ORCID Profile
0000-0003-2918-6032
Current Organisation
Bond University
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Publisher: Wiley
Date: 02-2022
Abstract: This systematic review aimed to describe behaviour change theories and techniques used to inform nutrition interventions for adults undergoing bariatric surgery. A systematic search was conducted across PubMed, PsycInfo, CENTRAL, EMBASE and CINAHL from inception until 09 March 2021. Eligible studies were randomised controlled trials involving nutrition interventions performed by a healthcare provider, to adults that were waitlisted or had undergone bariatric surgery and received a nutrition intervention explicitly informed by one or more behaviour change theories or behaviour change techniques. Screening was conducted independently by two authors. Behaviour change techniques were examined using the behaviour change technique taxonomy version one which includes 93 hierarchical techniques clustered into 16 groups. Quality of included studies was assessed using Cochrane risk of bias 2.0. Twenty‐one publications were included, involving 15 studies and 14 interventions, with 1495 participants. Bias was low or had some concerns. Two interventions reported using behaviour change theories (transtheoretical model and self‐determination theory). Thirteen behaviour change technique taxonomy groupings and 29 techniques were reported across 14 interventions. Common techniques included ‘1.2 Problem solving’ ( n = 9 studies), ‘3.1 Social support (unspecified)’ ( n = 9 studies), ‘1.1 Goal setting (behaviour)’ ( n = 6 studies) and ‘2.3 Self‐monitoring of behaviour’ ( n =‐ 6 studies). While behaviour change techniques have been included, behaviour change theory is not consistently reported and/or adopted to inform nutrition interventions for adults undergoing bariatric surgery. Integrating behaviour change theory and techniques in nutrition interventions is important for researchers and bariatric surgery teams, including dietitians, to effectively target behaviours for this population.
Publisher: Research Square Platform LLC
Date: 14-12-2022
DOI: 10.21203/RS.3.RS-2356298/V1
Abstract: Background Behavioural support via mobile health (mHealth) is emerging. This study aimed to assess the feasibility, acceptability, cost, and effect on weight of a mHealth follow up program in bariatric surgery. Methods This was a prospective single-arm cohort study with mixed methods conducted in a Tertiary bariatric surgery service in Australia. The intervention group included in iduals who had bariatric surgery (2019–2021) and owned a smart device, and the historical control group received usual post-operative care (2018). The intervention involved usual care plus codesigned bi-weekly text messages, monthly email newsletters, and online resources/videos for six months. The primary outcome measures included feasibility (via recruitment and retention rate), acceptability (via mixed methods), marginal costs, and weight 12-months post-operatively. Quantitative analysis was performed, including descriptive statistics and inferential and regression analysis. Multivariate linear regression and mixed-effects models were undertaken to test the intervention effect. Qualitative analysis was performed using inductive content analysis. Results The study included 176 participants (n = 129 historical control, n = 47 intervention group age 56 years). Intervention recruitment (n = 48/50, 96%) and retention rate (47/48, 98%) were high. The survey response rate was low (n = 16/47, 34%). Participants agreed/strongly agreed that text messages supported new behaviours (n = 13/15, 87%) however, few agreed/strongly agreed they motivated goal setting and self-monitoring (n = 8/15, 53%), dietary or physical activity behaviour change (n = 6/15, 40% and n = 5/15, 33%). Interviews generated four main themes (n = 12): ‘Motivators and expectations’, ‘Preferences and relevance’, ‘Reinforced information”, and ‘Wanting social support’. The intervention reinforced information, email newsletters were lengthy/challenging to read, and text messages were favoured, yet tailoring was recommended. The intervention cost AUD 11.04 per person. The mean 12-month weight was 86 ± 16kg and 90 ± 16 kg (intervention and historical control) with no statistically significant difference. Intervention recipients enrolled at 3-months post-operatively demonstrated a statistically significant difference in 12-month weight (p = 0.014). Conclusion A mHealth follow up program in bariatric surgery may be feasible, showing high recruitment and retention rate. Of the various digital strategies, text messages were the most acceptable and suitable for continued use. However, text messaging approaches should strive to tailor information when possible.
Publisher: Wiley
Date: 07-2021
Publisher: Wiley
Date: 20-03-2020
DOI: 10.1111/OBR.13012
Publisher: MDPI AG
Date: 23-03-2022
DOI: 10.3390/NU14071336
Abstract: Background: Law enforcement is a dangerous, stressful, and health-threatening occupation. This study investigated the association between demographic factors including sex, age, and types of law enforcement occupation and described self-reported barriers to healthy and enjoyable diets within a cohort of law enforcement personnel. Methods: This mixed-methods study explored cross-sectional data from the Perceived Barriers to Healthy Eating validated survey. The survey included eight questions obtaining quantitative data and two open ended question obtaining qualitative data. A framework thematic analysis using the theory of planned behavior was undertaken to describe self-reported barriers to a healthy and enjoyable dietary intake. Results: 159 participants (median age = 27 (range 19–60) years 74% males) were surveyed. In general, demographic factors are not associated with the dietary beliefs and behavior of law enforcement personnel. Self-reported barriers (generated themes) to a healthy and enjoyable diet included in idual preferences, social influences, internal drive, capacity to change and occupational influences, which broadly aligned with the theory of planned behavior. Conclusions: Dietary intake in law enforcement personnel is impacted by occupational considerations, including busy schedules, long working hours, inconsistent meal breaks, tiredness, and shift work. The study provides useful information to support dietary interventions.
