ORCID Profile
0000-0001-8702-7705
Current Organisations
Alfred Health
,
University of South Australia
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Publisher: Springer Science and Business Media LLC
Date: 29-05-2013
Abstract: Physical activity is reduced during the post-partum period. Facebook is frequently used by Australian mothers, and offers flexibility, high levels of engagement and the ability to disseminate information and advice via social contacts. The Mums Step it Up Program is a newly developed 50 day team-based physical activity intervention delivered via a Facebook app. The program involves post-partum women working in teams of 4–8 friends aiming to achieve 10,000 steps per day measured by a pedometer. Women are encouraged to use the app to log their daily steps and undertake social and supportive interactions with their friends and other participants. This study aims to determine the effectiveness of the Mums Step it Up Program. A s le of 126 women up to 12 months post-partum will be recruited through community-based health and family services. Participants will be randomly allocated into one of three groups: control, pedometer only and the Mums Step it Up Program. Assessments will be completed at baseline, 6 weeks and 6 months. The primary outcome (objective physical activity) and the secondary outcomes (sleep quality and quantity, depressive symptoms, weight and quality of life) will be used to determine the effectiveness of the Mums Step it Up Program compared with the control and pedometer only groups. Analyses will be undertaken on an intention-to-treat-basis using random effects mixed modeling. The effect of theorized mediators (physical activity attitudes, subjective norms and perceived behavioral control) will also be examined. This study will provide information about the potential of a Facebook app for the delivery of health behavior interventions. If this intervention proves to be effective it will be released on a mass scale and promoted to the general public. Australia and New Zealand Clinical Trials Register: ACTRN12613000069752
Publisher: Hindawi Limited
Date: 28-05-2022
DOI: 10.1111/HSC.13449
Abstract: Carers of veterans tend to put their own physical and psychological well-being needs behind the needs of the person they are caring for and often do not seek assistance for their own physical and psychological well-being. Combined, these factors lead to increased risk of acute and chronic illness and mental health issues. It is acknowledged that physical activity independently contributes to improved physical and mental health and may be a driver for mental well-being in carers. The aim of this pilot research was to understand how movement behaviour and health behaviours of carers of veterans in Australia relate to carers' physical and psychological well-being. Assessment occurred between February and July 2019 and included objective, validated measures to examine physical and psychological well-being. To assess the association between physical and psychological factors, correlational analyses were performed. Twenty-eight carers participated in the pilot study (96% female, mean age 61.6 years). Exercise capacity varied, and 84% of carers met the recommended 150 min of physical activity per week, with carers spending 8.6% of their time in moderate-to-vigorous physical activity and 37.9% of the day sedentary. Psychological health outcomes reflect a population with high distress levels and lower than average mental well-being, but with normal resilience scores. Carers with higher levels of resilience had greater exercise capacity, covering further distance in the 6-min walk test, and as resilience increased, number of sedentary bouts decreased. This research demonstrates that there is a relationship between health behaviours and psychological well-being in carers of veterans and serving personnel. Based on the findings of this pilot study, programmes to support family carers should include information about physical activity, reducing sedentary time, and increasing resilience. Interventions designed to improve physical and psychological well-being should be trialled and evaluated for effectiveness.
Publisher: JMIR Publications Inc.
