Bernadette Watson

Social psychology and language

Publisher: Wiley

Date: 27-04-2015

DOI: 10.1002/9781118611463.WBIELSI091

Abstract: A language and social psychology perspective ( LSP ) emphasizes the critical role that affect, cognitions, and an in idual's motivations play in communication behavior. A key premise of this perspective is that interactions between speakers are dynamic psychological processes. Thus, the personal (likes and dislikes, idiosyncrasies) and social (group memberships and professional roles) dimensions that make up an in idual are important. To this end an LSP approach highlights that no interaction occurs in isolation but rather each participant brings to it his or her sociohistorical context and associated biases and cultural beliefs. Analysis includes investigations of spoken and written communication, in idual's perceptions and attitudes about speech partners as well as objective observations of communication behavior. The areas of interest for LSP scholars is wide ranging and include cross and intercultural communication, gender and sexuality, interdisciplinary and patient health discourse , intergenerational communication, the discourse of dementia, institutional talk, and social media.

Women's perceptions of communication in pregnancy and childbirth: Influences on participation and satisfaction with care

Publisher: Informa UK Limited

Date: 28-05-2015

DOI: 10.1080/10810730.2015.1018587

Abstract: In this study, 3,531 Queensland women, who had recently given birth, completed a questionnaire that included questions about their participation in decision making during pregnancy, their ratings of client-centered care, and perceived quality of care. These data tested a version of the Linguistic Model of Patient Participation in Care, adapted to the maternity context. The authors investigated how age and education influenced women's perceptions of their participation and quality of care. Hierarchical multiple regressions revealed that women's perceived ability to make decisions, and the extent of client-centered communication with maternity care providers, were the most influential predictors of participation and perceived quality of care. Participation in care predicted perceived quality of care, but the influence of client-centered communication by a care provider and a woman's confidence in decision making were stronger predictors of perceived quality of care. Age and education level were not important predictors. These findings extend and support the use of Linguistic Model of Patient Participation in Care in the maternity context.

Perspectives on Suicide Prevention Amongst Members of Christian Faith-Based Organizations

Publisher: Springer Science and Business Media LLC

Date: 02-01-2019

DOI: 10.1007/S10597-018-0355-4

Abstract: The purpose of this study was to explore perspectives on suicide prevention held by members of Christian faith-based organizations (FBOs). Eight focus groups were facilitated, and five major themes were identified: perceptions of responsibility, connection to suicidal persons, equipping for suicide prevention, collaboration with professional services, and hope. Overall, Christian FBO members considered suicide prevention to be an important demonstration of their faith and values. They perceived themselves to be currently adding to suicide prevention efforts through spiritual practices and interpersonal skills, but regarded these as insufficient if considered stand-alone responses. They recognized the receipt of suicide prevention training and collaboration with professional services as necessary to be fittingly engaged as a resource for suicide prevention.

Inter-hospital ‘patient expect’ calls of clinical handovers for expected patients transferred from rural to metropolitan hospitals: A retrospective clinical audit

Publisher: Elsevier BV

Date: 12-2016

DOI: 10.1016/J.COLEGN.2016.02.002

A scoping review of clinical handover mnemonic devices

Publisher: Oxford University Press (OUP)

Date: 07-2023

DOI: 10.1093/INTQHC/MZAD065

Abstract: Since the Institute of Medicine (IOM) published To Err is Human: Building a Safer Health System in 1999 [1], clinical handovers (or handoffs) and their relationship with the communication of patient safety have raised concerns from the public, regulatory bodies and medical practitioners [2, 3]. Protocols, guidelines, forms and mnemonic devices have been created to ensure safer clinical handovers. An initial literature search did not find a framework to describe the clinical processes and functions of each mnemonic device and its elements. The absence of a systematic framework could hinder the study across and the reusability of the established clinical handover mnemonic devices. This study aims to develop a universal framework to describe the clinical processes and functions essential to patient safety during handover. We queried PubMed.gov and obtained 98 articles related to clinical handovers. We examined the citing sources of the mnemonics mentioned in these articles. A total of 42 handover mnemonics with 238 elements were identified. Our review noted that there was no taxonomy to describe the clinical functions and process associated with the clinical handover mnemonic devices. We used grounded theory to address this gap and built a new taxonomy from the 42 mnemonics. A researcher read all mnemonics, developed a taxonomy for tagging clinical handover mnemonics and categorised all mnemonic elements into correct processes and functions. After that, the second researcher, a medical practitioner, examined the taxonomy and made suggested corrections for the labelled functions of all mnemonic elements. Both researchers agreed on the taxonomy and the labelled processes and functions of different mnemonic elements. The taxonomy contains three processes and twenty functions in clinical handovers. Clinical processes like medical condition, medical history, medical evaluation, care plan, outstanding care/tasks/results, and patient information, as an administrative process, were widely adopted in clinical handover mnemonics. Moreover, mnemonic elements on communication manner and information validation had been identified in the list of clinical handover mnemonics Although we recognise challenges because of both the vast number of clinical handover scenarios and the task of placing them under a few predefined groups, our findings suggest that such a taxonomy, as developed for this study, could assist medical practitioners to devise a clinical handover mnemonic to best fit their workplace.

Intercultural communication in health-care

Publisher: Wiley

Date: 05-06-2008

DOI: 10.1002/9781405186407.WBIECI046

Abstract: In the twenty‐first century mankind lives in a more multicultural environment than ever before. For many health practitioners this means they have to interact with people from different cultures. Good communication is vital to effective health‐care, so communication problems in intercultural encounters have the potential to lead to patient misdiagnosis. In such encounters health practitioners not only face the natural barriers of communicating with patients who may be unfamiliar with the health practitioners' language, but they may face an extra challenge when patients have culturally different health belief systems (→ Health Communication Doctor–Patient Talk).

