ORCID Profile
0000-0002-9367-8755
Current Organisations
University of Queensland
,
University of Southern Queensland
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Publisher: JMIR Publications Inc.
Date: 14-03-2023
Abstract: he delivery of education about pain neuroscience and the evidence for different treatment approaches has become a key component of contemporary persistent pain management. Chatbots, or more formally conversation agents, are increasingly being used in health care settings due to their versatility to provide interactive and in idualized approaches to both capture and deliver information. Research focused on the acceptability of erse chatbot formats can assist in developing a better understanding of the education needs of target populations and maximize the impact of these software applications within the health field. his study aimed to 1) detail the development and initial pilot testing of a multi-modality pain education chatbot (Dolores) that can be utilized across different age groups, and 2) investigate if acceptability and feedback was comparable across age groups following pilot testing. ollowing an initial design phase involving software engineers (n=2) and expert clinicians (n=6), 60 in iduals with chronic pain who attended an outpatient clinic at one of two pain centers in Australia were recruited for pilot testing. Twenty adolescents (10-18 years), 20 young adults (19-35 years), and 20 adults (over 35 years of age) with persistent pain were recruited. Participations were given an iPad with the Dolores app installed and spent 20-30 minutes completing interactive chatbot activities to: i) gather a pain history and ii) provide education about pain and pain treatments. After the chatbot activities, participants completed a custom-made feedback questionnaire measuring acceptability constructs pertaining to health education chatbots. To determine the effect of age group on acceptability ratings and feedback provided, a series of binomial logistic regression models and cumulative odds ordinal logistic regression models with proportional odds were then generated. verall, acceptability was high for the following constructs: engagement, perceived value, usability, accuracy, responsiveness, adoption intention, aesthetics and overall quality. The effect of age group on all acceptability ratings was small and not statistically significant. Analysis of open-ended question responses revealed that major frustrations with the app were related to Dolores’ speech which was explored further through a comparative analysis. For providing negative feedback about Dolores’ speech, a logistic regression model showed that the effect of age group was statistically significant (χ2(2) = 11.68, P = .003) and explained 27.1% of the variance (Nagelkerke R2). Adults and young adults were less likely to comment on Dolores’ speech compared to adolescent participants (OR=0.20, 95% CI [0.05, 0.84] OR=0.05, 95% CI [0.01, 0.43] respectively). Comments related to both speech rate (too slow) and quality (unpleasant and robotic). his study provided support for the acceptability of pain history and education chatbots across different age groups. Chatbot acceptability for adolescent cohorts may be improved by enabling self-selection of speech characteristics such as rate and personable tone.
Publisher: Elsevier BV
Date: 11-2022
DOI: 10.1016/J.BURNS.2021.10.006
Abstract: Emerging evidence suggests that in idual levels of sensory sensitivity may impact treatment outcomes for people recovering from burn injuries. For ex le, in iduals with higher levels of sensory sensitivity were less adherent with compression garment wear, often used for scar management. The purpose of this study was to characterise sensory patterns for a s le of burn-injured patients as a cohort, using normative data as the reference. As different patterns of sensory processing can have implications clinically, understanding this at the cohort level may provide valuable insight for therapy. This was a secondary analysis of data collected during a cross-sectional study. Adults (N = 117) attending the Professor Stuart Pegg Adult Burns Unit outpatient clinic completed the Adolescent/Adult Sensory Profile and the following quantitative sensory tests: two-point discrimination mechanical detection threshold and pressure pain threshold. Compared to matched normative data, burn-injured patients reported higher levels of sensory sensitive and avoiding patterns, and experienced lower detection thresholds for touch and pain. Higher reports of sensory sensitivity and sensory avoiding, and lower thresholds for touch and pain, have been correlated with tactile defensiveness. Tactile defensiveness has been associated with social withdrawal and isolation, all of which could contribute to decreased engagement in therapy. The ways in which these sensory characteristics impact on burn-related treatments, such as compression garment adherence, warrant further investigation.
Publisher: CSIRO Publishing
Date: 03-12-2021
DOI: 10.1071/AH21125
Abstract: Objective This study examined the content and impact of a new digital communication medium, called a VIDCAST, implemented at a large hospital and health service when the COVID-19 pandemic was announced, and the key concerns held by staff at the time when the health service was preparing for the COVID-19 pandemic to arrive in this health service. Methods A mixed-methods approach was used. Thematic analysis of 20 transcripts of daily VIDCASTS broadcast between 30 March and 24 April 2020 was undertaken, in addition to descriptive analysis of feedback from an anonymous online survey. Results Survey feedback from 322 staff indicated almost universal satisfaction with this new communication method. The VIDCASTS provided a new COVID-safe method for the Executive to connect to staff at a time of uncertainty. Thematic analysis of the content of the VIDCASTS revealed three themes: ‘Accurate Information’, ‘Reassurance and Support’ and ‘Innovation’. The Executive was able to reassure staff about what the organisation was doing to safeguard the health and wellbeing of all, and enabled an effective response to the pandemic. Conclusions The digital communication channel of VIDCASTS, rapidly operationalised at a major Australian hospital and health service in March 2020, provided important information and support for staff as it prepared for the anticipated COVID-19 surge. What is known about the topic? When the COVID-19 pandemic began, traditional face-to-face staff meetings were disrupted and many hospitals and their staff were left scrambling for information, and for reassurance about their safety, as they prepared to receive increasing numbers of COVID-19 patients. What does this paper add? The implementation of a digital communication tool was able to address many of the concerns raised by hospital staff in other geographic locations dealing with surging COVID-19 cases and underpinned a globally leading COVID-19 response. What are the implications for practitioners? New digitised communication methods provided an effective vehicle to inform and support staff in the early stages of pandemic preparation.
