A5008342089- Primary Care and Health Outcomes
- Mental Health Treatment and Access
- Respiratory and Cough-Related Research
- Antibiotic Use and Resistance
- Blood Pressure and Hypertension Studies
- Cardiac Health and Mental Health
- Diabetes Management and Education
- Physical Activity and Health
- Treatment of Major Depression
- Child and Adolescent Psychosocial and Emotional Development
- Obesity and Health Practices
- Cardiovascular and exercise physiology
- Health Systems, Economic Evaluations, Quality of Life
- Health Promotion and Cardiovascular Prevention
- Chronic Disease Management Strategies
- Innovations in Medical Education
- Gout, Hyperuricemia, Uric Acid
- Health, psychology, and well-being
- Obesity, Physical Activity, Diet
- Schizophrenia research and treatment
- Stroke Rehabilitation and Recovery
- Healthcare Systems and Technology
- Global Health Workforce Issues
- Streptococcal Infections and Treatments
- Clinical practice guidelines implementation
University of Auckland
2016-2025
Counties Manukau District Health Board
2012-2024
Auckland University of Technology
2015-2024
Te Whare Wānanga o Awanuiārangi
2024
Primary Health Care
2010-2022
Royal New Zealand College of General Practitioners
1997-2021
Auckland City Hospital
2016
Wellington Hospital
2016
University of Otago
2005-2016
University of Oxford
2016
<b>PURPOSE</b> Although screening for unipolar depression is controversial, it potentially an efficient way to find undetected cases and improve diagnostic acumen. Using a reference standard, we aimed validate the 2- 9-question Patient Health Questionnaires (PHQ-2 PHQ-9) in primary care settings. The PHQ-2 comprises first 2 questions of PHQ-9. <b>METHODS</b> Consecutive adult patients attending Auckland family practices completed PHQ-9, after which they Composite International Diagnostic...
Researchers increasingly use meta-analysis to synthesize the results of several studies in order estimate a common effect. When outcome variable is continuous, standard meta-analytic approaches assume that primary report sample mean and deviation outcome. However, when skewed, authors sometimes summarize data by reporting median one or both (i) minimum maximum values (ii) first third quartiles, but do not deviation. To include these meta-analysis, methods have been developed from reported...
To determine the diagnostic accuracy of two verbally asked questions for screening depression.
OBJECTIVES: The purpose of this study was to determine whether written advice from general practitioners increases physical activity among sedentary people more than verbal alone. METHODS: Sedentary patients (n = 456) received on increasing and were then randomized an exercise prescription (green prescription) group or a group. RESULTS: number engaging in any recreational at 6 weeks increased substantially, but significantly so the green Also, participants their over period. CONCLUSIONS: A...
<h3>Abstract</h3> <b>Objective</b> To determine the validity of two written screening questions for depression with addition a question inquiring if help is needed. <b>Design</b>Cross sectional validation study. <b>Setting</b> 19 general practitioners in six clinics New Zealand. <b>Participants</b> 1025 consecutive patients receiving no psychotropic drugs. <b>Main outcome measures</b> Sensitivity, specificity, and likelihood ratios questions, question, combinations diagnosis by...
To establish the effectiveness of Green Prescription physical activity counseling program in increasing and quality life older community-dwelling people.Post hoc subgroup analysis a large cluster randomized, controlled trial.One hundred seventeen doctors 42 primary care practices (74% participation rate) Waikato region New Zealand.Two seventy sedentary healthcare patients aged 65 (67% rate).Patients intervention prompted their or practice nurse to deliver brief counseling. A "Green...
Abstract Background Optimized perioperative care within an enhanced recovery after surgery (ERAS) protocol is designed to reduce morbidity surgery, resulting in a shorter hospital stay. The present study evaluated this approach the context of sleeve gastrectomy for patients with morbid obesity. Methods Patients were allocated according bariatric ERAS or control group that received standard care. These groups also compared historical who underwent laparoscopic at same institution between 2006...
Previous small studies in Aotearoa New Zealand have indicated a high prevalence of gout. This study sought to determine the gout entire population using national-level health data sets.We used hospitalization and drug dispensing claims for allopurinol colchicine from Health Tracker (ANZHT) estimate 2009, stratified by age, gender, ethnicity socio-economic status (n = 4 295 296).were compared with those obtained an independent large primary care set (HealthStat, n 555 313). Results. The...
<b>Objective</b> To evaluate whether provision of fixed dose combination treatment improves adherence and risk factor control compared with usual care patients at high cardiovascular disease in primary care. <b>Design</b> Open label randomised trial: IMPACT (IMProving Adherence using Combination Therapy). <b>Setting</b> 54 general practices the Auckland Waikato regions New Zealand, July 2010 to August 2013. <b>Participants</b> 513 adults (including 257 indigenous Māori) (established or five...
Anxiety is a common mental health disorder in primary care, with higher prevalence among women compared to men.This the first study validate Generalised Disorder-7 questionnaire (GAD-7) as case-finding instrument for anxiety care setting Malaysia. The objective was determine diagnostic accuracy of Malay version GAD-7 detecting women.This cross-sectional conducted government-funded clinic Consecutive participants attending during data collection were given self-administered questionnaires...
Cannabidiol (CBD) is the non-euphoriant component of cannabis. In 2017, New Zealand Misuse Drugs Regulations (1977) were amended, allowing doctors to prescribe CBD. Therapeutic benefit and tolerability CBD remains unclear.To review changes in self-reported quality life measurements, drug tolerability, dose-dependent relationships patients prescribed oil for various conditions at a single institution.An audit including all (n = 400) presenting Cannabis Care, Zealand, between 7 December 2017...