2024 |
Magin P, Ralston A, Fielding A, Holliday E, Tran M, Tapley A, et al., 'Prediction of general practice licensure/certification examination performance by a measure of 'questionable' activities in clinical practice: a retrospective cohort study', POSTGRADUATE MEDICAL JOURNAL, [C1]
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2023 |
Fisher K, Tapley A, Ralston A, Davey A, Fielding A, van Driel M, et al., 'General practice trainees' telehealth use during the COVID-19 pandemic: a cross-sectional study.', Fam Pract, 40 638-647 (2023) [C1]
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2023 |
Moller C, van Driel M, Davey A, Tapley A, Holliday EG, Fielding A, et al., 'Influenza presentations and use of neuraminidase inhibitors by Australian general practice registrars: a cross-sectional analysis from the ReCEnT study.', Fam Med Community Health, 11 (2023) [C1]
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2023 |
Bentley M, Taylor J, Fielding A, Davey A, Moad D, van Driel M, et al., 'Exploring how a patient encounter tracking and learning tool is used within general practice training: a qualitative study', Journal of Primary Health Care, (2023) [C1]
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2023 |
Magin P, Paulson A, O'Brien C, Patsan I, Fielding A, van Driel M, Klein L, 'Educational models, participant experience and outcomes of a diploma course in practice management for Aboriginal Medical Services: a qualitative study', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 29 349-357 (2023) [C1]
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2023 |
Morgan T, Ralston A, Davey A, Holliday EG, Nelson M, Fielding A, et al., 'Absolute cardiovascular risk assessment by Australian early-career general practitioners: a cross-sectional study.', Fam Med Community Health, 11 (2023) [C1]
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2023 |
Jackson JK, Grady A, Lecathelinais C, Fielding A, Yoong SL, 'Parent-reported compared with researcher-measured child height and weight: impact on body mass index classification in Australian pre-school aged children.', Health Promot J Austr, 34 742-749 (2023) [C1]
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2023 |
Ralston A, Fielding A, Holliday E, Ball J, Tapley A, van Driel M, et al., ''Low-value' clinical care in general practice: a cross-sectional analysis of low-value care in early-career GPs' practice.', Int J Qual Health Care, 35 0 (2023) [C1]
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2023 |
Patsan I, Tapley A, Davoren P, Fielding A, Holliday E, Ball J, et al., 'Temporal trends in, and associations of, early-career general practitioner prescriptions of second-line Type 2 Diabetes medications, 2010-2018.', PLoS One, 18 e0280668 (2023) [C1]
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2023 |
Klein L, Bentley M, Moad D, Fielding A, Tapley A, van Driel M, et al., 'Perceptions of the effectiveness of using patient encounter data as an education and reflection tool in general practice training', Journal of Primary Health Care, (2023) [C1]
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2023 |
Fisher K, Tapley A, Ralston A, Davey A, Fielding A, van Driel M, et al., 'Video versus telephone for telehealth delivery: a cross-sectional study of Australian general practice trainees', Family Practice, [C1]
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2023 |
Wild K, Tapley A, Fielding A, Holliday E, Ball J, Horton G, et al., 'Climate change and Australian general practice vocational education: a cross-sectional study', FAMILY PRACTICE, 40 435-441 (2023) [C1]
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2023 |
Turnock A, Fielding A, Moad D, Tapley A, Davey A, Holliday E, et al., 'The prevalence and associations of Australian early-career general practitioners' provision of after-hours care.', Aust J Rural Health, 31 906-913 (2023) [C1]
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2023 |
Fisher K, Fielding A, Ralston A, Holliday E, Ball J, Tran M, et al., 'Exam prediction and the general Practice Registrar Competency Assessment Grid (GPR-CAG).', Educ Prim Care, 34 268-276 (2023) [C1]
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2023 |
Tran M, Wearne S, Fielding A, Moad D, Tapley A, Holliday E, et al., 'Early-career general practitioners' perceptions of the utility of vocational training for subsequent independent practice.', Educ Prim Care, 34 74-82 (2023) [C1]
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2023 |
Bentley M, Ralston A, Clarke L, Davey A, Holliday E, Fielding A, et al., 'General practice registrars training part-time: a cross-sectional analysis of prevalence and associations.', Educ Prim Care, 34 244-253 (2023) [C1]
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2023 |
Turner A, van Driel ML, Mitchell BL, Davis JS, Fielding A, Davey A, et al., 'Temporal patterns of antibiotic prescribing for sore throat, otitis media, and sinusitis: a longitudinal study of general practitioner registrars.', Fam Pract, (2023) [C1]
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2023 |
Sturman N, Tapley A, Holliday E, Fielding A, Davey A, Van Driel M, et al., 'Utilisation of in-consultation supervisor assistance in general practice training and personal cost to trainees: a cross-sectional study', JOURNAL OF PRIMARY HEALTH CARE, [C1]
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2022 |
