A5021260745- Spinal Cord Injury Research
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Respiratory Support and Mechanisms
- Cerebral Palsy and Movement Disorders
- Primary Care and Health Outcomes
- Stroke Rehabilitation and Recovery
- Sleep and related disorders
- Dysphagia Assessment and Management
- Healthcare Policy and Management
- Amyotrophic Lateral Sclerosis Research
- Chronic Disease Management Strategies
- Restless Legs Syndrome Research
- Neurogenetic and Muscular Disorders Research
- Diabetes Management and Education
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes Management and Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Policy Implementation Science
- Schizophrenia research and treatment
- Musculoskeletal pain and rehabilitation
- Intensive Care Unit Cognitive Disorders
- Mental Health and Patient Involvement
- Gestational Diabetes Research and Management
- Emergency and Acute Care Studies
The University of Melbourne
2013-2025
Austin Health
2015-2025
Institute for Breathing and Sleep
2016-2025
Austin Hospital
2015-2023
Australian Regenerative Medicine Institute
2023
Monash University
2023
Alfred Health
2019-2023
Pearson (United States)
2022
Uninter
2022
Agence pour le développement de l'emploi
2022
Abstract Background Non-invasive ventilation (NIV) uses positive pressure to assist people with respiratory muscle weakness or severe compromise breathe. Most use this treatment during sleep when breathing is most susceptible instability. The benefits of using NIV in motor neurone disease (MND) are well-established. However, uptake and usage low (~ 19%) there no consensus on how best implement MND Australia. Consequently, clinical practice models highly variable. Our team has recently...
There is increased interest in developing multidisciplinary ambulatory care models of service delivery to manage patients with complex chronic diseases. These programs are expensive and given limited resources it important that targeted effectively. One potential screening strategy identify individuals who report the greatest decrement health related quality life (HRQoL) thus greater need. The aim this study was explore relationship between HRQoL, comorbid conditions acute utilisation. A...
barker a., kamar j., graco m., lawlor v. & hill k. (2011) Adding value to the STRATIFY falls risk assessment in acute hospitals. Journal of Advanced Nursing 67(2), 450–457. Abstract Aim. This paper is a report study conducted compare predictive accuracy for fallers The Northern Hospital Modified St Thomas's Risk Assessment Tool and Tool, determine inter-rater agreement each tool. Background. Falls key component fall prevention. Investigation clinimetric properties tool should be completed...
Women with a history of gestational diabetes mellitus (GDM) have an increased risk developing type 2 (T2DM). Regular physical activity plays important role in preventing T2DM. This study aimed to explore the perceptions among women previous GDM, context T2DM.Individual semi-structured interviews were conducted 10 GDM who had not been diagnosed Data analysed using modified grounded theory approach.Women perceived diet be significantly more for prevention T2DM than activity. They...
To determine if a programme of progressive resistance exercise, mobilisation and orientation, in addition to usual care, was superior care alone the prevention incident delirium older hospitalised patients.A randomised controlled trial.The study performed at secondary referral hospital Melbourne, Australia between May 2005 December 2007.648 consecutive medical inpatients aged 65 years or who had been for less than 48 h did not have delirium.Participants were randomly allocated twice-daily...
Abstract Sleep disordered breathing is highly prevalent following spinal cord injury and likely caused by the injury. Beyond devastating physical consequences of injury, neuropsychological dysfunction also common. In both able-bodied chronic patients, sleep impairs many areas function. However, this has not been investigated in patients with acute Study objectives: To investigate relationship between apnea severity function acute-onset tetraplegia breathing. Methods: Polysomnography testing...
The worldwide burden of diabetes is projected to be 5.4% the adult population by year 2025. Diabetes associated with multiple medical complications that both decrease health-related quality life (HR-QOL) and contribute earlier mortality. There growing evidence for effectiveness multidisciplinary disease management programs incorporate self-management principles in improving patients' long-term outcomes. aim this project was evaluate approach improving: (1) glycemic control measured HbA1c,...
