ORCID Profile
0000-0003-1892-4423
Current Organisations
RMIT University
,
Princeton University
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Publisher: Springer Science and Business Media LLC
Date: 19-10-2018
Publisher: American Astronomical Society
Date: 15-06-2018
Publisher: Elsevier BV
Date: 2021
Publisher: American Astronomical Society
Date: 20-07-2000
DOI: 10.1086/312785
Publisher: Elsevier BV
Date: 04-2019
DOI: 10.1016/J.CTIM.2019.01.013
Abstract: To explore the characteristics of the Australian osteopathy workforce who participate in the management of older patients with musculoskeletal complaints. Secondary analysis of a cross-sectional survey of osteopaths. The Osteopathy Research and Innovation Network (ORION), an Australian practice-based research network. The demographic, practice and treatment characteristics of osteopaths who identify as 'always'or 'often' treating patients aged 65 years or over. Over half (58%) of total participants (n = 992) indicated often treating older people and this was associated with referral patterns with other health professionals and a non-urban practice location. Osteopaths providing care to older people were more likely to discuss diet/nutrition and medications, and provide pain counselling. Osteopaths who treated older adults were more likely to treat shoulder musculoskeletal disorders, degenerative spine disorders, chronic or persistent pain, and tendinopathies. A substantial proportion of Australian osteopaths treat older adults frequently. The potential value and impact of osteopathy in managing the health needs of an ageing population warrants close examination from both researchers and policy makers.
Publisher: Elsevier BV
Date: 06-2018
Publisher: Elsevier BV
Date: 10-2019
DOI: 10.1016/J.JBMT.2019.02.009
Abstract: In healthcare research an intervention may be statistically significant based on quantitative analysis however, simultaneously it may be relatively insignificant to the health or quality of life of patients affected by a particular condition or disease being treated by the intervention - thus may be interpreted as having low clinical significance. An understanding of statistics is fundamental for evidence informed healthcare. Patient-reported outcome measures (PROMs) direct patients to evaluate aspects of their own health, including quality of life, disability and function. Data obtained from PROMs can be used to demonstrate the impact of healthcare interventions on these elements of a person's quality of life. To interpret outcome measure data for clinical decision making, a clinician must understand the concepts of statistical significance and clinical significance. This commentary explores the concepts of patient reported outcome measures (PROMs), their statistical and clinical significance, and explores their relationship with a practical ex le for the clinician. Limitations of research that only reports p-values and the need to consider effect size, confidence intervals, and minimal clinically important difference are also discussed. Together, these concepts can assist the clinician to evaluate whether an intervention may be suitable for their clinical practice.
Publisher: American Astronomical Society
Date: 19-01-2015
Publisher: Research Square Platform LLC
Date: 13-01-2021
DOI: 10.21203/RS.3.RS-133944/V1
Abstract: Background Interprofessional care is paramount in contemporary healthcare practice. How different professions interact, and the characteristics of those practitioners who practice in an interprofessional way are rarely described in the literature. The aim of the current work was to identify the demographic, practice and clinical management characteristics of Australian osteopaths who report referring to, and receiving referrals from, podiatrists Methods The study was a secondary analysis of data from the Osteopathy Research and Innovation Network (ORION). Inferential statistics were generated to identify statistically significant demographic, practice and clinical management characteristics associated with referrals. Significant characteristics were then entered into a backward logistic regression model. Results Nine-hundred and ninety-two Australian osteopaths responded to the questionnaire. Sending referrals to a podiatrist was reported by 651 participants (65.6%) and receiving referrals from a podiatrist by 471 participants (47.5%). Australian osteopaths who reported referring to podiatrists were more likely to report receiving referrals from podiatrists (OR adj 10.82) and use diagnostic imaging (OR adj 9.87). Receiving referrals from a podiatrist was associated with sending referrals to a podiatrist (OR adj 10.04) and also being co-located with a podiatrist (OR adj 2.02). Conclusion This study provides initial evidence for the referral relationship between Australian osteopaths and podiatrists. Further work is now required to understand the nature of these referrals, including the complaints resulting in referral and outcomes of care. This information will be invaluable to those involved in health policy development and the professions advocating for their role in the wider healthcare system.