Moad D, Fielding A, Tapley A, van Driel ML, Holliday EG, Ball JI, et al., 'Socioeconomic disadvantage and the practice location of recently Fellowed Australian GPs: a cross-sectional analysis', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 28 104-109 (2022) [C1]
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2022 |
Bentley M, FitzGerald K, Fielding A, Moad D, Tapley A, Davey A, et al., 'Provision of other medical work by Australian early-career general practitioners: a cross-sectional study', JOURNAL OF PRIMARY HEALTH CARE, 14 333-337 (2022) [C1]
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2022 |
Bentley M, FitzGerald K, Fielding A, Moad D, Tapley A, van Driel ML, et al., 'Cross-sectional analysis of the clinical work hours of early-career general practitioners.', Australian journal of general practice, 51 971-976 (2022) [C1]
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2022 |
Magin P, Ralston A, Tapley A, Holliday E, Ball J, van Driel ML, et al., ''Low-value' clinical care in general practice: associations of low value care in GP trainees' practice, including formative and summative examination performance - protocol for cross-sectional and retrospective cohort study analyses using the QUestionable In Training Clinical Activities (QUIT-CA) index', BMJ OPEN, 12 (2022)
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2022 |
Davey A, Tapley A, van Driel M, Holliday E, Fielding A, Ball J, et al., 'The Registrar Clinical Encounters in Training (ReCEnT) cohort study: updated protocol', BMC PRIMARY CARE, 23 (2022)
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2022 |
Baillie EJ, Merlo G, Magin P, Tapley A, Mulquiney KJ, Davis JS, et al., 'Antibiotic prescribing for upper respiratory tract infections and acute bronchitis: a longitudinal analysis of general practitioner trainees', FAMILY PRACTICE, 39 1063-1069 (2022) [C1]
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2022 |
Morgan T, Tapley A, Davey A, Holliday E, Fielding A, van Driel M, et al., 'Influence of rurality on general practitioner registrars' participation in their practice's after-hours roster: A cross-sectional study', AUSTRALIAN JOURNAL OF RURAL HEALTH, 30 343-351 (2022) [C1]
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2022 |
Fielding A, Moad D, Tapley A, Davey A, Holliday E, Ball J, et al., 'Prevalence and associations of rural practice location in early-career general practitioners in Australia: a cross-sectional analysis', BMJ OPEN, 12 (2022) [C1]
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2022 |
Tran M, Wearne S, Tapley A, Fielding A, Davey A, van Driel M, et al., 'Transitions in general practice training: quantifying epidemiological variation in trainees' experiences and clinical behaviours', BMC MEDICAL EDUCATION, 22 (2022) [C1]
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2022 |
Moad D, Tapley A, Fielding A, van Driel ML, Holliday EG, Ball J, et al., 'Socioeconomic status of practice location and Australian GP registrars' training: a cross-sectional analysis', BMC MEDICAL EDUCATION, 22 (2022) [C1]
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2021 |
Cherry MD, Tapley A, Quain D, Holliday EG, Ball J, Davey A, et al., 'Antibiotic prescribing patterns of general practice registrars for infective conjunctivitis: A cross-sectional analysis', Journal of Primary Health Care, 13 5-14 (2021) [C1]
ABSTRACT: INTRODUCTION: Over-prescription of antibiotics for common infective conditions is an important health issue. Infective conjunctivitis represents one of the most common e... [more]
ABSTRACT: INTRODUCTION: Over-prescription of antibiotics for common infective conditions is an important health issue. Infective conjunctivitis represents one of the most common eye-related complaints in general practice. Despite its self-limiting nature, there is evidence of frequent general practitioner (GP) antibiotic prescribing for this condition, which is inconsistent with evidence-based guidelines. AIM: To investigate the prevalence and associations of GP registrars' (trainees') prescription of antibiotics for infective conjunctivitis. METHODS: We performed a cross-sectional analysis of the Registrar Encounters in Clinical Training (ReCEnT) ongoing prospective cohort study, which documents GP registrars' clinical consultations (involving collection of information from 60 consecutive consultations, at three points during registrar training). The outcome of the analyses was antibiotic prescription for a new diagnosis of conjunctivitis. Patient, registrar, practice and consultation variables were included in uni- and multivariable logistic regression analyses to test associations of these prescriptions. RESULTS: In total, 2333 registrars participated in 18 data collection rounds from 2010 to 2018. There were 1580 new cases of infective conjunctivitis (0.31% of all problems). Antibiotics (mainly topical) were prescribed in 1170 (74%) of these cases. Variables associated with antibiotic prescription included patients' Aboriginal or Torres Strait Islander status, registrar organisation of a follow up (both registrar and other GP follow up), and earlier registrar training term (more junior status). DISCUSSION: GP registrars, like established GPs, prescribe antibiotics for conjunctivitis in excess of guideline recommendations, but prescribing rates are lower in later training. These prescribing patterns have educational, social and economic consequences. Further educational strategies may enhance attenuation of registrars' prescribing during training.