Intergroup Communication

Publisher: Oxford University Press

Date: 26-08-2018

DOI: 10.1093/OBO/9780199756841-0122

Abstract: Intergroup communication proposes that when in iduals interact with each other, it is most often their salient social memberships and not their in idual characteristics that shape the communication. Thus, intergroup communication examines how our communication provides information about our identification with different groups in society, as well as how information about groups and group membership shape communication. While communication is acknowledged to be both an interpersonal and an intergroup phenomenon, intergroup communication scholars argue that much of our communication is in some way intergroup (where groups include, for ex le, age, ethnicity, sexual orientation, or political party). Intergroup communication views communication as a dynamic process where each speaker’s cognitions, emotions, and motivations influence communication behavior in interactions. These processes are argued by intergroup communication scholars to underpin communication across many different contexts. Intergroup communication also focuses on explaining conflict and miscommunication and, in particular, intergroup communication focuses on communication between dominant and subordinate groups. The systematic study of intergroup communication has its strongest roots in social psychology, together with socio-psychological areas of communication. This bibliographical review provides key authors and references for the area of intergroup communication. Many argue the field began in the 1970s in the United Kingdom with Tajfel’s work on social identity theory (e.g., Tajfel and Turner 1986) and Giles’s work on speech (later communication) accommodation theory (Giles 1973) (both cited under Theories: Communication Accommodation Theory (CAT)). Specifically, Giles theorized the bridge from social psychology to language and communication. However, owing to this area having a strong multidisciplinary heritage, the field of intergroup communication has links to earlier social psychological work of Lambert and his colleagues, with clear connections also to early work in intercultural relations and prejudice by Serge Moscovici, Thomas Pettigrew, and Muzafer Sherif. At the same time, the field also has links to early work in sociolinguistics, anthropology, sociology, and linguistics (see, for ex le, the work of Edward T. Hall, John Gumperz, Lesley Milroy, and William Labov). Initially mostly described as social psychology of language, a greater focus has emerged over time on communication rather than language, and intergroup communication specifically rather than the social psychology of language more generally. Early on, much of the research on intergroup communication was undertaken in social psychology, but, more recently, communication scholars have also adopted this approach. Early intergroup communication research was also primarily in intercultural communication, but the field quickly expanded to include research on gender, aging/intergenerational, organizational communication, and health communication. The field has continued to embrace new contexts, such as policing and civilian relations, internet communication, and the application of social neuroscience to measure brain activity across intergroup encounters.

Hospital pharmacists’ and patients’ views about what constitutes effective communication between pharmacists and patients

Publisher: Oxford University Press (OUP)

Date: 06-12-2017

DOI: 10.1111/IJPP.12423

Abstract: The study's objective was to explore hospital pharmacists’ and patients’ views about what constitutes effective communication exchanges between pharmacists and patients. This was a novel theory-based qualitative study using semi-structured interviews to elicit patients’ and pharmacists’ perspectives. Pharmacists providing clinical pharmacy services in either inpatient or outpatient settings were recruited first. Eligible patients had been admitted to a study pharmacist's practice area and were prescribed three or more medications to manage a chronic disease(s). Following each pharmacist–patient medication counselling session, semi-structured interviews were held separately with patients and pharmacists. Participants were asked questions intended to explore their views about what constitutes an effective pharmacist–patient conversation. Audio recordings were transcribed verbatim, analysed using a process of inductive thematic analysis and then mapped to Communication Accommodation Theory strategies. Observational notes and reflexive note taking were conducted throughout. Twelve pharmacists each engaged four in idual patients for a total of 48 pharmacist–patient conversations (resulting in 48 separate interviews with pharmacists and patients). An overall shared goal was the assurance of patients’ confidence in managing their medications at home. Themes included shared colloquialisms/slang, well-explained information, engagement, established rapport and empowerment. Participants provided rich exemplars for each of the themes. Pharmacists and patients provided valuable insights about what makes pharmacist–patient interactions effective. Patient-identified preferences for pharmacist–patient exchanges may help guide pharmacy students and practitioners to engage patients in effective conversations.

Tamar Murachver: August 30, 1958, to January 22, 2013

Publisher: SAGE Publications

Date: 17-02-2014

DOI: 10.1177/0261927X13508955

Communication accommodation between patients and health professionals: themes and strategies in satisfying and unsatisfying encounters

Publisher: Wiley

Date: 12-1999

DOI: 10.1111/J.1473-4192.1999.TB00170.X

Creating Deaf-Friendly Spaces for Research: Innovating Online Qualitative Enquiries

Publisher: Informa UK Limited

Date: 20-04-2015

DOI: 10.1080/14780887.2015.1008902

Introduction Theoretical and Methodological Approaches to Language and Discourse in Social Psychology

Publisher: Palgrave Macmillan UK

Date: 2007

DOI: 10.1057/9780230206168_1

Epilogue: Trends and Forecasts in Language and Social Psychology Scholarship

Publisher: SAGE Publications

Date: 21-05-2012

DOI: 10.1177/0261927X12446613

Abstract: This epilogue to the 30-year Commemorative Issue of the Journal of Language and Social Psychology draws on four articles represented in this Issue to demonstrate the role this journal, in conjunction with the International Association of Language and Social Psychology, has had in identifying, examining, and shaping a research agenda of socially significant issues. Exigencies of the 21st century are examined to offer predictions for the future of the subdiscipline of the social psychology of language and make recommendations of topics for study.

Hearing loss as a public health matter – why not everyone wants their deafness or hearing loss cured

Publisher: Elsevier BV

Date: 12-2013

DOI: 10.1111/1753-6405.12133

Developments in Health Communication in the 21st Century

Publisher: SAGE Publications

Date: 16-05-2012

DOI: 10.1177/0261927X12446612

Abstract: In this article, five papers that formed the Special Issue for the fourth International Association of Language and Social Psychology Taskforce on health communication are revisited. Our starting point is Gallois’s epilogue and the six themes she identified from those papers. These themes are invoked to explore where health communication is moving in the 21st century. Burgeoning work on intergroup communication in this context, patient voice, minority groups, and the role of the carer are highlighted.

The influence of perceptions of social identity on information technology-enabled change

Publisher: No publisher found

Date: 2005

DOI: 10.1177/1059601104267622

Language, Discourse, and Communication About Health and Illness: Intergroup Relations, Role, and Emotional Support

Publisher: Palgrave Macmillan UK

Date: 2007

DOI: 10.1057/9780230206168_5

Employee perceptions of organizational change: impact of hierarchical level

Publisher: Emerald

Date: 13-06-2008

DOI: 10.1108/01437730810876122

Abstract: The purpose of this paper is to examine the influence of organizational level on employees' perceptions and reactions to a complex organizational change involving proposed work force redesign, downsizing and a physical move to a new hospital. Participants included executives, supervisory and non‐supervisory staff in a major tertiary hospital. Recorded in‐depth interviews were conducted with 61 employees about the positive and negative aspects of the change. A total of 12 themes were identified from content coding, including emotional responses and attitudes toward the change, issues about the management of the change process and about change outcomes. Supervisory and non‐supervisory staff referred more to conflict and isions, and expressed more negative attitudes toward the change, than did executives. Executives and supervisory staff focused more on planning challenges and potential outcomes of the change than did non‐supervisory staff. Finally, compared to other staff, executives focused more on participation in the change process and communication about the change process. This study examines the organizational change at only one time point in one organization. Perceptions of the change may change over time, and other identities like professional identity may influence perceptions. These findings suggest that change agents should consider the needs of different organizational groups in order to achieve effective and successful organizational change. This study clearly shows the impact of organizational level, identifying similarities and differences in perceptions of change across level.