Publisher: Wiley
Date: 24-04-2023
Abstract: This study aimed to explore patient barriers to accessing services, current technology ownership/use and digital device preferences for accessing health information/health service delivery. Additionally, it aimed to explore the Theoretical Domains Framework and the acceptability of future eHealth solutions in bariatric surgery. This mixed‐method study (survey and semi‐structured interviews) was conducted in a bariatric surgery service in an Australian public hospital. Quantitative data were analysed descriptively, and the qualitative data were deductively and inductively analysed. This study included 117 participants ( n = 102 surveyed and n = 15 interviewed). Most participants were aged ≥51 years ( n = 70, 60%), and two‐thirds were female ( n = 76, 65%). One in three participants reported barriers to accessing services ( n = 38, 37%), including parking, travel time, and taking time off work. Most participants preferred to receive or access additional health information via email ( n = 84, 82%) and were willing to engage with health professionals via email ( n = 92, 90%), text messages ( n = 87, 85%), and telephone ( n = 85, 83%). Deductive analysis of interviews generated three themes: ‘Knowledge’, ‘Social influence’ and ‘Behavioural regulation, goals and environmental resources’. The inductive analysis generated one theme: ‘Seeing a place for eHealth in service delivery’. This study's findings can potentially influence the development of future eHealth solutions. Text message, email, and online approaches may be suitable for delivering further information and resources to patients, particularly regarding diet and physical activity. Online health communities are being used by patients for social support and may be worth further investigation. In addition, developing a bariatric surgery mobile application may be beneficial.
Publisher: MDPI AG
Date: 31-10-2022
DOI: 10.3390/W14213477
Abstract: Driving into floodwater is a leading cause of fatal and non-fatal drowning during times of flood. The present research aimed to understand drivers’ beliefs and intentions in relation to driving into floodwater caused by flash floods in an urban area (Newcastle City, Australia), using the theory of planned behavior as a framework. The study (N = 217) used a survey-based design to identify the psychological processes (attitude, subjective norm, perceived behavioral control, planning, moral norm) underpinning drivers’ intention to avoid driving into floodwater in Newcastle and to concurrently investigate the potential effects of a brief planning intervention on drivers’ willingness to drive into floodwater in Newcastle. The structural equation model explained 49% of the variance in intention to avoid driving into floodwater in Newcastle, with subjective norm, perceived behavioral control, and planning each significant independent predictors of drivers’ intention to avoid driving into urban floodwater in Newcastle. Paired s les t-tests revealed participants’ willingness to stay at their location and not drive if a flood alert was received, and willingness to drive into floodwater when there is perceived pressure from other drivers, significantly changed after a brief planning intervention. These findings can inform intervention targets and development of prevention strategies targeting personal mitigation measures, particularly in the context of driver behaviour during flash flooding in an urban area.
Publisher: Wiley
Date: 28-09-2020
Publisher: Elsevier BV
Date: 02-2021
Publisher: Wiley
Date: 08-2019
Publisher: Elsevier BV
Date: 12-2021
DOI: 10.1016/J.SOARD.2021.07.020
Abstract: This systematic review aimed to evaluate the effect of eHealth-delivered interventions for adults who undergo bariatric surgery on postoperative weight loss, weight loss maintenance, eating psychopathology, quality of life, depression screening, and self-efficacy. Six electronic databases were searched, with 14 studies (across 17 reports) included, involving 1633 participants. With substantial heterogeneity, qualitative descriptions have been provided. Interventions were delivered via an online program or internet modules (n = 2), telephone (n = 2), text messages (n = 2), videoconferencing (n = 3), mobile application (n = 1), and audiovisual media (n = 1). Three studies included a combination, including internet modules and telephone (n = 1), wireless fidelity scales, emails, and telephone (n = 1), and a combination of online treatment, weekly emails, and access to a private Facebook group (n = 1). All the eHealth interventions, except for one, implemented behavior change techniques, including self-monitoring, problem solving, social support, goal setting, and shaping knowledge. Both eHealth intervention and control groups lost weight across the included studies, and eHealth was found to be as effective as or more effective than the control for weight loss. Two studies measured weight loss maintenance both eHealth and control groups regained weight in the longer term. The interventions showed significant improvement on assessment measures for eating psychopathology. In conclusion, when bariatric surgery patients have limited or no access to healthcare teams or require additional support, eHealth may be a suitable option. Future studies implementing eHealth interventions would benefit from reporting intervention components as per the behavior change techniques taxonomy and further consideration of delivering eHealth in a stepped care approach would be beneficial.