Date: 18-04-2017
Abstract: nline social networks continue to grow in popularity, with 1.7 billion users worldwide accessing Facebook each month. The use of social networking sites such as Facebook for the delivery of health behavior programs is relatively new. he primary aim of this study was to determine the effectiveness of a Web-based beginners’ running program for adults aged 18 to 50 years, delivered via a Facebook group, in increasing physical activity (PA) and cardiorespiratory fitness. total of 89 adults with a mean age of 35.2 years (SD 10.9) were recruited online and via print media. Participants were randomly allocated to receive the UniSA Run Free program, an 8-week Web-based beginners’ running intervention, delivered via a closed Facebook group (n=41) that included daily interactive posts (information with links, motivational quotes, opinion polls, or questions) and details of the running sessions or to the control group who received a hard copy of the running program (n=48). Assessments were completed online at baseline, 2 months, and 5 months. The primary outcome measures were self-reported weekly moderate to vigorous physical activity (MVPA) and objectively measured cardiorespiratory fitness. Secondary outcomes were social support, exercise attitudes, and self-efficacy. Analyses were undertaken using random effects mixed modeling. Compliance with the running program and engagement with the Facebook group were analyzed descriptively. oth groups significantly increased MVPA across the study period (P=.004) however, this was significantly higher in the Facebook group (P=.04). The Facebook group increased their MVPA from baseline by 140 min/week versus 91 min for the control at 2 months. MVPA remained elevated for the Facebook group (from baseline) by 129 min/week versus a 50 min/week decrease for the control at 5 months. Both groups had significant increases in social support scores at 2 months (P=.02) however, there were no group by time differences (P=.16). There were no significant changes in the other outcomes. A process evaluation revealed relatively high levels of engagement with the Facebook group during the 8-week intervention (eg, mean number of interactions 35 [SD 41]). n 8-week beginners’ running program delivered through Facebook produced sizable and sustained changes in weekly MVPA and received strong engagement and positive feedback from participants. Future research investigating this intervention approach is warranted in other populations and health behaviors. ustralian New Zealand Clinical Trials Registry ACTRN12616001500448 www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371607& isReview=true (Archived by WebCite at xSAuz4NW)
Publisher: Wiley
Date: 17-05-2021
DOI: 10.1002/HPJA.358
Abstract: Suicide rates in rural Australia are almost twice as high as those in urban areas. In rural communities, football clubs are often the ‘hub’ of the community and are being explored as an avenue to deliver mental health and well‐being promotion. The aim of this study was to explore barriers and enablers for programs promoting mental health and well‐being through rural Australian football clubs. This qualitative descriptive study included 12 in iduals of 10 rural clubs affiliated with the South Australian National Football League. Recruitment occurred via emails to club secretaries residents. Semi‐structured telephone interviews explored mental health and well‐being issues experienced in clubs, previous involvement with mental well‐being programs and potential barriers/enablers for future programs. Interviews were transcribed verbatim and analysed thematically. Thematic analysis identified three themes encompassing barriers and enablers: (1) more than a football club, (2) attitudes towards mental health and (3) what is needed to implement a program. The third theme had subthemes of resources, importance of timing, mental health initiatives and components of a program. Key barriers included difficulty getting people involved due to in idual attitudes towards mental health, and not having the finances/resources to implement a program. Major enablers included the important role the football club serves in the community, the inclusion of speakers with credibility and making the program engaging. This study identifies key factors which may impact on community engagement and program effectiveness for mental health and well‐being programs delivered via rural football clubs.
Publisher: Frontiers Media SA
Date: 24-11-2021
DOI: 10.3389/FNEUR.2021.742365
Abstract: Objective: The objective of this scoping review was to capture the reported definitions for the subtypes of neglect post stroke and map the range of assessment tools employed for each neglect subtype. Methods: EMBASE, Emcare, Medline, and psychINFO were searched from database inception. Searching included all allied terms and mesh headings for stroke, spatial neglect, measurement, screening tools, psychometric properties. Two reviewers independently screened studies for inclusion. Primary studies with documented protocols of a spatial neglect tool for adults post stroke, with some aspect of validity or reliability were included. Two reviewers independently reviewed the documented protocols of each tool to determine the underlying subtypes and disagreements were resolved through discussion. Results: There were 371 articles included with 292 tools used for the screening or diagnosis of neglect. The majority of studies (67%) included a tool that did not specify the neglect subtype being assessed, therefore an analysis of the underlying subtypes for each tool is presented. Conclusions: There is no consistency with the terms used to refer to the syndrome of spatial neglect with over 200 different terms used within the included studies to refer to the syndrome as a whole or one of its subtypes. It is essential to unify the terminology and definition for each neglect subtype. There are hundreds of neglect tools available, however many are not able to differentiate presenting subtypes. It is important for clinicians and researchers to critically evaluate the neglect tools being used for the screening and diagnosis of neglect.
Publisher: Elsevier BV
Date: 06-2016
Publisher: SAGE Publications
Date: 04-06-2020
Abstract: Qualitative case study methodology (QCSM) is a useful research approach that has grown in popularity within the social sciences however, it has received less attention in the occupational therapy literature. The current scoping review aims to explore how studies utilizing a QCSM help inform occupational therapy knowledge and practice. Electronic searches were conducted in April 2017, and the resultant 388 publications were screened by three reviewers in Covidence. In all, 27 publications met the inclusion criteria and were included in the scoping review. Case studies in the occupational therapy literature have explored phenomena relating to the delivery of intervention, theoretical concepts, clinical reasoning, and education and research methods and were situated in a range of different practice areas and contexts. QCSM is a valuable approach in occupational therapy research that contributes to the body of knowledge and theory that informs occupational therapy practice.