The role of language use and communication in Mainland Chinese students’ cross-cultural adaptation to Hong Kong: a qualitative investigative study

Publisher: Informa UK Limited

Date: 22-09-2023

DOI: 10.1080/14708477.2023.2250748

Perspectives of clinical handover processes: A multi-site survey across different health professionals

Publisher: Wiley

Date: 28-09-2016

DOI: 10.1111/JOCN.12986

Abstract: To examine the perspectives of health professionals of different disciplines about clinical handover. Ineffective handovers can cause major problems relating to the lack of delivery of appropriate care. A prospective, cross-sectional design was conducted using a survey about clinical handover practices. Health professionals employed in public metropolitan hospitals, public rural hospitals and community health centres were involved. The s le comprised doctors, nurses and allied health professionals, including physiotherapists, social workers, pharmacists, dieticians and midwives employed in Western Australia, New South Wales, South Australia and the Australian Capital Territory. The survey sought information about health professionals' experiences about clinical handover their perceived effectiveness of clinical handover involvement of patients and family members health professionals' ability to confirm understanding and to clarify clinical information role modelling behaviour of health professionals training needs adverse events encountered and possibilities for improvements. In all, 707 health professionals participated (response rate = 14%). Represented professions were nursing (60%), medicine (22%) and allied health (18%). Many health professionals reported being aware of adverse events where they noticed poor handover was a significant cause. Differences existed between health professions in terms of how effectively they gave handover, perceived effectiveness of bedside handover vs. nonbedside handover, patient and family involvement in handover, respondents' confirmation of understanding handover from their perspective, their observation of senior health professionals giving feedback to junior health professionals, awareness of adverse events and severity of adverse events relating to poor handovers. Complex barriers impeded the conduct of effective handovers, including insufficient opportunities for training, lack of role modelling, and lack of confidence and understanding about handover processes. Greater focus should be placed on creating opportunities for senior health professionals to act as role models. Sophisticated approaches should be implemented in training and education.

Intergroup communication between hospital doctors: Implications for quality of patient care

Publisher: Elsevier BV

Date: 12-2009

DOI: 10.1016/J.SOCSCIMED.2009.09.048

Abstract: Hospitals involve a complex socio-technical health system, where communication failures influence the quality of patient care. Research indicates the importance of social identity and intergroup relationships articulated through power, control, status and competition. This study focused on interspecialty communication among doctors for patients requiring the involvement of multiple specialist departments. The paper reports on an interview study in Australia, framed by social identity and communication accommodation theories of doctors' experiences of managing such patients, to explore the impact of communication. Interviews were undertaken with 45 doctors working in a large metropolitan hospital, and were analysed using Leximancer (text mining software) and interpretation of major themes. Findings indicated that intergroup conflict is a central influence on communication. Contested responsibilities emerged from a model of care driven by single-specialty ownership of the patient, with doctors allowed to evade responsibility for patients over whom they had no sense of ownership. Counter-accommodative communication, particularly involving interpersonal control, appeared as important for reinforcing social identity and winning conflicts. Strategies to resolve intergroup conflict must address structural issues generating an intergroup climate and evoke interpersonal salience to moderate their effect.

Visualising Conversation Structure across Time: Insights into Effective Doctor-Patient Consultations

Publisher: Public Library of Science (PLoS)

Date: 05-06-2012

DOI: 10.1371/JOURNAL.PONE.0038014

Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling

Publisher: Wiley

Date: 30-03-2017

DOI: 10.1111/HEX.12558

Obituary: Cindy Gallois (April 9, 1945 – June 8, 2023)

Publisher: SAGE Publications

Date: 07-09-2023

DOI: 10.1177/0261927X231199725

Complex Health Communication

Publisher: SAGE Publications

Date: 04-05-2009

DOI: 10.1177/0261927X08330520

Abstract: The articles presented in this special issue represent key issues for current day health communication scholars. The articles were commissioned by the International Association of Language and Social Psychology Taskforce and presented at the 2008 International Communication Association in Montreal. Each article tackles a specific health dilemma and demonstrates the need for immediate but theoretically based interventions.

Understanding the Health Communication Process: Advancing the Research Agenda to Improve Health Care Interactions and Patient Care

Publisher: SAGE Publications

Date: 20-05-2015

DOI: 10.1177/0261927X15587016

Abstract: The articles presented in this special issue bring attention to important sociocultural variables and language strategies present in the ever-changing and complex health care system. These articles were selected from the health communication symposium of the 14th International Conference of Language and Social Psychology held in Hawaii in 2014. The articles each concentrate on different aspects of health communication and employ different theoretical and analytical approaches, but they all call for more education and better interventions to improve relations in the health context and patient care.

The effects of a woman-focused, woman-held resource on preventive health behaviors during pregnancy: The pregnancy pocketbook

Publisher: Informa UK Limited

Date: 30-06-2010

DOI: 10.1080/03630242.2010.498756

Abstract: We evaluated the effectiveness of a woman-held pregnancy record ('The Pregnancy Pocketbook') on improving health behaviors important for maternal and infant health. The Pregnancy Pocketbook was developed as a woman-focused preventive approach to pregnancy health based on antenatal management guidelines, behavior-change evidence, and formative research with the target population and health service providers. The Pregnancy Pocketbook was evaluated using a quasi-experimental, two-group design one clinic cohort received the Pregnancy Pocketbook (n = 163) the other received Usual Care (n = 141). Smoking, fruit and vegetable intake, and physical activity were assessed at baseline (service-entry) and 12-weeks. Approximately two-thirds of women in the Pregnancy Pocketbook clinic recalled receiving the resource. A small, but significantly greater proportion of women at the Pregnancy Pocketbook site (7.6%) than the UC site (2.1%) quit smoking. No significant effect was observed of the Pregnancy Pocketbook on fruit and vegetable intake or physical activity. Few women completed sections that required health professional assistance. The Pregnancy Pocketbook produced small, but significant effects on smoking cessation, despite findings that indicate minimal interaction about the resource between health staff and the women in their care. A refocus of antenatal care toward primary prevention is required to provide essential health information and behavior change tools more consistently for improved maternal and infant health outcomes.