Publisher: American Astronomical Society
Date: 20-04-2008
DOI: 10.1086/529065
Publisher: Edra SpA
Date: 03-2021
Publisher: Elsevier BV
Date: 09-2020
Publisher: Elsevier BV
Date: 06-2020
Publisher: Elsevier BV
Date: 12-2021
Publisher: Wiley
Date: 16-04-2020
DOI: 10.1002/ASE.1958
Publisher: University of Otago Library
Date: 29-11-2021
Abstract: Background: Health professionals involved in teaching future practitioners have been studied to some extent, but our knowledge of their clinical characteristics is variable. Our study sought to profile the clinical characteristics of osteopaths who teach in the three Australian universities delivering pre-professional osteopathy education.Materials: This study is a secondary analysis of data collected via the Australian Osteopathy Research and Innovation Network (ORION) project. Descriptive statistics were generated for each of the 27-item questionnaire variables. For binary responses, unadjusted odds ratios were calculated, and for continuous variables, independent t-tests were used. Backward step-wise regression modelling was used to identify significant characteristics associated with university teaching in osteopathy. Results: The survey demonstrated 9.9% of Australian osteopaths reported being involved in university teaching. Compared to non-teaching survey respondents, the osteopaths involved in university teaching were more likely to be female (OR 1.56), older (p 0.01) and in clinical practice for longer (p 0.01) but report fewer patient care hours (p 0.01) and patient visits per week (p 0.01). Osteopaths involved in university teaching were also more likely to be involved in research (OR 18.54) and clinical supervision (OR 12.39). They also reported a broader range of patient presentations and therapeutic modalities than their counterparts.Conclusions: This nationally representative survey demonstrates a small percentage of the Australian osteopathy profession are engaged in university teaching. Our secondary analysis has highlighted several characteristics associated with involvement in university teaching that begin to shed light on the composition of the Australian osteopathy teaching workforce. This data may inform development of a skilled and experienced teaching workforce.
Publisher: CSIRO Publishing
Date: 2020
DOI: 10.1071/PY19248
Abstract: The study aimed to compare the characteristics of Australian osteopaths who definitely agree that prescribing scheduled medicines is part of their future scope of practice with those who do not. A secondary analysis of a cross-sectional survey of osteopaths from an Australian practice-based research network was undertaken. Demographic, practice and treatment characteristics were identified using inferential statistics and backward linear regression modelling. Over one-quarter (n=257, 25.9%) of the total participants (n=992) indicated that they ‘definitely’ agree that osteopaths should seek prescription rights. Adjusted odds ratios (OR) suggested these osteopaths were more likely to engage in medication discussions with patients (OR 1.88), frequently manage migraines (OR 1.68) and seek increased practice rights for referrals to medical specialists (OR 2.61) and diagnostic imaging (OR 2.79). Prescribing as part of the future scope of practice for Australian osteopaths is associated with patient management (medication discussions) and practice characteristics (increased referral rights for specialists and diagnostic imaging) that warrant additional investigation. Understanding of the practice, clinical and patient management characteristics of Australian osteopaths who see prescribing as part of the future scope of practice informs the case for regulatory and health policy changes for prescribing scheduled medicines.
Publisher: Elsevier BV
Date: 03-2022
Publisher: Elsevier BV
Date: 11-2021
DOI: 10.1016/J.EXPLORE.2020.07.001
Abstract: Manual therapists utilise a range of techniques in the clinical practice to manage predominantly musculoskeletal complaints. There are, however, a number of practitioners who utilise techniques that are directed towards the bodies' visceral structures. Osteopaths are one such professional group that utilise these techniques in their practice. Like many health professions, the identity of the osteopathy profession is evolving, and the techniques osteopaths use form part of this identity. Explore free text responses to a questionnaire about the use of techniques directed towards the viscera. Australian osteopaths who were part of a practice-based research network, were invited to complete a survey about their use of techniques applied to the viscera. Participants were also invited to provide free-text responses to a number of items related to the use of these techniques. Free-text responses were thematically analysed. 137 participants completed the survey. Three themes were identified: being an osteopath applying visceral techniques in practice - evidence conflicts with practice and, inadequate education in visceral techniques. Participant responses resonated with the internal (own world views, beliefs) and external (external perceptions of the profession, education) influences that underpin the theory of a professions' identity. Our work demonstrates that the Australian osteopathy profession exhibits an identity similar to other manual therapies - the profession is somewhat fragmented in its views about its practice. Additional research is required to explore whether other manual therapy techniques used by osteopaths elicit similar responses and how those external to the profession perceive it.