Publisher: F1000 Research Ltd
Date: 22-02-2021
DOI: 10.12688/F1000RESEARCH.27889.1
Abstract: Background: Immersion Therapy (IT), is an underwater experience using self-contained underwater breathing apparatus (SCUBA) equipment for in iduals with disabilities. The aim of this study was to produce a descriptive overview of IT and explore measures used to capture physical and psychosocial experiences. Methods: Six participants, two females and four males aged 24-54, with a range of disabilities were recruited. A single session was filmed and analysed, with a selection of outcome measures explored during and post session. Results: A typical session of IT involves both active and inactive time, with a range of observed activities. All participants showed an increase in heart rate, rating of perceived exertion, and affect, however, these results varied. IT is described as ‘fun, challenging and social’, with participants expressing they enjoy the freedom and experience. The overall perception and experience of the activity tends to be positive. Conclusions: More research is required to determine if IT has significant effects on physical and psychosocial outcomes.
Publisher: Informa UK Limited
Date: 03-06-0024
DOI: 10.1080/11038128.2020.1714719
Abstract: In iduals with severe mental illness (SMI) are under-represented in the workforce. The In idual Placement and Support (IPS) programme is an evidence-based intervention that co-locates an Employment Specialist in a community mental health team to support in iduals with a SMI with their goal of finding work. Previous research predominantly explored IPS programme outcomes rather than stakeholder experiences. To explore programme stakeholder perspectives and experiences during the early stages of IPS programme implementation. Qualitative descriptive methodology explored consumers ( Three main themes emerged: enacting core care philosophies, IPS programme process and catalyst for supportive environments and relationships. The combination of IPS programme relationships, enactment of core care philosophies, and programme process promoted development of supportive environments and relationships for consumers participating in the programme. Findings suggest IPS processes promoted the enactment of person-centred and recovery-oriented care approaches and positively influenced care planning practices and service culture. IPS directly tackles the compounding disadvantage resulting from unemployment for people with a SMI. At a service level, IPS can foster positive changes to care practices and service culture.
Publisher: Public Library of Science (PLoS)
Date: 03-06-2022
DOI: 10.1371/JOURNAL.PONE.0269012
Abstract: Family carers of veterans have a tendency not to seek support for their own wellbeing concerns. Understanding the barriers and enablers that family carers face in attending to their own wellbeing and in their caring role generally, is key to supporting family carers of veterans. This qualitative study sought to explore family carers’ experiences and perceptions of their caring role, using semi-structured interviews. Questions were designed to capture concepts related to the barriers and enablers family carers face in attending to their own wellbeing. Twenty-two family carers participated in interviews. Thematic analysis facilitated the identification of key themes including the impact of the caring role a perceived lack of recognition or appreciation of the caring role expressed preferences for support and consideration of the family unit. Findings suggest a need for accessible and multi-faceted support services for family carers of veterans, that target the drivers of physical and psychological wellbeing.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 27-09-2022
Publisher: Wiley
Date: 25-11-2013
DOI: 10.1111/J.1365-2214.2011.01352.X
Abstract: No studies to date have examined the daily time spent across a variety of activity types (sleep, screen time, physical activity, domestic and school-related) in children with cerebral palsy (CP). To investigate the activity patterns of adolescents with CP and contrast them with those of typically developing (TD) adolescents, using a use-of-time approach. Forty-one Australian adolescents with CP and 82 TD adolescents matched for age, sex, weight status and socio-economic status undertook structured interviews using a validated computerized use of time recall administered over 4 days. Time devoted to sleep, screen time, physical activity, domestic and school-related activity were compared using anova and Mann-Whitney tests. Adolescents with CP spent less time in physical activity (91 vs. 147 min/day, P= 0.0003), and in particular, its sub-components of active transport (28 vs. 52 min/day, P= 0.0013) and team sports (25 vs. 39 min/day, P= 0.04). They experienced significantly more quiet time (116 vs. 80 min/day, P= 0.0025) but spent less time in social interaction (6 vs. 22 min/day, P= 0.0016). There were no significant differences in sleep, screen time, domestic activities or school-related time. By and large, the activity patterns of ambulatory adolescents with CP were similar to their TD peers. Results highlight physical activity in younger adolescents (11-13 years) as an area for targeted interventions.