Moving from rhetoric to reality: patient and family involvement in bedside handover

Publisher: Elsevier BV

Date: 12-2014

DOI: 10.1016/J.IJNURSTU.2014.08.004

An Analysis of Clinical Handover Miscommunication Using a Language and Social Psychology Approach

Publisher: SAGE Publications

Date: 14-05-2015

DOI: 10.1177/0261927X15586200

Abstract: Clinical handover is a key communication event in patient care and a major contributing factor in adverse events in hospitals. Current research on handover emphasizes communication skills training. We investigate the intergroup context and systemic factors of the hospital environment that also affect handover. We explore the responses of 707 health professionals about handover practice. We invoke Coupland and colleagues’ integrative model of “miscommunication” to interpret these. Results support the model. Responses reflect a lack of communication competency, intergroup group relations, and the hidden ideology of the health care system. Health professionals in hospitals are often unaware of the socio-structural element in health care and so cannot bring about cultural change. We suggest that clinicians work with communication and interdisciplinary scholars to bring about system improvement.

Intergroup Communication

Publisher: Wiley

Date: 23-10-2016

DOI: 10.1002/9781118766804.WBIECT125

How Patients Perceive Their Doctors’ Communication: Implications for Patient Willingness to Communicate

Publisher: SAGE Publications

Date: 18-05-2015

DOI: 10.1177/0261927X15587015

Abstract: By emphasizing the value of health professionals’ communication skills in creating positive health care experiences, researchers have tended to study health communication as an interpersonal encounter. Interactions in the health context, though, are inherently intergroup. Using the language and social psychology approach, this study emphasizes those intergroup features of health communication. We used mixed methods and applied communication accommodation theory and the willingness to communicate construct to the health context. Participants in Canada and Australia ( N = 371) were asked about their perceptions of their health consultations. Multiple regression analyses revealed that health communication competence was the best predictor of patient willingness to communicate. Differences between patients’ accounts of positive and negative health care experiences were clearly differentiated by their perceptions of the health professionals’ communication strategies. The potential effects of these strategies on patient participation are discussed.

Prevalence of health behaviours in pregnancy at service entry in a Queensland health service district

Publisher: Elsevier BV

Date: 06-2009

DOI: 10.1111/J.1753-6405.2009.00380.X

Abstract: Limited prevalence data for unhealthy pregnancy health behaviours make it difficult to prioritise primary prevention efforts for maternal and infant health. This study's objective was to establish the prevalence of cigarette smoking, sufficient fruit and vegetable intake and sufficient physical activity among women accessing antenatal clinics in a Queensland (Australia) health service district. Cross-sectional self-reported smoking status, daily fruit and vegetable intake, weekly physical activity and a range of socio-demographic variables were obtained from women recruited at their initial antenatal clinic visit, over a three-month recruitment phase during 2007. Analyses were based on 262 pregnant women. The study s le was broadly representative of women giving birth in the district and state, with higher representation of women with low levels of education and high income. More than one quarter of women were smoking. Few women met the guidelines for sufficient fruit (9.2%), vegetables (2.7%) or physical activity (32.8%) during pregnancy. There were low levels of adherence to health behaviour recommendations for pregnancy in this s le. There is a clear need to develop and evaluate effective pregnancy behaviour interventions to improve primary prevention in maternal and infant health. Brief minimal contact interventions that can be delivered through primary care to create a greater primary prevention focus for maternal and infant health would be worth exploring.

Patient decision aids in routine maternity care: Benefits, barriers, and new opportunities

Publisher: Elsevier BV

Date: 02-2016

DOI: 10.1016/J.WOMBI.2015.08.002

Abstract: Participation in decision-making, supported by comprehensive and quality information provision, is increasingly emphasised as a priority for women in maternity care. Patient decision aids are tools that can offer women greater access to information and guidance to participate in maternity care decision-making. Relative to their evaluation in controlled settings, the implementation of patient decision aids in routine maternity care has received little attention and our understanding of which approaches may be effective is limited. This paper critically discusses the application of patient decision aids in routine maternity care and explores viable solutions for promoting their successful uptake. A range of patient decision aids have been developed for use within maternity care, and controlled trials have highlighted their positive impact on the decision-making process for women. Nevertheless, evidence of successful patient decision aid implementation in real world health care settings is lacking due to practical and ideological barriers that exist. Patient-directed social marketing c aigns are a relatively novel approach to patient decision aid delivery that may facilitate their adoption in maternity care, at least in the short-term, by overcoming common implementation barriers. Social marketing may also be particularly well suited to maternity care, given the unique characteristics of this health context. The potential of social marketing c aigns to facilitate patient decision aid adoption in maternity care highlights the need for pragmatic trials to evaluate their effectiveness. Identifying which sub-groups of women are more or less likely to respond to these strategies will further direct implementation.

Weight stigma in physiotherapy practice: Patient perceptions of interactions with physiotherapists

Publisher: Elsevier BV

Date: 12-2015

DOI: 10.1016/J.MATH.2015.04.001

Abstract: Weight management is increasingly considered part of physiotherapists' scope of practice in order to improve patient outcomes by, for ex le, reducing load on joints, or improving chronic pain. However, interactions with patients involving weight may result in patient perceptions of negative judgement from health professionals, which can result in poorer health outcomes. How physiotherapist atient interactions involving weight are perceived by patients has not yet been investigated. To explore patients' perceptions of interactions with physiotherapists that involved weight, and investigate how these perceptions may inform physiotherapy practice. Face-to-face interviews with physiotherapy patients, with follow up interviews conducted by telephone. Data were analysed thematically. First interviews were held in a physiotherapy practice with follow up interviews conducted two weeks later. Interviews were audio recorded, transcribed and analysed using an inductive thematic method established by Braun and Clarke. Thirty interviews with 15 patients were analysed. Four main themes relevant to weight were identified: 1) perceptions of being 'in physiotherapy' including pre-conceptions, the physical environment, and exposing the body, 2) emphasis placed on weight in physiotherapy interactions, 3) communication styles, and 4) judgement perception. Some patients perceived negative weight judgements from elements of physiotherapy interactions and environments. Physiotherapists need to be aware of this perception because it may result in poorer patient outcomes and patients avoiding physiotherapy appointments. The results suggest strategies to counteract weight stigma include: adjusting the physical environment of the clinic, portraying an understanding of complex determinants of weight, and employing collaborative, non-judgemental communication styles.

