and who were not admitted to hospital as an inpatient after presenting to ED. The hospital assessment risk profile (HARP) was administered to all eligible participants. Sociodemographic information was collected. Results. Approximately 40 patients per day over two 14-week data collection periods were potentially eligible for inclusion in the study. In total, 597 (17.6% of in iduals who presented to ED) were eligible, agreed to participate and continued to be eligible on discharge from ED. Their HARP scores suggested that ~52% were at-risk of functional decline (14.1% high risk, 38.5% intermediate risk). Conclusions. Elderly patients present to and are discharged from ED every day. The routinely administered HARP instrument scores suggested that approximately half these in iduals were at-risk of functional decline in one large hospital ED. Given this instrument’s moderate diagnostic accuracy, the true figure may be higher. We suggest that all over-65 year olds presenting at ED without being admitted as an inpatient should be considered for routine screening for potential downstream functional decline, and for intervention if indicated. What is known about the topic? Older in iduals often present to ED in lieu of consulting a general medical practitioner, and are not admitted to a hospital bed. Patient demographics, functional and mental capacity and reasons for presentation may be flags for functional decline in the coming months. These could be used by ED staff to implement targeted assessment and intervention. What does this paper add? This paper highlights the high percentage of older in iduals who, at time of ED presentation, are at-risk of downstream functional decline. What are the implications for practitioners? Older people who are discharged from ED without a hospital admission may ‘slip through the net’, as an ED presentation presents a limited window of opportunity for ED staff to undertake targeted assessment, and intervention, to address the potential for downstream functional decline. The busy nature of ED, resource implications and the range of presenting conditions of older people may preclude this. This research suggests a reality that a large percentage of older people who present at ED but do not require a subsequent hospital admission have the potential for functional decline after discharge. Addressing this, in terms of specific screening processes and interventions, requires a rethink of hospital and community resources, and relationships.
A cultural assessment of family dispute resolution: Findings about cultural appropriateness from the evaluation of a family relationship centre
Publisher: Informa UK Limited
Date: 06-2012
F1000Prime Recommendation
Publisher: No publisher found
Date: 2014
F1000Prime Recommendation
Publisher: No publisher found
Date: 2012
F1000Prime Recommendation
Publisher: No publisher found
Date: 2014
“It's messing with my physical health. It's messing with my sex life”: Women’s perspectives about, and impact of, pelvic health issues whilst awaiting specialist care
Publisher: Springer Science and Business Media LLC
Date: 04-2022
F1000Prime Recommendation
Publisher: No publisher found
Date: 2013
Related Organisations
Related Funding Activities
Linkage Projects - Grant ID: LP110100536
Start Date: 2011
End Date: 12-2012
Amount: $116,546.00
Funder: Australian Research Council
View Funded Activity