Publisher: Human Kinetics
Date: 02-2019
Abstract: Facebook has over 1.8 billion users and offers unique opportunities for health intervention delivery due to its popularity, flexibility, high engagement, and social connectedness. This study aimed to determine the effectiveness of the Mums Step It Up (MSIU) Facebook app, a team-based, 50-day physical activity intervention for postpartum women. A total of 120 postpartum women were recruited and randomly allocated to 1 of 3 conditions: MSIU (n = 41), pedometer only (n = 39), and control (n = 40). Assessments were completed at baseline, 6 weeks, and 6 months. Primary outcomes were accelerometer moderate to vigorous physical activity and self-reported walking. Analyses were undertaken on an intention to treat basis using random effects mixed modeling (P ≤ .05). Compliance and engagement with the MSIU app were analyzed, descriptively. There were no significant differences in changes in moderate to vigorous physical activity (P = .81, 6 wk P = .91, 6 mo) or self-reported walking (P = .55, 6 wk P = .90, 6 mo) across the 3 conditions. High engagement with the MSIU app was evident, with participants on average visiting the app 26 times and logging steps for 48/50 days. Although engagement with the MSIU app was promising, the nonsignificant results suggest that further work needs to be done to enhance efficacy for postpartum women.
Publisher: Informa UK Limited
Date: 25-03-2021
Publisher: Public Library of Science (PLoS)
Date: 23-11-2021
DOI: 10.1371/JOURNAL.PONE.0260250
Abstract: As part of significant mental health reform, the Community Mental Health Rehabilitation Service (CMHRS) was implemented in rural South Australia. The CMHRS is a 10-bed mental health residential program offering rehabilitative mental health support to rural residents. To analyse the CMHRS service delivery model and its impact on recovery outcomes for consumers. A mixed method, realist evaluation approach was utilised. A purposive s le of CMHRS staff (n = 6) and consumers (n = 8) were recruited. Consumer recovery was measured using the RAS-DS (on admission and discharge). Participants’ perspectives of the service were gained via one staff focus group (n = 6) and in idual semi-structured interviews (consumers n = 6 staff n = 2). Pre-post RAS-DS scores were analysed using paired t-tests/Wilcoxon paired-signed rank test, with qualitative data analysed thematically. Significant positive increases in RAS-DS total scores were observed at discharge, supported by the qualitative themes of (re)building relationships and social connections and recovering health and wellbeing. Contextual factors (e.g. staffing) and program mechanisms (e.g. scheduling) impacting on service implementation were identified. Maintaining a rehabilitation recovery-focused approach, balanced with an appropriately trained multi-disciplinary team, are vital for maximising positive consumer outcomes. This realist evaluation identifies critical factors impacting rural mental health rehabilitation service delivery.
Publisher: Wiley
Date: 22-03-2023
DOI: 10.1111/ANS.18426
Abstract: Inter‐hospital transfer (IHT) of intensive care patients is a limited resource. We assessed the outcomes of patients with haemorrhagic stroke requiring IHT and intensive care and aimed to identify early prognostic factors of poor neurological outcome. We conducted a retrospective observational cohort study of patients admitted to a single tertiary intensive care unit (ICU) with haemorrhagic stroke after IHT between January 2014 and December 2018. Primary outcome was poor neurological outcome (modified Rankin Scale ≥4 at time of discharge from hospital or rehabilitation unit). Secondary outcomes were mortality rate, rate of intervention, rate of organ donation surgery (ODS) and potentially avoidable transfer (PAT). PAT was defined as transfer where the patient did not receive an intervention and had a poor neurological outcome. Ninety patients were included in this study, 48 with intracerebral haemorrhage (ICH) and 42 with subarachnoid haemorrhage (SAH). Fifty‐one (56.7%) patients had a poor neurological outcome, including 30 (33%) who died. Factors significantly associated with poor neurological outcome included age 80 years, lower presenting Glasgow Coma Score (GCS) and bilaterally fixed and dilated pupils. Stepwise logistic regression demonstrated history of hypertension as significantly associated with poor neurological outcome in patients with ICH ( P = 0.021). Seven (7.8%) patients had ODS. Sixty‐four (71.1%) patients received intervention and 20 (22.2%) transfers were potentially avoidable. Patients in this cohort are at high risk of poor neurological outcome. Prognostic factors identified in this study may help referring, retrieval and receiving clinicians to discuss futility prior to pursuing IHT.