Communication between hospital doctors: Underaccommodation and interpretability

Publisher: Elsevier BV

Date: 03-2015

DOI: 10.1016/J.LANGCOM.2014.10.007

Preservice early childhood students’ perceptions of written feedback on their essays

Publisher: Informa UK Limited

Date: 05-2004

DOI: 10.1080/0300443032000153390

Physical Therapists' Ways of Talking About Overweight and Obesity: Clinical Implications

Publisher: Oxford University Press (OUP)

Date: 06-2016

DOI: 10.2522/PTJ.20150286

Abstract: How people think and talk about weight is important because it can influence their behavior toward people who are overweight. One study has shown that physical therapists have negative attitudes toward people who are overweight. However, how this finding translates into clinical practice is not well understood. Investigating physical therapists' ways of thinking and speaking about overweight and obesity in the context of their work can provide insight into this underresearched area. The purpose of this study was to investigate physical therapists' ways of talking about overweight in iduals and discuss clinical implications. An interpretive qualitative design was used. The research team used discourse analysis, a type of inductive qualitative methodology, to guide data collection and analysis. The data came from 6 focus groups of 4 to 6 physical therapists in Queensland, Australia, who discussed weight in a physical therapy environment. Participants (N=27) represented a variety of physical therapy subdisciplines. Data analysis identified 4 main weight discourses (ways of thinking and speaking about weight). Participants described patients who are overweight as little affected by stigma and difficult to treat. Furthermore, participants portrayed weight as having simple causes and being important in physical therapy. Alternate weight discourses were less frequent in these data. The results indicated that some physical therapists' understandings of weight might lead to negative interactions with patients who are overweight. The findings suggest physical therapists require more nuanced understandings of: how patients who are overweight might feel in a physical therapy setting, the complexity of causes of weight, and possible benefits and disadvantages of introducing weight-management discussions with patients. Therefore, education should encourage complex understandings of working with patients of all sizes, including knowledge of weight stigma.

Nurturing Communication by Health Professionals Toward Patients: A Communication Accommodation Theory Approach

Publisher: Informa UK Limited

Date: 10-1998

DOI: 10.1207/S15327027HC1004_3

Abstract: This study explores the role of nurturing communication in distinguishing interpersonal and intergroup interactions between health professionals and patients, from the perspective of communication accommodation theory (CAT). Participants (47 men and 87 women) rated videotapes of actual hospital consultations on 12 goal and 16 strategy items derived from CAT. Health professionals in interpersonal interactions were perceived to pay more attention to relationship and emotional needs and to use more nurturant discourse management and emotional expression. These results point the way toward elucidating the perceived optimal balance in accommodative behavior, both group based and interpersonal, in these contexts, and they highlight the importance of nurturant communication to this process.

Intergroup Communication: Identities and Effective Interactions

Publisher: Oxford University Press (OUP)

Date: 04-2018

DOI: 10.1093/JOC/JQX016

'You don't know what's going on in there': a discursive analysis of midwifery hospital consultations

Publisher: Informa UK Limited

Date: 17-11-2017

DOI: 10.1080/13698575.2017.1417542

Negotiating Care in the Special Care Nursery: Parents' and Nurses' Perceptions of Nurse–Parent Communication

Publisher: Elsevier BV

Date: 11-2015

DOI: 10.1016/J.PEDN.2015.03.006

Abstract: Nursing staff are an important source of support for parents of a hospitalized preterm infant. This study aimed to describe parents' and nurses' perceptions of communicating with each other in the context of the special care nursery. A qualitative descriptive design was employed. Thirty two parents with a newborn admitted to one of two special care nurseries in Queensland, Australia participated, and 12 nurses participated in semi-structured interviews. Thematic analysis was used to analyze the interviews. Nurses and parents focused on similar topics, but their perceptions differed. Provision of information and enabling parenting were central to effective communication, supported by an appropriate interpersonal style by nurses. Parents described difficulties accessing or engaging nurses. Managing enforcement of policies was a specific area of difficulty for both parents and nurses. The findings indicated a tension between providing family-centered care that is in idualized and based on family needs and roles, and adhering to systemic nursery policies.

Hospital pharmacists' perceptions of medication counseling: A focus group study

Publisher: Elsevier BV

Date: 09-2016

DOI: 10.1016/J.SAPHARM.2015.10.007

Abstract: Medication counseling sessions are key times for a pharmacist to speak to patients about their medications and the changes made to their therapies during their hospital stay. To explore hospital pharmacists' perceptions of their roles and goals in patient medication counseling, and perceived barriers and facilitators to achieving their goals. Hospital pharmacist focus groups were held in two tertiary referral hospitals. Eligible pharmacists had provided medication counseling within the previous six months in inpatient and/or outpatient settings. Interested pharmacists attended a focus group designed to elicit their opinions and perceptions of patient medication counseling. Focus groups were audio recorded and transcribed verbatim. Inductive thematic analysis was applied to the data to identify initial patterns (codes) which were then organized into common overarching themes using NVivo(®) software. The codes were reviewed for reliability by pharmacists independent of the focus groups. Six, 1-h focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was determined after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. A number of themes emerged from these codes around the goals, roles, and the barriers and facilitators to meeting these goals. Pharmacists' patient-centered goals in medication counseling were to build rapport, to empower patients and to improve patients' experience, health and safety. These goals would be accomplished through specific roles such as being an assessor, educator and problem-solver. Pharmacists frequently cited time pressures caused by systemic (hospital), and pharmacy specific processes as key challenges to achieving their goals. Factors that enabled pharmacists to meet their goals were those related to effective interprofessional collaboration and the quality of professional practice (such as training, expanded roles and advanced planning for discharge). Hospital pharmacists emphasized patient-centered goals in medication counseling and outlined the challenges to meet those goals. The findings from this study will be used to develop strategies for effective communication and inform pharmacy practice changes to improve patient care.

