A5076854030- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Dementia and Cognitive Impairment Research
- Cerebral Palsy and Movement Disorders
- Cerebrovascular and Carotid Artery Diseases
- Total Knee Arthroplasty Outcomes
- Clinical practice guidelines implementation
- Musculoskeletal pain and rehabilitation
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Orthopaedic implants and arthroplasty
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Neurological Disorders and Treatments
- Balance, Gait, and Falls Prevention
- Osteoarthritis Treatment and Mechanisms
- Cardiac Health and Mental Health
- Botulinum Toxin and Related Neurological Disorders
- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Neurological Complications and Syndromes
- Mental Health and Patient Involvement
- Antiplatelet Therapy and Cardiovascular Diseases
- Pelvic floor disorders treatments
- Blood Pressure and Hypertension Studies
University of Newcastle Australia
2014-2025
John Hunter Hospital
2002-2025
Hunter New England Local Health District
2011-2025
Hunter Medical Research Institute
2012-2025
Office of Technology Transfer
2022
National Cancer Institute
2022
Florey Institute of Neuroscience and Mental Health
2013
Wagga Wagga Base Hospital
2013
Monash University
2013
National Centre for Clinical Research on Emerging Drugs
2013
Purpose: An enriched environment (EE) facilitates physical, cognitive and social activity in animal models of stroke. The aim this pilot study was to determine whether enriching the a mixed rehabilitation unit increased stroke patient activity. Methods: A non- randomized controlled trial conducted. Direct observation used difference change cognitive, or any over 2 weeks patients exposed an versus non-enriched environment. Results: Stroke EE (n = 15) were 1.2 (95% CI 1.0–1.4) times more...
Objectives: To explore whether a group programme for community-dwelling chronic stroke survivors and their carers is feasible in rural settings; to measure the impact of on health-related quality life functional performance; determine if any benefits gained are maintained. Design: Randomized, assessor blind, cross-over, controlled trial. Setting: Rural outpatient. Subjects: Twenty-five community-dwelling, 17 participant survivors. Intervention: The intervention undertook once-a-week,...
Purpose: To explore the experience of post-stroke fatigue in community-dwelling stroke survivors with and without mood disturbance within one year stroke. Methods: This was a prospective qualitative cohort study including semistructured interviews undertaken at baseline (stroke onset), 3, 6, 9 12 months 23 survivors; eight single were held "supplementary" participants. Qualitative data analysis involved an inductive thematic approach using process constant comparison. Results: Thirty-one...
Objective: To determine physical, cognitive and social activity levels of stroke patients undergoing rehabilitation, whether these changed over time. Design: Observational study using behavioural mapping techniques to record patient 12 hours on one weekday weekend day at baseline (week 1) again two weeks later 2). Setting: A 20-bed mixed rehabilitation unit. Subjects: Fourteen patients. Interventions: None. Main measures: Percentage spent in any or activities. Level independence the...
Background and Purpose: Conditions associated with frailty are common in people experiencing stroke may explain differences outcomes. We assessed associations between a published, generic risk score, derived from administrative data, patient outcomes following stroke/transient ischemic attack; its accuracy for predicting mortality compared other measures of clinical status using coded data. Methods: Patient-level data the Australian Stroke Clinical Registry (2009–2013) were linked hospital...
Clinician interest in the role of tablet technology commercially available devices (i.e. iPads) following stroke is rising. Tablets have potential to encourage engagement therapeutic activities. We aimed explore survivor acceptability and experience use during first three months recovery.A qualitative study using an inductive thematic approach incorporating process constant comparison was utilized collect analyse data.Community dwelling survivors metropolitan Newcastle, New South Wales,...
Purpose: Loss of role as a driver significantly affects community participation; therefore, we aimed to explore the impact driving issues post-stroke in community-dwelling stroke survivors. Methods: A longitudinal qualitative study survivors, using semi-structured interviews. Results: Twenty-two participants took part 84 interviews over 1-year period post-stroke. The majority was independent and experienced few major depressive symptoms. ages ranged from 50 92 years. Emergent key themes...
Understanding the factors that contribute to early readmission after discharge following stroke is limited. We aimed describe associated with 28-day hospitalization for stroke.Factors were classified from medical record standardized audits of 50 100 consecutively admitted patients 35 Australian hospitals during multiple time periods (2000-2010). Factors compared between readmitted and not (n=43) grouped using 5 categories: patient characteristics (n=16; eg, age), clinical processes care...