Publisher: University of South Australia Library
Date: 26-02-2021
Abstract: Aim and Background: Occupations are everyday activities that help occupy our time and provide us with a sense of purpose in life. Adolescence is a unique stage of life when in iduals experience occupational change that assists with preparation for adulthood. Participation in occupations is linked to health and wellbeing. Existing literature on occupational participation appears to combine adolescents’ and children’s experiences. Due to the unique nature of adolescence and an increased focus on service development and re-design for all age groups in Australia since the implementation of the National Disability Insurance Scheme, this scoping review sought to explore Occupational Therapy interventions that promote adolescents’ participation in everyday occupations. Design and Methods: A systematic search of eight databases for peer reviewed papers published between 2008 and 2018 was conducted. The PRISMA guidelines were used to guide the review processes. Study selection criteria focussed on Occupational Therapy interventions promoting participation in everyday occupations for adolescents (between 10 to 19 years of age). The data was charted and synthesised to identify key features of the interventions. Results: The 26 included studies revealed various intervention types and adolescent groups. The majority of the interventions targeted adolescents with physical disabilities and autism spectrum disorder. Many studies focussed on promoting functional independence in work, personal care, social participation and health management. Features of interventions include collaborative (with the adolescent and family) intervention goal setting and evaluation processes, as well as the use of technology. The majority of the papers reported positive outcomes, however mixed results were also identified. The findings provide guidance for adolescent service development and re-design by identifying the areas of occupation and features of programs, documented in Occupational Therapy-specific literature. Future reviews can extend our understanding further by incorporating by including publications that focus on assessment and other roles of Occupational Therapists. Keywords: participation, occupation, Occupational Therapy, adolescents
Publisher: SAGE Publications
Date: 27-07-2023
DOI: 10.1177/00207640231189424
Abstract: Employment is an important social determinant of health and is associated with positive health outcomes. However, in iduals who have been diagnosed with borderline personality disorder (BPD) are significantly underrepresented in the workforce. Whilst there is an array of evidence based therapeutic interventions, there remains a gap in knowledge regarding the most effective ways to enhance employment outcomes for people with a diagnosis of BPD. To explore employment interventions for people with BPD, map the available evidence and identify key concepts and knowledge gaps. A scoping review was conducted to identify and map the relevant literature. Findings were summarised using a narrative approach. Consultation was provided by a reference group including peer support workers with lived experience of BPD and mental health clinicians. Seven articles met the inclusion criteria, including non-randomised and case study/series designs and a randomised controlled trial protocol, with participant numbers generally low. All programmes combined a psychotherapeutic component with work related goals however, there were notable differences in relation to the conceptual/theoretical approach of the psychotherapeutic component and delivery of the work-related components. Barriers and enablers to programme participation and success are explored. This review provides important insights into the characteristics of vocational rehabilitation interventions for people diagnosed with BPD. The findings will inform the co-production of approaches to support people with BPD to engage in employment.
Publisher: JMIR Publications Inc.
Date: 26-02-2018
DOI: 10.2196/JMIR.7862
Publisher: Wiley
Date: 28-06-2022
DOI: 10.1111/JPPI.12435
Abstract: This paper describes the development of a home‐based occupational therapy intervention program for people with Down syndrome who experience early on‐set dementia causing a decline in their performance skills and increasing care dependency on their informal caregivers. A six‐step methodological process adapted from the Medical Research Council framework for developing and evaluating complex interventions was formulated to develop an evidence‐based occupational therapy program for people with both Down syndrome and dementia and their informal caregivers. The first two steps gathered evidence through systematic reviews of the literature and determined the scope of current occupational therapy practice. The gathered evidence was synthesised in step three to develop a client‐centred occupational therapy intervention program for persons with both Down syndrome and dementia and their informal caregivers. In steps four and five, opinions were sought from occupational therapists working in this area of practice on the content of the developed program and its feasibility within the Australian disability services context. The final testing step can be conducted in the future using a single‐case experimental design study. It is important to use rigorous frameworks and gather comprehensive evidence using multiple methods to develop interventions for small heterogeneous populations. The developed occupational therapy program for persons with both Down syndrome and dementia and their informal caregivers appears feasible to be implemented within the Australian disability services however, funding limitations imposes barriers for its implementation in clinical practice.
