Nigel R Armfield

ORCID: 0000-0003-4218-0030
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About
Contact & Profiles
Research Areas
  • Telemedicine and Telehealth Implementation
  • Mobile Health and mHealth Applications
  • Healthcare Systems and Technology
  • Palliative Care and End-of-Life Issues
  • Musculoskeletal pain and rehabilitation
  • Family and Patient Care in Intensive Care Units
  • Endometrial and Cervical Cancer Treatments
  • Childhood Cancer Survivors' Quality of Life
  • Uterine Myomas and Treatments
  • Endometriosis Research and Treatment
  • Patient Satisfaction in Healthcare
  • Global Health Workforce Issues
  • Neonatal Respiratory Health Research
  • Innovations in Medical Education
  • Fibromyalgia and Chronic Fatigue Syndrome Research
  • Ear Surgery and Otitis Media
  • Chronic Disease Management Strategies
  • Social Media in Health Education
  • Digital Mental Health Interventions
  • Patient Safety and Medication Errors
  • Surgical Simulation and Training
  • Family Support in Illness
  • Primary Care and Health Outcomes
  • Delphi Technique in Research
  • Retinopathy of Prematurity Studies

Queensland University of Technology
2025

The University of Queensland
2014-2024

National Health and Medical Research Council
2020-2024

Cancer Council Queensland
2021

Royal Brisbane and Women's Hospital
2021

Princess Alexandra Hospital
2020

Queensland Children’s Medical Research Institute
2011-2015

Royal Children's Hospital
2009-2014

Hospital Research Foundation
2014

Children's Medical Research Institute
2011-2014

<h3>Importance</h3> Standard treatment for endometrial cancer involves removal of the uterus, tubes, ovaries, and lymph nodes. Few randomized trials have compared disease-free survival outcomes surgical approaches. <h3>Objective</h3> To investigate whether total laparoscopic hysterectomy (TLH) is equivalent to abdominal (TAH) in women with treatment-naive cancer. <h3>Design, Setting, Participants</h3> The Laparoscopic Approach Cancer Endometrium (LACE) trial was a multinational, equivalence...

10.1001/jama.2017.2068 article EN JAMA 2017-03-28

Information and communications technology has become central to the way in which health services are provided. Technology-enabled healthcare often described as eHealth, or more recently, digital health. Practitioners may require new knowledge, skills competencies make best use of while universities be a logical place provide such education training, study 2012 found that workforce was not being adequately educated achieve competence work with eHealth. We revisited eHealth training Australian...

10.1177/1357633x18793282 article EN Journal of Telemedicine and Telecare 2018-10-22

A large literature base on telemedicine exists, but the evidence for is very limited. There little practical or useful information to guide clinicians and health policymakers. Telemedicine often implemented based limited no prior formal analysis of its appropriateness circumstances, adoption by has been slow patchy. Formal should be conducted before implementation identify patients, conditions settings that it likely benefit. Primary studies tend insufficient quality enable synthesis...

10.5694/mja13.11101 article EN The Medical Journal of Australia 2014-05-01

Advances in technology have made the use of telehealth home setting a feasible option for palliative care clinicians to provide clinical and support. However, despite being widely available accessible, has still not been adopted either Australia or internationally. The study aim was investigate barriers, enablers perceived usefulness an established program paediatric from perspective clinicians.Semi-structured interviews (n = 10) were undertaken with tertiary hospital identify attitudes to,...

10.1186/1472-684x-13-29 article EN cc-by BMC Palliative Care 2014-06-16

Pediatric palliative care is a distinct specialty that requires input from pediatric and medicine specialists to provide comprehensive high-quality care. Consultations undertaken early in child's illness trajectory, when end-of-life not anticipated be required, enables relationships established may enhance the quality of provided.To define optimal components an consultation.Consensus expert group was sought five-round Delphi study.Based on literature existing standards for specialist care,...

10.1089/jpm.2014.0121 article EN Journal of Palliative Medicine 2014-07-09

Summary We conducted a pilot study to investigate the effectiveness of home telehealth service for paediatric palliative care consultations. Over 10 week period, 14 17 caregivers approached be part agreed participate. Families were allocated, non-randomly, control group (usual care) or an intervention with addition consultations). The primary outcome measure was quality-of-life score. Caregivers surveyed up 99 days following recruitment. A descriptive analysis data showed no differences...

10.1258/jtt.2012.gth103 article EN Journal of Telemedicine and Telecare 2012-12-01

Aims The purpose of this study was to understand the methods current delivery health care services cerebral palsy (CP) patients in Queensland, Australia. also examines use telehealth by clinicians and their perceptions about use. Methods Patient records during July 2013–July 2014 were accessed from Queensland Paediatric Rehabilitation Service (QPRS) collect information relating service for CP patients. Analysis carried out examine patient locations travel distances using ArcMap geoprocessing...

10.1177/1357633x15610720 article EN Journal of Telemedicine and Telecare 2015-10-31

Indigenous Australians experience a high rate of ear disease and hearing loss, yet they have lower service access utilisation compared to their non-Indigenous counterparts. Screening, surveillance timely specialist ear, nose throat (ENT) services are key components in detecting preventing the recurrence diseases. To address low by Australians, collaborative, community-based mobile telemedicine-enabled screening (MTESS) was trialled Cherbourg, third largest community Queensland, Australia....

10.1371/journal.pone.0138369 article EN cc-by PLoS ONE 2015-09-25

Videotelephony (real-time audio-visual communication) has been used successfully in adult palliative home care. This paper describes two attempts to complete an RCT (both of which were abandoned following difficulties with family recruitment), designed investigate the use videotelephony families receiving care from a tertiary paediatric oncology service Brisbane, Australia. To whether providing videotelephone-based support was acceptable these families, 12-month non-randomised acceptability...

10.1177/0269216308100251 article EN Palliative Medicine 2008-12-11

Telemedicine was used as a substitute for the telephone (usual care) some acute care consultations from nurseries at four peripheral hospitals in Queensland. Over 12-month study period, there were 19 cases of neonatal teleconsultation. Five (26%) avoided infant transport confirmed by independent assessment, which helicopter retrievals. We conducted two analyses. In first, actual costs providing telemedicine sites compared with savings associated and nursery costs. There net saving to health...

10.1258/jtt.2012.gth101 article EN Journal of Telemedicine and Telecare 2012-12-01

In the vast state of Queensland, Australia, access to specialist paediatric services are only available in capital city Brisbane, and limited regional remote locations. During home-based palliative care, it is not always desirable or practical move a patient attend appointments, so care may be even further limited. To address these problems, at Royal Children's Hospital (RCH) Home Telehealth Program (HTP) has been successfully established provide consultations families throughout...

10.1186/1472-6963-14-328 article EN cc-by BMC Health Services Research 2014-07-28
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