Communication in Medical Records Intergroup Language and Patient Care

Publisher: SAGE Publications

Date: 30-01-2009

DOI: 10.1177/0261927X08330612

Abstract: Communication failures in the complex environment of hospital care affect the quality of care and occurrence of inadvertent harm. This study investigated doctors' written communication using a s le of medical records, specifically doctors' progress notes, and the frameworks of social identity and communication accommodation theories. These records include standardized and stylized language, and are intended to record assessment and treatment of patients according to known guidelines for practice. An interpretive analysis of the language and discourse in these records revealed that doctors used medical record entries both to express their specialty identity and to negotiate intergroup conflict. Nonaccommodation and interspecialty conflict sometimes took precedence over facilitation of patient treatment and management. Thus, intergroup communication in this context can constitute a serious threat to the quality of patient care.

Examining hospital pharmacists' goals for medication counseling within the communication accommodation theoretical framework

Publisher: Elsevier BV

Date: 09-2016

DOI: 10.1016/J.SAPHARM.2015.10.008

Abstract: Medication counseling opportunities are key times for pharmacists to speak to patients about their medications and any changes made during their hospital stay. Communication Accommodation Theory (CAT) posits that an in idual's goals drive their communication behavior. The way in which pharmacists communicate with patients may be determined by the goals they set for these medication counseling sessions. To examine hospital pharmacists' goals in patient medication counseling within the CAT framework. Hospital pharmacist focus groups were held in two teaching hospitals. Interested pharmacists attended a focus group designed to elicit their goals in patient medication counseling. Focus groups were audio recorded and transcribed verbatim. NVivo(®) software was used to assist in coding and organization. The codes were reviewed for reliability by pharmacists independent of the focus groups. An inductive thematic analysis was applied to the data. Six 1 h focus groups were conducted with a total of 24 pharmacists participating. Saturation of information was achieved after four focus groups. Greater than 80% consensus was achieved for reliability of the identified codes. Patient-centered themes constructed from these codes were to build rapport, to empower patients and to improve patients' experience, health and safety. Exemplars provided by pharmacists for the goals of building rapport and empowering patients were aligned with five CAT communication behaviors (approximation, interpretability, discourse management, emotional expression and interpersonal control). Patient-centered goals described by hospital pharmacists for medication counseling aligned well with CAT behaviors necessary for effective communication. Further research using the CAT framework to examine the effectiveness of hospital pharmacist-patient exchanges that include both participants' perspectives is required to better understand how well pharmacists communicate with patients.

A Discourse of “Abnormality”: Exploring Discussions of People Living in Australia With Deafness or Hearing Loss

Publisher: Project MUSE

Date: 2016

DOI: 10.1353/AAD.2016.0001

Abstract: Adopting a social constructionist framework, the authors conducted a synthetic discourse analysis to explore how people living in Australia with deafness construct their experience of deafness. An online forum facilitated access and communication between the lead author and 24 widely dispersed and linguistically erse forum contributors. The authors discuss the productive and restrictive effects of the emergent discourse of deafness as abnormal and the rhetorical strategies mobilized in people's accounts: fitting in, acceptance as permission to be different, and the need to prove normality. Using these strategies was productive in that the forum respondents were enabled to reposition deafness as a positive, socially valued identity position. However, the need to manage deafness was reproduced as an in idual concern, disallowing any exploration of how deafness could be reconstructed as socially valued. The article concludes with a discussion of the implications of the deafness as abnormal discourse.

Using Discursis to enhance the qualitative analysis of hospital pharmacist-patient interactions

Publisher: Public Library of Science (PLoS)

Date: 22-05-2018

DOI: 10.1371/JOURNAL.PONE.0197288

Communication in open disclosure conversations about adverse events in hospitals

Publisher: Elsevier BV

Date: 03-2015

DOI: 10.1016/J.LANGCOM.2014.10.013

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study

Publisher: Springer Science and Business Media LLC

Date: 30-01-2023

DOI: 10.1186/S12912-023-01178-Z

Abstract: Research focused on understanding what enables or hinders health professionals to speak up about a safety concern has been to date predominately atheoretical and speaker focused. However, the role the receiver of the message plays in these often-difficult encounters is highly influential. To date, speaking up programs have created conversational mnemonics that technically should respectfully engage the receiver, yet speaking up remains challenging. This paper utilises Communication Accommodation Theory to explore the impact the communication behaviour and speaker characteristics has on the receiver of a speaking up message, and if these impacts differ between receiver groups (clinical disciplines). Clinicians ( N = 208) from varying disciplines responded to two hypothetical speaking up vignettes, where participants were the receivers of speaking up messages. Analysis of variance was used to explore any potential differences between receiver groups. Findings indicated that the level of perceived accommodation and group membership, whether defined by speaker discipline or seniority, collectively influenced how the receiver of a speaking up message evaluated the interaction, which influenced their anticipated response to the speaker. The receiver’s perceptions and evaluations of the message, their own professional identity and the presence of others, influenced receivers’ anticipated responses. This has direct implications on healthcare speaking up training and provision of care, as the varying clinical disciplines received and responded to the same messages differently.

Chemical switching of low-loss phonon polaritons in α-MoO3 by hydrogen intercalation

Publisher: Springer Science and Business Media LLC

Date: 27-05-2020

DOI: 10.1038/S41467-020-16459-3

Abstract: Phonon polaritons (PhPs) have attracted significant interest in the nano-optics communities because of their nanoscale confinement and long lifetimes. Although PhP modification by changing the local dielectric environment has been reported, controlled manipulation of PhPs by direct modification of the polaritonic material itself has remained elusive. Here, chemical switching of PhPs in α-MoO 3 is achieved by engineering the α-MoO 3 crystal through hydrogen intercalation. The intercalation process is non-volatile and recoverable, allowing reversible switching of PhPs while maintaining the long lifetimes. Precise control of the intercalation parameters enables analysis of the intermediate states, in which the needle-like hydrogenated nanostructures functioning as in-plane antennas effectively reflect and launch PhPs and form well-aligned cavities. We further achieve spatially controlled switching of PhPs in selective regions, leading to in-plane heterostructures with various geometries. The intercalation strategy introduced here opens a relatively non-destructive avenue connecting infrared nanophotonics, reconfigurable flat metasurfaces and van der Waals crystals.