Publisher: Informa UK Limited
Date: 23-08-2022
Publisher: Public Library of Science (PLoS)
Date: 31-03-2017
Publisher: Wiley
Date: 07-01-2022
DOI: 10.1111/INM.12971
Abstract: Implementing psychosocial approaches into mental health inpatient settings continues to be challenging. This is despite mental health policies prioritizing trauma‐informed and recovery‐orientated care approaches. This study reports on an interdisciplinary project that implemented and examined the uptake of weighted modalities in a psychiatric inpatient rehabilitation setting. While over‐reliance on pro re nata (PRN) medication in these settings has been reported, weighted modalities are a sensory approach that can be self‐initiated by consumers as an alternative to use of PRN to manage distress and agitation. A mixed‐methods realist approach was used to determine what works, for whom, and in what circumstances weighted modalities were offered by clinicians and used by consumers. Additionally, we were interested in determining whether there was an associated change in PRN use during the trial. Data included in‐depth interviews with consumers ( n = 12) and clinicians ( n = 11), and extraction of PRN medication use preceding, throughout, and following implementation. Statistical analysis revealed a significant increase in PRN rates in the first 3 months of implementation (mean difference from baseline = 29.5, P = 0.047) but a significant decrease in the second three‐month period following implementation (mean difference from baseline = −30.7, P = 0.036). Qualitative findings highlighted the key components of successful implementation as being environmental restructuring (availability/accessibility and visibility of weighted modalities) and social influences. Strategies to enhance these components are discussed.
Publisher: Springer Science and Business Media LLC
Date: 10-01-2022
DOI: 10.1186/S12888-022-04459-0
Abstract: There is growing interest in the use of routine outcome measures (ROM) in mental health services worldwide. Australia has been at the forefront of introducing ROM in public mental health services, with the aim of improving services and consumer outcomes. An in-depth policy and document analysis was conducted using Carol Bacchi’s ‘What is the problem represented to be?’ approach to critically analyse the use of ROM. This approach was used to identify and analyse the problem representations relating to the need for, and the choice of, outcome measures in Australian public mental health services, and the potential consequences of policy and practice. Data included in the analysis were seven policy documents, four reports on the introduction of outcome measures in Australia, the Australian Mental Health Outcomes and Classifications Network website, and the content of the outcome measures themselves. Two dominant representations of the ‘problem’ were identified: 1) the ‘problem’ of mental health service quality and accountability, relating to the need for mental health outcome measures and 2) the ‘problem’ of addressing deficits in biopsychosocial functioning of mental health consumers, which relates to the choice of outcome measures. Framing the ‘problem’ of mental health outcomes in these ways locates the problem within in idual health providers, services, and consumers, ignoring the broader socioeconomic conditions underpinning mental health and effective service provision. This critical analysis of the introduction and use of ROM in public mental health services in Australia highlights the need to consider the role of the social determinants of mental health, mental health service funding, and recovery-oriented care in ensuring services are meeting consumer needs and expectations. Broader governmental engagement is central to genuine change and opportunities.
Publisher: Diving and Hyperbaric Medicine Journal
Date: 20-12-2021
Abstract: Introduction: Recreational scuba ing has existed for over 70 years with organisations emerging that teach in iduals with disabilities to e. It is unclear what the physical and psychosocial effects of scuba interventions might be. This systematic review explores evidence for the effects of scuba ing in in iduals with neurological disability, intellectual disability and autism. Methods: The databases Medline, EMBASE, Ovid Emcare, and SportDiscus were searched. Included papers described a scuba-based intervention for clients with a neurological disability, intellectual disability and autism, with physical or psychosocial outcomes explored in the paper. Quality of the included papers was assessed using the McMaster Appraisal Tools, with descriptive data synthesis completed to explore the physical and psychosocial effects of the interventions. Results: Four papers met the inclusion criteria: a cross-sectional investigation, a phenomenological study, a case-control study and a multiple case study. The quality of the papers was low to moderate. Papers addressed the psychosocial effects of scuba ing, including motivation to participate, participant experiences, the effect on cognition and physical self-concept. One study reported an increase in self-concept for the majority of participants. An increase in understanding instructions and in visual attention was reported in another. Enjoyment of the activity was reported and motivators to be involved in scuba ing for people with disabilities included fun and excitement. No papers addressed functional outcomes. Conclusions: Whilst scuba ing interventions appear to enhance physical self-concept and are enjoyable, conclusive evidence regarding effectiveness could not be determined. Research in this area is extremely limited.