Publisher: Wiley
Date: 16-01-2023
DOI: 10.1111/JHN.13125
Abstract: Digital health interventions may facilitate management of chronic conditions however, no reviews have systematically assessed the effectiveness of dietary interventions delivered by digital health platforms for improving dietary intake and clinical outcomes for adults with diet‐related chronic conditions. Databases CINAHL, CENTRAL, Embase and MEDLINE were searched from inception to April 2021 to identify controlled trials for dietary education delivered by digital health (mobile or electronic health) to adults with diet‐related chronic conditions. Random effects analysis was performed for diet quality, food groups, nutrients and clinical outcomes. Screening, data extraction and quality checking were completed in duplicate. Thirty‐nine studies were included involving 7333 participants. Significant changes were found for Mediterranean diet adherence score (standardised mean difference [SMD] = 0.79 95% confidence interval [CI] = 0.18 to 1.40), overall fruit and vegetable intake (mean difference [MD]: 0.63 serves/day 95% CI = 0.27–0.98), fruit intake alone (MD = 0.58 serves/day 95% CI = 0.39 to 0.77) and sodium intake (SMD = −0.22 95% CI = −0.44 to −0.01). Improvements were also found for waist circumference [MD = −2.24 centimetres 95% CI = −4.14 to −0.33], body weight (MD = −1.94 kg 95% CI = −2.63 to −1.24) and haemoglobin A1c (MD = −0.17% 95% CI = −0.29 to −0.04). Validity of digital assessment tools to measure dietary intake were not reported. The quality of evidence was considered to have low to moderate certainty. Modest improvements in diet and clinical outcomes may result from intervention via digital health for those with diet‐related chronic conditions. However, additional robust trials with better reporting of digital dietary assessment tools are needed to support implementation within clinical practice.
Publisher: Wiley
Date: 17-08-2022
DOI: 10.1111/JEP.13613
Abstract: To identify outcome measures used to evaluate performance of healthcare professional role substitution against usual medical doctor or specialist medical doctor care to facilitate our understanding of the adequacy of these measures in assessing quality of healthcare delivery. Using a systematic approach, we searched Medline, Cochrane Central Register of Controlled Trials, Embase, CINAHL, and Web of Science from database inception until May 2020. Studies that presented original comparative data on at least one outcome measure were included following screening by two authors. Findings were synthesized, and outcome measures classified into six domains which included: effectiveness, safety, appropriateness, access, continuity of care, efficiency, and sustainability which were informed by the Institute of Medicine dimensions of healthcare quality, the Australian health performance framework, and Levesque and Sutherland's integrated performance measurement framework. One thirty five articles met the inclusion criteria, describing 58 separate outcome measures. Safety of role substitution models of care was assessed in 80 studies, effectiveness (n = 60), appropriateness (n = 40), access (n = 36), continuity of care (n = 6), efficiency and productivity (n = 45). Two‐thirds of the studies that assessed productivity and efficiency performed an economic analysis (n = 27). The quality and rigour of evaluations varied substantially across studies, with two‐thirds of all studies measuring and reporting outcomes from only one or two of these domains. There are a growing number of studies measuring the performance of non‐medical healthcare professional substitution roles. Few have been subject to robust evaluations, and there is limited evidence on the scientific rigour and adequacy of outcomes measured. A systematic and coordinated approach is required to support healthcare settings in assessing the value of non‐medical role substitution healthcare delivery models.
Publisher: SAGE Publications
Date: 2022
DOI: 10.1177/20552076221104670
Abstract: To determine the perspectives to the adoption, scale-up, sustainability, and spread of technology-supported models of nutrition care, in hospital and ambulatory care settings. Thirty-one health service providers participated in in idual semi-structured interviews from a tertiary health service in Queensland, Australia. The Non-adoption, Abandonment, and challenges to the Scale up, Spread and Sustainability (NASSS) framework, designed to evaluate technology-supported models’ success, informed the qualitative design. Key findings were that technology-supported models of care could benefit many chronic condition patient groups dietitians are well suited to adopting this technology: and the value proposition in creating efficiency gains in the health service. However, challenges of transitioning and sustainability were identified. Perceived enablers for technology supported models of care included: previous intentions for technology supported models of care prior to the 2019 novel coronavirus pandemic opportunity for clinicians to complete higher valued tasks and integration of technology systems and assisted staff roles. Perceived barriers included: suitability for patients is dependent on experience and ability to use technology, varied confidence by clinicians when conducting clinical assessments high investment required for set up and ongoing maintenance and patients desire for adopting face-to-face care over technology. Health service providers perceived that embedding and adapting such models requires maintenance of high-quality service and continued research. Health service providers recognize adopting, scaling, and sustaining technology-supported models of nutrition care benefits patients, clinicians, and health services in general. Robust clinical trials and health service evaluations of technology-supported models of care, across practice settings are now needed.