Total knee arthroplasty (TKA) is a commonly implemented elective surgical treatment for end-stage osteoarthritis of the knee, demonstrating high success rates when assessed by objective medical outcomes. However, considerable proportion TKA patients report significant dissatisfaction postoperatively, related to enduring pain, functional limitations, and diminished quality life. In this conceptual analysis, we highlight importance assessing patient-centred outcomes routinely in clinical...
Background The aim of this trial was to evaluate the effectiveness an online health behaviour change intervention—Prevent 2nd Stroke (P2S)—at improving health-related quality life (HRQoL) amongst stroke survivors at 6 months follow-up. Methods and findings A prospective, blinded-endpoint randomised controlled trial, with as unit randomisation, conducted between March 2018 November 2019. Adult 36 post-stroke capacity use intervention (determined by a score ≥4 on Modified Rankin Scale) who had...
ABSTRACT Aims To examine survivors' experiences of discharge information including risk communication after hospitalisation for a stroke and the characteristics associated with receiving in accordance their preferences. Background With advances acute care an ageing population, number survivors is increasing. It important that healthcare providers ensure patients have adequate stroke‐related hospitalisation. Design Cross‐sectional study. Methods Adults recently discharged from eight...
Background Dissatisfaction with Total Knee Arthroplasty (TKA) surgical outcomes remains between 10–20% and is associated higher levels of societal costs. Expectations regarding post-surgical considered as one the major factors influencing satisfaction, however, there are no standardised methods for assessing patient’s expectations activities to be achieved following surgery. Objectives The aims this study were identify patient relating importance TKA describe goal fulfillment at 3 months...
Rationale Environmental enrichment, a paradigm investigated extensively in animal models, is an intervention, which by design facilitates motor, sensory, social, and cognitive activity. It has been shown to improve poststroke motor function models of stroke. This the first study attempt translate this intervention from laboratory clinical setting. Aims The overall aim pilot test feasibility using environmental enrichment with stroke patients rehabilitation enrich environment survivors ward...
Background and Purpose— The quality of hospital care for stroke varies, particularly in rural areas. In 2007, funding to improve became available as part the Rural Stroke Project (RSP) New South Wales (Australia). RSP included employment clinical coordinators establish units or pathways protocols, more staff. We aimed describe effectiveness improving patient outcomes. Methods— A historical control cohort design was used. Clinical practice outcomes at 8 hospitals were compared using 2 medical...
Background Environmental enrichment involves organization of the environment and provision equipment to facilitate engagement in physical, cognitive, social activities. In animals with stroke, it promotes brain plasticity recovery. Aims To assess feasibility safety a patient-driven model environmental incorporating access communal individual enrichment. Methods A nonrandomized cluster trial blinded measurement involving people stroke ( n = 193) four rehabilitation units was carried out....
Purpose. This study aimed to qualitatively explore the experience of community dwelling stroke survivors' participation in an arts health group programme and possible benefits quality life (QOL) wellbeing.Method. Sixteen participants were conveniently sampled participate two art programmes, both held weekly over a period 8 weeks. Qualitative data collected through focus groups (n == 9) individual interviews 11). analysis was undertaken, using grounded theory approach incorporating constant...
The Hunter area in New South Wales, Australia, is a well-defined geographical with population of 578,486 (2006). This paper presents trends from 1996 to 2008 for prospectively registered hospital admissions adults aged 20 years and above acute stroke.Crude, age-standardised age-specific stroke attack rates per 100,000 case fatality at standard time points were calculated. A medical record audit mimics was undertaken determine discharge coding accuracy.9,796 events among 8,830 individuals 14...
<h3>PURPOSE</h3> There has been little exploration of the distinct trajectories psychological distress after stroke and factors that predict recovery from distress. These may assist primary care physicians by providing insight into disease onset, progression, resolution be a useful way to conceptualize understand pattern morbidity in over time. We undertook longitudinal qualitative study explore poststroke <h3>METHODS</h3> The data collection method was semistructured interviews with...
Abstract Background: Stroke care across Australian hospitals is variable. The impact on health outcomes, in particular levels of disability for patients rural areas, unclear. aim this study was to determine whether geographic location and access stroke units are associated with differences outcomes acute stroke. Methods: Retrospective cohort consecutive eligible admissions from 32 (12 rural) New South Wales between 2003 2007. Health status measured at discharge included level independence...