- Osteoarthritis Treatment and Mechanisms
- Gestational Diabetes Research and Management
- Musculoskeletal pain and rehabilitation
- Knee injuries and reconstruction techniques
- Total Knee Arthroplasty Outcomes
- Interprofessional Education and Collaboration
- Bariatric Surgery and Outcomes
- Patient-Provider Communication in Healthcare
- Behavioral Health and Interventions
- Obesity, Physical Activity, Diet
- Coaching Methods and Impact
- Breastfeeding Practices and Influences
- Eating Disorders and Behaviors
- Adolescent and Pediatric Healthcare
- Clinical practice guidelines implementation
- Empathy and Medical Education
- Innovations in Medical Education
- Obesity and Health Practices
- Childhood Cancer Survivors' Quality of Life
- Medicine, History, and Philosophy
- Shoulder Injury and Treatment
- Maternal Mental Health During Pregnancy and Postpartum
The University of Melbourne
2016-2017
Monash University
2016
The University of Sydney
2016
To investigate whether simultaneous telephone coaching improves the clinical effectiveness of a physiotherapist-prescribed home-based physical activity program for knee osteoarthritis (OA).A total 168 inactive adults ages ≥50 years with pain on numeric rating scale ≥4 (NRS; range 0-10) and OA were recruited from community randomly assigned to physiotherapy (PT) group (n = 84) or PT-only group. All participants received five 30-minute consultations physiotherapist over 6 months education,...
Objective Evaluate a physiotherapist-led telephone-delivered exercise advice and support intervention for people with knee osteoarthritis. Methods Participant-blinded, assessor-blinded randomised controlled trial. 175 were randomly allocated to (1) existing telephone service (≥1 nurse consultation self-management advice) or (2) (5–10 consultations physiotherapist trained in behaviour change personalised strengthening physical activity programme) plus the service. Primary outcomes overall...
Objectives The objectives of this study were to evaluate the efficacy a health coaching ( HC ) intervention designed prevent excessive gestational weight gain GWG ), and promote positive psychosocial motivational outcomes in comparison with an Education Alone EA group. Design Randomized‐controlled trial. Methods Two hundred sixty‐one women who <18 weeks pregnant consented take part. Those allocated group received tailored delivered by Health Coach, whilst those attended two education...
Background Integrated models of care are recommended for people with knee osteoarthritis (OA). Exercise is integral to management, yet exercise adherence problematic. Telephone-based health coaching an attractive adjunct physical therapist–prescribed that may improve adherence. Little known about the perceptions and interpretations therapists, telephone coaches, patients engaged in this model care. Objectives The purpose study was explore how stakeholders (physical patients) experienced,...
To explore physical therapists' experiences with, and the impacts of, a training program in person-centered practice to support exercise adherence people with knee osteoarthritis.This was qualitative case study using semi-structured interviews, nested within clinical trial. Eight Australian therapists were interviewed before, after, for osteoarthritis. Training involved 2-day workshop, skills practice, audit of 8 consultations 4 patients (per therapist), final single-day workshop feedback...
Knee osteoarthritis (OA) is one of the most common and costly chronic musculoskeletal conditions world-wide associated with substantial pain disability. Many people knee OA also experience co-morbidities that further add to burden. Uptake adherence physical activity recommendations suboptimal in this patient population, leading poorer outcomes greater impact co-morbidities. This pragmatic randomised controlled trial will investigate clinical- cost-effectiveness adding telephone coaching a...
Exercise and physical activity are a core component of knee osteoarthritis (OA) care, yet access to therapists is limited for many people. Telephone service delivery models may increase access.Determine the effectiveness incorporating exercise advice behavior change support by into an existing Australian nurse-led musculoskeletal telephone adults with OA.Randomized controlled trial nested qualitative studies.Community, Australia-wide.One hundred seventy-five people ≥45 years age symptoms...
Pregnancy is a time of significant physiological and physical change for women. In particular, it at which many women are risk gaining excessive weight. We describe the rationale methods Health in Post-birth (HIPP) Study, study aims primarily to determine effectiveness specialized health coaching (HC) intervention during pregnancy, compared education alone, preventing gestational weight gain postpartum retention 12 months post birth. A secondary aim this evaluate mechanisms by our HC impacts...
Abstract Objectives The aims of the present study were to determine how well physiotherapists implemented person‐centred practice principles and behaviour change techniques after a workshop, evaluate whether self‐audit performance differed from audits an experienced training facilitator. Methods Eight each completed 2‐day workshop followed by two telephone consultations with four patients knee osteoarthritis. facilitator audited audio‐recordings all consultations, therapists self‐audited 50%...
Abstract Introduction Successful management of musculoskeletal conditions depends on active patient engagement and uptake recommended health services self‐management strategies. Clinicians have a strong influence behaviours. Both clinicians educators need to recognise the clinician's as specific clinical skillset be professionally developed. To inform professional development strategies this study explored priority clinician attributes that underpin fostering uptake. Methods A three‐round...
Clinical and general health guidelines recommend physical activity (PA) exercise for osteoarthritis (OA). Among people with OA, PA levels are low, there is a global underutilisation of exercise, benefits generally not sustained due to suboptimal adherence that declines over time. Telephone delivered coaching can be used in chronic disease management improve treatment recommendations facilitate behaviour change. PURPOSE: To investigate whether telephone improves effectiveness...