Addressing weight stigma in physiotherapy: Development of a theory-driven approach to (re)thinking weight-related interactions

Publisher: Informa UK Limited

Date: 07-06-2017

DOI: 10.1080/09593985.2017.1328718

Abstract: In this article, we propose a theory-driven approach to developing interventions for reducing weight stigma in physiotherapy and discuss the design and exploratory trial of such an intervention. Weight stigma has been identified in physiotherapists in empirical investigations. However, there has been little consideration of how this stigma might be addressed. We highlight Goffman's work on stigma that provides social and embodied understandings of stigma. Goffman's approach, however, is notably apolitical, ahistorical and lacks mechanisms for understanding power. We suggest that post-structuralist perspectives can provide insight into these areas. Drawing on these theories, we critically examine the literature on weight stigma reduction, finding that trials have largely been unsuccessful. We argue that this may be due to overly passive and simplistic intervention designs. As context-specific understandings are desirable, we examine the nature of physiotherapy to determine what might be relevant to (re)thinking weight in this profession. We then discuss the development of a multifactorial, active weight stigma intervention we trialed with eight physiotherapists. Supported by theory, the outcomes of the exploratory study suggest that physiotherapy-specific factors such as fostering professional reflexivity and improving understandings of stigma need to be incorporated into an active intervention that considers the complex determinants of weight stigma.

Accommodating Health

Publisher: Cambridge University Press

Date: 2016

DOI: 10.1017/CBO9781316226537.008

Impact of Identity on Support for New Roles in Health Care

Publisher: SAGE Publications

Date: 14-05-2015

DOI: 10.1177/0261927X15586793

Abstract: Identity threat can be understood from a social identity perspective where people interrelate based on group memberships. Language use may indicate the presence of identity threat. We explored reactions of doctors to planned expanded roles for nurses to perform gastrointestinal endoscopy in Australia. Specialist doctors have traditionally performed endoscopic procedures, yet the level of doctor support for nurse endoscopy is relatively unknown. We present results of our valence and discourse analyses of text box responses in a national survey that explored doctors’ attitudes toward this role expansion. We found low levels of support for the role, and frequent expression of identity threat in three main areas: (1) framing nurses as incompetent, (2) use of contracted statements to evoke authority, and (3) emotive expression. Findings indicated that stakeholders should consider intergroup attitudes when facilitating changes in health professional scope of practice.

Choosing a Model of Maternity Care: Decision Support Needs of Australian Women

Publisher: Wiley

Date: 14-12-2015

DOI: 10.1111/BIRT.12212

Abstract: Access to information on the features and outcomes associated with the various models of maternity care available in Australia is vital for women's informed decision-making. This study sought to identify women's preferences for information access and decision-making involvement, as well as their priority information needs, for model of care decision-making. A convenience s le of adult women of childbearing age in Queensland, Australia were recruited to complete an online survey assessing their model of care decision support needs. Knowledge on models of care and socio-demographic characteristics were also assessed. Altogether, 641 women provided usable survey data. Of these women, 26.7 percent had heard of all available models of care before starting the survey. Most women wanted access to information on models of care (90.4%) and an active role in decision-making (99.0%). Nine priority information needs were identified: cost, access to choice of mode of birth and care provider, after hours provider contact, continuity of carer in labor/birth, mobility during labor, discussion of the pros/cons of medical procedures, rates of skin-to-skin contact after birth, and availability at a preferred birth location. This information encompassed the priority needs of women across age, birth history, and insurance status subgroups. This study demonstrates Australian women's unmet needs for information that supports them to effectively compare available options for model of maternity care. Findings provide clear direction on what information should be prioritized and ideal channels for information access to support quality decision-making in practice.

The application of communication accommodation theory to understand receiver reactions in healthcare speaking up interactions

Publisher: Informa UK Limited

Date: 13-09-2023

DOI: 10.1080/13561820.2023.2249939

Talking up failure: How discourse can signal failure to change

Publisher: SAGE Publications

Date: 07-04-2011

DOI: 10.1177/0893318910389433

Abstract: This article explores the predictive properties of talk as an indicator of failure to change. As part of the exploration of organizational change, researchers regularly focus on how discourse is used and applied to achieve certain processes and outcomes. This position presents change as a function of particular types of communication and its interpretation. Using longitudinal data of an organization’s technology change, we propose that the way employees talk about planned organizational change, as a group, signals and can be used to recognize eventual failure to change. Extending current trends in discursive analyses, we establish talk as a reflective device, in the context of tracking failure while it occurs, by combining social identity theory (SIT) with a language and social psychology (LASP) approach. In doing so, the discourse of failure can be viewed as part of an intergroup phenomenon experienced and interpreted through organizational memberships.

Travelers’ Health Risk Perceptions and Protective Behavior: A Psychological Approach

Publisher: SAGE Publications

Date: 08-09-2016

DOI: 10.1177/0047287516665479

Abstract: Although the significance of travel health risks is well documented, the process through which people assess their vulnerability and ultimately take on preventive measures needs clarification. The purpose of this article is to better understand factors underlying travelers’ health risk perceptions and their protective behavior. Using the health psychology literature, a conceptual model that incorporates multilevel psychological constructs was tested with 830 Australian outbound travelers. Worry was an important antecedent to both travel health risk perceptions and risk-protective behavior. Perceived control over health-related risks was not positively associated with risk perceptions but was positively associated with risk-protective behavior. Sensation-seeking propensity was negatively associated with risk perceptions but positively associated with risk-protective behavior. Travel risk perceptions mediated the relationship between the antecedents and risk-protective behavior. Implications for the design of health communication for industry and government are outlined, and future research avenues are also proposed.