Publisher: JMIR Publications Inc.
Date: 06-10-2023
DOI: 10.2196/47267
Publisher: Informa UK Limited
Date: 17-05-2021
DOI: 10.1080/09638288.2021.1922517
Abstract: A number of innovative models of student practice placements are emerging due to pressures on universities to provide quality practice placements and on health services to deliver rehabilitation efficiently, safely and cost-effectively. The student-resourced service delivery (SRSD) group program is one such model in occupational therapy. There is a paucity of research evidence to guide services in planning, implementing and evaluating the SRSD model. The study aimed to explore and identify the factors that key stakeholders perceived as contributing to the successful development and implementation of the occupational therapy student-resourced service delivery group programs. Participants in this multi-site study were rehabilitation inpatients, clinicians, Clinical Education Liaison Managers and students completing practice placement in the student-resourced service delivery group program. Data were collected using face-to-face semi-structured interviews and focus groups. A total of 83 participants consented to the study. Four themes emerged from the data. Planning needs to be an iterative process that commences before and continues during the program. Support processes need to be established for students and clinicians during and across placements. The creation of an engaging, client-relevant and graded group dynamic is critical for success. Establishing a culture whereby groups are valued by the clients, therapy and multidisciplinary teams is important. The above-mentioned factors were perceived as contributing to successful operationalisation of a student-resourced service delivery group program, and may be helpful when developing student-resourced service delivery professional practice placements in other settings.IMPLICATIONS FOR REHABILITATIONStudent-resourced service delivery of groups are one way to achieve additional professional practice placements for students and delivery of therapy services for patients.Ongoing investment for planning and preparation, provision of continual support for students, a culture of valuing groups and students, and creating a group dynamic that engages group participants were perceived by stakeholders as key ingredients for successful implementation of the student-resourced service delivery group model.Clinicians and educators are encouraged to use the perceived success factors identified in this study as a resource for future student-resourced service delivery program development.
Publisher: Elsevier BV
Date: 09-2019
DOI: 10.1016/J.BURNS.2019.04.018
Abstract: Compression garments are a widely used intervention for the management of hypertrophic scar and recent research demonstrates the varied experiences of patients wearing compression garments. However, the patient and therapist perspective on how to improve the experience of wearing compression garments remains unexplored. To gain an understanding of the patient and therapist perspective of potential improvements to the provision of compression garments after burns. A qualitative research design with an interpretive description approach was utilised in this study. Data was collected from patients through semi-structured interviews and a focus group and therapists by a focus group. Thematic analysis was completed to reveal the key themes across the data. Two main themes were identified: "what patients want" and "access to professional development". The first theme "what patients want" described three suggested improvements including education, peer support, and increased participation in garment prescription. The reported patient and therapist perspectives highlight the need for further research into service improvement to enhance the patient experience of wearing compression garments after burns.
Publisher: Elsevier BV
Date: 02-2022
Publisher: Public Library of Science (PLoS)
Date: 09-01-2019
Publisher: Hindawi Limited
Date: 11-11-2021
DOI: 10.1155/2021/5527261
Abstract: Accumulating evidence linking pain with both attachment and sensory processing variables introduces the possibility that attachment- and sensory-informed strategies may modify pain experiences. The aim of this study was to investigate this proposition using an experimentally induced pain procedure. Pain perceptions of in iduals using either a sensory-informed (weighted modality) or an attachment-informed (secure base priming) coping strategy were compared with those of in iduals using no designated coping strategy. An independent measures experimental study design was used with a convenience s le of 272 pain-free adults. Experimental participants (n = 156) were randomly allocated to either an attachment (n = 75) or a sensory (n = 81) intervention group. Data from these participants were compared to those of 116 participants involved in an earlier cold pressor study in which no coping strategy was used. All participants completed the same sensory, attachment, and distress questionnaires and participated in the same cold pressor pain test. ANCOVAs revealed that participants in the sensory- and attachment-informed intervention groups reported significantly higher pain thresholds than the control group. Participants allocated to the sensory group also reported higher pain intensity scores than the control group. There were no significant differences in pain tolerance between the three groups after controlling for covariates. While further research is required, findings encourage further consideration of sensory- and attachment-informed strategies for people anticipating a painful experience.
No related grants have been discovered for Jenny Strong.