Publisher: Elsevier BV
Date: 09-2020
Publisher: Elsevier BV
Date: 06-2018
Publisher: Elsevier BV
Date: 10-2020
Publisher: American Astronomical Society
Date: 23-10-2017
Publisher: Elsevier BV
Date: 06-2018
Publisher: Elsevier BV
Date: 12-2021
Publisher: Springer Science and Business Media LLC
Date: 21-01-2020
DOI: 10.1186/S12998-019-0292-5
Abstract: Profiles of health professions practice can inform pre-professional education, provide evidence to assist with interprofessional practice, and inform policy development. An understanding of the profile of patients seeking osteopathy care is emerging. Current research suggests that musculoskeletal presentations predominate with approximately one-third of patients presenting with co-morbid diseases. There is little data on these presentations in Australian osteopathy practice. This study aimed to describe the patient demographics, clinical presentations, health behaviours and determinants of health, including health literacy, of those attending for care at an Australian student-led osteopathy clinic. A convenience s le design was utilised where consecutive patients presenting for their initial consultation were invited to complete a health information questionnaire during 2016–2017. The questionnaire explored a range of health behaviours and the patient’s health status. Data from the clinical records were also extracted to establish the presenting complaint, duration of the complaint and pertinent demographics. Descriptive statistics were generated for each variable. Data were available for 1617 patients presenting for their initial consultation. The mean age of patients was 33.7 (±13.1) years with 55% ( n = 887) identifying as female. Acute presentations predominated ( n = 840, 52%), with presentations affecting the spine being the most common (57.8%). Most patients rated their health status as good to very good (75%). Approximately 7.5% of patients were identified as having low health literacy and 55.9% were currently suffering from one or more co-morbid presentations. The demographic profile and presenting complaints of patients presenting to a student-led osteopathy clinic are largely consistent with other Australian private practice profiles. The current work also identified co-morbid presentations, and positive and negative health behaviours. Osteopaths may play a role in the management of, or referral for, these presentations where health behaviours require change, or management of co-morbid conditions is beyond the scope of practice. The increasing volume of patient profile literature globally suggests that osteopaths can play a substantial role in the management of musculoskeletal complaints. Further, osteopathy may play a role in screening determinants of health, and engage in multidisciplinary care to ensure those patients with co-morbid conditions or adverse health behaviours are managed appropriately.
Publisher: Oxford University Press (OUP)
Date: 07-03-2016
DOI: 10.1093/MNRAS/STW524
Publisher: Elsevier BV
Date: 03-2019
Publisher: Springer Science and Business Media LLC
Date: 10-07-2019
Publisher: American Astronomical Society
Date: 13-01-2017
Publisher: Elsevier BV
Date: 06-2021
Publisher: Springer Science and Business Media LLC
Date: 18-02-2022
DOI: 10.1186/S12913-022-07520-6
Abstract: Interprofessional care is paramount in contemporary healthcare practice. How different professions interact, and the characteristics of those practitioners who practice in an interprofessional way are rarely described in the literature. The aim of the current work was to identify the demographic, practice and clinical management characteristics of Australian osteopaths who report referring to podiatrists. The study was a secondary analysis of data from the Osteopathy Research and Innovation Network (ORION). Inferential statistics were generated to identify statistically significant demographic, practice and clinical management characteristics associated with referrals to podiatrists by Australian osteopaths. Nine-hundred and ninety-two Australian osteopaths responded to the questionnaire. Sending referrals to a podiatrist was reported by 651 participants (65.6%). Female Australian osteopaths were less likely to report referring to podiatrists compared to male osteopaths ( OR 0.76, 95%CI 0.59–0.99). Australian osteopaths who reported referring to podiatrists were more likely to report receiving referrals from podiatrists ( OR 9.75, 95%CI 6.98–13.61), use orthopaedic testing in patient assessment ( OR 7.62, 95%CI 2.82–20.60), and often treat patients with postural disorders ( OR 1.71, 95%CI 1.03–2.26), compared to osteopaths who do not refer to podiatrists. This study provides initial evidence for the referral relationship between Australian osteopaths and podiatrists. Further work could explore the nature of these referrals, including the complaints resulting in referral and outcomes of care. This information will be useful to those involved in health policy development and the professions advocating for their role in the wider healthcare system.
Publisher: American Astronomical Society
Date: 19-12-2011
Location: Australia
No related grants have been discovered for Edward Jenkins.