Publisher: Springer Science and Business Media LLC
Date: 02-11-2020
DOI: 10.1186/S12889-020-09716-Z
Abstract: Law enforcement personnel have been recognized as having a high risk for several lifestyle-related health conditions which, in combination with the nature of their work (sedentary roles interspersed with intermittent high-intensity activity, shift work, and a high stress-load), can have a negative impact on their health. The aim of this study was to investigate the dietary habits and factors or barriers influencing these habits within a cohort of law enforcement personnel in the United States of America. Cross-sectional data were obtained via validated paper-based surveys being the Perceived Barriers to Healthy Eating, Food Choice Questionnaire and Rapid Eating Assessment for Participants, Short Version. A total of 159 participants (median age = 27 [range 19–60] years 74% males) participated. Barriers to healthy eating included being busy and irregular working hours. Overall, 91% ( n = 143) placed high importance on consuming nutritious food and 80% ( n = 126) on food high in vitamins and minerals. A further 80% ( n = 127) emphasized high protein content and 41% ( n = 62) followed a high protein diet. Barriers to healthy eating included busy lifestyle (60%, n = 94), and irregular working hours (41%, n = 64). Overall, 80% ( n = 127) were very willing to make changes in eating habits to be healthier. Law enforcement officers know what they should eat and report convenience and health the most important factors guiding their food choices. Knowing this, officers find challenges putting good dietary practices into practice due to factors like a busy lifestyle and irregular work hours. Reportedly “very willing” to make changes in their eating habits to be healthier, future interventions should focus on how to effect changes to their eating habits as opposed to focussing on what to eat.
Publisher: MDPI AG
Date: 03-10-2021
DOI: 10.3390/NU13103502
Abstract: Tactical personnel (including military, law enforcement, and fire and rescue) are responsible for ensuring national and public safety. Dietary intake is an important consideration to support optimal health and performance. The aims of this systematic review were to: (1) describe the reported free-living dietary intake (energy and macronutrients) of tactical personnel, and (2) describe the practical implications of reported dietary intakes to support the physical and dietary requirements of tactical personnel. A systematic search of databases (MEDLINE, EMBASE, CINAHL and Web of Science) was conducted following the PRISMA guidelines. English and full text research articles were identified and screened against inclusion and exclusion criteria. Demographic and dietary intake data were extracted, tabulated, and synthesized narratively. The quality of the studies was assessed using the Academy of Nutrition and Dietetics Quality Criteria Checklist. Twenty-two studies (15 military, 4 law enforcement, and 2 fire and rescue) were eligible to inform this review. The volume of evidence suggested that tactical personnel met dietary protein and exceeded dietary fat recommendations but failed to meet energy and carbohydrate recommendations. Therefore, practical approaches to support optimized energy, fat and carbohydrate intake in tactical personnel is important.
Publisher: Wiley
Date: 11-2017
DOI: 10.1111/NPH.14878
Abstract: Soil acidity and waterlogging increase manganese (Mn) in leaf tissues to potentially toxic concentrations, an effect reportedly alleviated by increased silicon (Si) and phosphorus (P) supply. Effects of Si and P on Mn toxicity were studied in four plant species using synchrotron-based micro X-ray fluorescence (μ-XRF) and nanoscale secondary ion mass spectrometry (NanoSIMS) to determine Mn distribution in leaf tissues and using synchrotron-based X-ray absorption spectroscopy (XAS) to measure Mn speciation in leaves, stems and roots. A concentration of 30 μM Mn in solution was toxic to cowpea and soybean, with 400 μM Mn toxic to sunflower but not white lupin. Unexpectedly, μ-XRF analysis revealed that 1.4 mM Si in solution decreased Mn toxicity symptoms through increased Mn localization in leaf tissues. NanoSIMS showed Mn and Si co-localized in the apoplast of soybean epidermal cells and basal cells of sunflower trichomes. Concomitantly, added Si decreased oxidation of Mn(II) to Mn(III) and Mn(IV). An increase from 5 to 50 μM P in solution changed some Mn toxicity symptoms but had little effect on Mn distribution or speciation. We conclude that Si increases localized apoplastic sorption of Mn in cowpea, soybean and sunflower leaves thereby decreasing free Mn
Publisher: Springer Science and Business Media LLC
Date: 17-10-2023
Publisher: Informa UK Limited
Date: 23-03-2022
No related grants have been discovered for Charlene Wright.