Publisher: Oxford University Press (OUP)
Date: 05-04-2018
DOI: 10.1093/TBM/IBY006
Abstract: Social networking websites have attracted considerable attention as a delivery platform for physical activity interventions. Current evidence highlights a need to enhance user engagement with these interventions to actualize their potential. The purpose of this study was to determine which post type generates the most engagement from participants and whether engagement was related to change in physical activity in an intervention delivered via Facebook. Subgroup analysis of the intervention condition of a randomized controlled trial was conducted. The group moderator posted a new message to the private Facebook group each day of the program. The Facebook posts (n = 118) were categorized into the following types: moderator-initiated running program, multimedia, motivational, opinion polls, or discussion question and participant-initiated experience shares, or questions. Four metrics were used to measure volume of engagement with each post type, "likes," "comments," "poll votes," and "photo uploads." One-way ANOVA was used to determine whether engagement differed by post type and an independent s les t-test to determine differences in engagement between moderator and participant-initiated posts. Pearson correlation was used to examine associations between total engagement and change in physical activity. Engagement varied by post type. Polls elicited the greatest engagement (p ≤ .01). The most common form of engagement was "likes," and engagement was higher for moderator-initiated rather than participant-initiated posts (mean = 8.0 [SD 6.8] vs. 5.3 [SD 3.2] p ≤ .01). Total engagement with the Facebook group was not directly associated with change in physical activity (r = -.13, p = .47). However, engagement was associated with compliance with the running program (r = .37, p = .04) and there was a nonsignificant positive association between compliance and change in physical activity (r = .32, p = .08). Posts requiring a simple response generated the most engagement. Intervention moderators should facilitate familiarity between participants at the intervention outset, to encourage engagement between participants. Engagement was related to change in physical activity, and these recommendations should be incorporated to enhance engagement and efficacy of interventions.
Publisher: Human Kinetics
Date: 07-2021
Abstract: The purpose of this study was to produce a descriptive overview of the types of water-based interventions for people with neurological disability, autism, and intellectual disability and to determine how outcomes have been evaluated. Literature was searched through MEDLINE, EMBASE, Ovid Emcare, SPORTDiscus, Google Scholar, and Google. One hundred fifty-three papers met the inclusion criteria, 115 hydrotherapy, 62 swimming, 18 SCUBA (self-contained underwater breathing apparatus), and 18 other water-based interventions. Common conditions included cerebral palsy, spinal cord injury, Parkinson's disease, and intellectual disability. Fifty-four papers explored physical outcomes, 36 psychosocial outcomes, and 24 both physical and psychosocial outcomes, with 180 different outcome measures reported. Overall, there is a lack of high-quality evidence for all intervention types. This review provides a broad picture of water-based interventions and associated research. Future research, guided by this scoping review, will allow a greater understanding of the potential benefits for people with neurological disability, autism, and intellectual disability.
Publisher: Informa UK Limited
Date: 09-2011
Publisher: Springer Science and Business Media LLC
Date: 11-09-2015
DOI: 10.1007/S00737-014-0461-4
Abstract: Test-retest reliability of the English version of the Edinburgh Postnatal Depression Scale (EPDS) has not been established. This study aimed to address this gap in psychometrics by examining test-retest reliability in a s le of 118 Australian mothers with babies aged under 12 months, with a mean of 2.82 (SD 1.38) days between test occasions. The EPDS was found to have a high level of test-retest reliability for total scores (ICC = 0.92) and PND risk categories (90.7 % agreement).
Publisher: Public Library of Science (PLoS)
Date: 10-2014
No related grants have been discovered for Jocelyn Kernot.