Pharmacy students’ self-reported attitudes, beliefs and behaviours about communicating with patients, measured over time

Publisher: International Pharmaceutical Federation (FIP)

Date: 05-06-2020

DOI: 10.46542/PE.2020.201.P116-126

Abstract: Background: Pharmacy students receive training to effectively communicate with patients about their medications. Objectives: A theory-based approach (Communication Accommodation Theory [CAT]) was used to investigate the impact of communication skills’ tutorials on Pharmacy students’ self-reported attitudes, beliefs and behaviours in patient communication. Methods: Final year Pharmacy students completed an online, 30-item, patient-centred communication survey at three points in time, before and after attending three CAT-based tutorials (Survey #1 and Survey #2). Survey #3 was distributed six to twelve months into students’ intern training year (post-graduation). Differences between participants’ responses over time were measured and analysed. Results: Response rates were 78% for Survey #1, 84% for Survey #2, and 28% for Survey #3. Further analysis indicated that Survey #3 respondents were not statistically different from the larger s le size. Key areas changed from baseline (Survey #1) to post tutorials (Survey #2) and were sustained well into Pharmacy students’ intern year (Survey #3). Conclusions: This novel research indicated growing awareness and retention of key communication behaviours over time.

It Can’t Happen to Me: Travel Risk Perceptions

Publisher: Emerald Group Publishing Limited

Date: 14-08-2014

DOI: 10.1108/S1871-317320140000009008

Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach

Publisher: Springer Science and Business Media LLC

Date: 06-07-2023

DOI: 10.1186/S41077-023-00256-1

Abstract: Within healthcare, the barriers and enablers that influence clinicians’ ability to speak up are well researched. However, despite the receiver of the message being identified as a key barrier to a speaker voicing a concern, there have been very few receiver-focused studies. As a result, little is known about the barriers and enablers that influence message reception. Understanding these can help inform speaking up training and ultimately enhance patient safety through more effective clinical communication. To identify enabling or inhibiting factors that influence the receiver’s reception and response to a speaking up message, and if the identified barriers and enablers are related to speaker or receiver characteristics. Twenty-two interdisciplinary simulations were video recorded and transcribed. Simulation participants formed the patient discharge team and were receivers of a speaking up message, delivered by a nurse at the patient’s bedside. How the message was delivered (verbose or abrupt wording), was manipulated and counterbalanced across the simulations. Within the post simulation debriefs, barriers and enablers of being a receiver of a message were explored using content analysis. This study took place in a large Australian tertiary healthcare setting. Participants were qualified clinicians of varying disciplines and specialties. A total of 261 barriers and 285 enablers were coded. Results showed that how the message was delivered (differing tone, phases, and manner) influenced what receivers identified as barriers and enablers. Additionally, the receiver’s own cognitive processes, such as making positive attributions of the speaker and attempting to build rapport and collegiality, better enabled message reception and response. Receiver behaviour was negatively impacted by listening to fix, rather than understand, and not knowing in the moment how to manage their own reactions and appropriately frame a response. The debriefings identified key barriers and enablers to receiving a speaking up message that differ from those previously identified for senders of the speaking up message. Current speaking up programs are predominately speaker centric. This study identified that both speaker and receiver behaviour influenced message reception. Therefore, training must place equal attention on both the speaker and receiver and be inclusive of experiential conversational rehearsal of both positive and challenging encounters.

Physiotherapists demonstrate weight stigma: a cross-sectional survey of Australian physiotherapists

Publisher: Elsevier BV

Date: 09-2014

DOI: 10.1016/J.JPHYS.2014.06.020

Abstract: Do physiotherapists demonstrate explicit and implicit weight stigma? Cross-sectional survey with partial blinding of participants. PARTICIPANTS responded to the Anti-Fat Attitudes questionnaire and physiotherapy case studies with body mass index (BMI) manipulated (normal or overweight/obese). The Anti-Fat Attitudes questionnaire included 13 items scored on a Likert-type scale from 0 to 8. Any score greater than zero indicated explicit weight stigma. Implicit weight stigma was determined by comparing responses to case studies with people of different BMI categories (where responses were quantitative) and by thematic and count analysis for free-text responses. Australian physiotherapists (n=265) recruited via industry networks. The mean item score for the Anti-Fat Attitudes questionnaire was 3.2 (SD 1.1), which indicated explicit weight stigma. The Dislike (2.1, SD 1.2) subscale had a lower mean item score than the Fear (3.9, SD 1.8) and Willpower (4.9, SD 1.5) subscales. There was minimal indication from the case studies that people who are overweight receive different treatment from physiotherapists in clinical parameters such as length of treatment time (p=0.73) or amount of hands-on treatment (p=0.88). However, there were indications of implicit weight stigma in the way participants discussed weight in free-text responses about patient management. Physiotherapists demonstrate weight stigma. This finding is likely to affect the way they communicate with patients about their weight, which may negatively impact their patients. It is recommended that physiotherapists reflect on their own attitudes towards people who are overweight and whether weight stigma influences treatment focus.

Time as a Key Topic in Health Professionals’ Perceptions of Clinical Handovers

Publisher: SAGE Publications

Date: 2014

DOI: 10.1177/2333393614550162

Abstract: Clinical handovers are an essential part of the daily care and treatment of hospital patients. We invoked a language and social psychology lens to investigate how different health professional groups discussed the communication problems and strengths they experienced in handovers. We conducted in-depth interviews with three different health professional groups within a large metropolitan hospital. We used Leximancer text analytics software as a tool to analyze the data. Results showed that time was of concern to all groups in both similar and erse ways. All professionals discussed time management, time pressures, and the difficulties of coordinating different handovers. Each professional group had its own unique perceptions and priorities about handovers. Our findings indicated that health professionals understood what was required for handover improvement but did not have the extra capacity to alter their current environment. Hospital management, with clinicians, need to implement handover schedule processes that prioritize interprofessional representation.

An exploration of how health care professionals understand experiences of deafness

Publisher: Informa UK Limited

Date: 22-11-2016

DOI: 10.1080/09581596.2016.1258454

The Hong Kong Polytechnic University

Location: Hong Kong

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University Of Queensland

Location: Australia

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Linkage Projects - Grant ID: LP0347577

Start Date: 2003

End Date: 03-2006

Amount: $120,000.00

Funder: Australian Research Council

Discovery Projects - Grant ID: DP0451191

Start Date: 2004

End Date: 12-2006

Amount: $239,872.00

Funder: Australian Research Council

Linkage Projects - Grant ID: LP110100035

Start Date: 05-2011

End Date: 05-2014

Amount: $718,245.00

Funder: Australian Research Council

Linkage Projects - Grant ID: LP0990217

Start Date: 07-2009

End Date: 12-2012

Amount: $250,000.00

Funder: Australian Research Council

Linkage Projects - Grant ID: LP0348817

Start Date: 12-2003

End Date: 12-2007

Amount: $105,000.00

Funder: Australian Research Council