Background Obstructive sleep apnoea (OSA) is highly prevalent in people with spinal cord injury (SCI). Polysomnography (PSG) the gold-standard diagnostic test for OSA, however PSG expensive and frequently inaccessible, especially SCI. A two-stage model, incorporating a questionnaire followed by oximetry, has been found to accurately detect moderate severe OSA (MS-OSA) non-disabled primary care population. This study investigated accuracy of model chronic tetraplegia using both original...
Background Evidence-based clinical practice guidelines recommend discussion by a multidisciplinary team (MDT) to review and plan the management of patients for variety cancers. However, not all diagnosed with cancer are presented at an MDT. Objectives (1) To identify factors (barriers enablers) influencing presentation to, perceived value of, MDT meetings in pancreatic and; (2) potential interventions that could overcome modifiable barriers enhance enablers using theoretical domains...
Abstract Study design Registry-based cohort study. Objectives To evaluate the impact of introduction a new bladder management model care at Victorian Spinal Cord Service (VSCS) on incidence subsequent emergency department presentations and readmissions to hospital for urinary tract infection (UTI) in first 2 years after injury. Setting VSCS, Austin Health, Melbourne, Australia. Methods A that prioritized intermittent self-catheterization was implemented VSCS 1 August 2017. Data from State...
We are undertaking a multicentre randomised controlled trial to determine the effectiveness of including sleep study (polysomnography (PSG)) assist commencement non-invasive ventilation (NIV) in people with motor neurone disease (MND): Polysomnographic titration (PSG4NIVinMND; 3-three letter acronym; 3TLA) trial. A process evaluation will be conducted alongside clinical understand: (1) implementation 3TLA intervention sites, barriers and enablers, (2) mechanisms through which produces...
ABSTRACT Introduction: Physiotherapy is integral in the care of people with spinal cord injury (SCI). However, physiotherapy management SCI potentially challenging due to low prevalence SCI, complexity presentations, and broad scope interventions. Objective: This study aimed explore barriers enablers using a clinical guideline as perceived by therapists who deliver physical therapies local healthcare settings. Method: Following dissemination, were invited participate survey. The survey...
Australia's ageing population means that there is increasing emphasis on developing innovative models of health care delivery for older adults. The assessment the most appropriate mix services and measurement their impact patient outcomes challenging. aim this evaluation was to describe related quality life (HRQoL) adults with complex needs explore relationship between HRQoL, readmission acute survival. study conducted in metropolitan Melbourne, Australia; participants were recruited from a...
Obstructive sleep apnea (OSA) is common in individuals with tetraplegia and associated adverse health outcomes. The causes of the high prevalence OSA this population are unknown, but it important to understand as standard treatments poorly tolerated tetraplegia. Nasal congestion tetraplegia, possibly because unopposed parasympathetic activity. Further, nasal obstruction can induce healthy individuals. We therefore aimed compare resistance before after topical administration a sympathomimetic...
Abstract Study Objectives Over 80% of people with tetraplegia have sleep-disordered breathing (SDB), but whether this is predominantly obstructive or central unclear. This study aimed to estimate the prevalence sleep apnea (CSA) in and contributions central, obstructive, hypopnea respiratory events SDB summary indices tetraplegia. Methods Research clinical data from 606 individuals full overnight polysomnography were collated. The proportions different event types calculated; overall for...
Highly prevalent and severe sleep-disordered breathing caused by acute cervical spinal cord injury (quadriplegia) is associated with neurocognitive dysfunction sleepiness likely to impair rehabilitation.To determine whether 3 months of autotitrating CPAP would improve function, sleepiness, quality life, anxiety depression more than usual care in quadriplegia.Multinational, randomised controlled trial (11 centres) from July 2009 October 2015. The primary outcome was (attention information...