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2021 |
Willems A, Tapley A, Fielding A, Tng V, Holliday EG, van Driel ML, et al., 'General Practice Registrars' Management of and Specialist Referral Patterns for Atopic Dermatitis', DERMATOLOGY PRACTICAL & CONCEPTUAL, 11 (2021) [C1]
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2021 |
Davey A, Tapley A, Mulquiney KJ, van Driel M, Fielding A, Holliday E, et al., 'Immediate and delayed antibiotic prescribing strategies used by Australian early-career GPs: a cross-sectional analysis', BRITISH JOURNAL OF GENERAL PRACTICE, 71 E895-E903 (2021) [C1]
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2021 |
Nawaz S, Tapley A, Davey AR, van Driel ML, Fielding A, Holliday EG, et al., 'Management of a Chronic Skin Disease in Primary Care: An Analysis of Early-Career Genera Practitioners' Consultations Involving Psoriasis', DERMATOLOGY PRACTICAL & CONCEPTUAL, 11 (2021) [C1]
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2021 |
Willems A, Tapley A, Fielding A, Tng ETV, Holliday EG, van Driel ML, et al., 'Prevalence and Associations of General Practice Registrars' Management of Atopic Dermatitis: A Cross-Sectional Analysis from the Registrar Clinical Encounters in Training Study', DERMATOLOGY PRACTICAL & CONCEPTUAL, 11 (2021) [C1]
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2021 |
Ledger J, Tapley A, Levi C, Davey A, Van Driel M, Holliday EG, et al., 'Specificity of early-career general practitioners' problem formulations in patients presenting with dizziness: A cross-sectional analysis', Family Medicine and Community Health, 9 (2021) [C1]
Objectives Dizziness is a common and challenging clinical presentation in general practice. Failure to determine specific aetiologies can lead to significant morbidity and mortali... [more]
Objectives Dizziness is a common and challenging clinical presentation in general practice. Failure to determine specific aetiologies can lead to significant morbidity and mortality. We aimed to establish frequency and associations of general practitioner (GP) trainees' (registrars') specific vertigo provisional diagnoses and their non-specific symptomatic problem formulations. Design A cross-sectional analysis of Registrar Clinical Encounters in Training (ReCEnT) cohort study data between 2010 and 2018. ReCEnT is an ongoing, prospective cohort study of registrars in general practice training in Australia. Data collection occurs once every 6 months midtraining term (for three terms) and entails recording details of 60 consecutive clinical consultations on hardcopy case report forms. The outcome factor was whether dizziness-related or vertigo-related presentations resulted in a specific vertigo provisional diagnosis versus a non-specific symptomatic problem formulation. Associations with patient, practice, registrar and consultation independent variables were assessed by univariate and multivariable logistic regression. Setting Australian general practice training programme. The training is regionalised and delivered by regional training providers (RTPs) (2010-2015) and regional training organisations (RTOs) (2016-2018) across Australia (from five states and one territory). Participants All general practice registrars enrolled with participating RTPs or RTOs undertaking GP training terms. Results 2333 registrars (96% response rate) recorded 1734 new problems related to dizziness or vertigo. Of these, 546 (31.5%) involved a specific vertigo diagnosis and 1188 (68.5%) a non-specific symptom diagnosis. Variables associated with a non-specific symptom diagnosis on multivariable analysis were lower socioeconomic status of the practice location (OR 0.94 for each decile of disadvantage, 95% CIs 0.90 to 0.98) and longer consultation duration (OR 1.02, 95% CIs 1.00 to 1.04). A specific vertigo diagnosis was associated with performing a procedure (OR 0.52, 95% CIs 0.27 to 1.00), with some evidence for seeking information from a supervisor being associated with a non-specific symptom diagnosis (OR 1.39, 95% CIs 0.92 to 2.09; p=0.12). Conclusions Australian GP registrars see dizzy patients as frequently as established GPs. The frequency and associations of a non-specific diagnosis are consistent with the acknowledged difficulty of making diagnoses in vertigo/dizziness presentations. Continuing emphasis on this area in GP training and encouragement of supervisor involvement in registrars' diagnostic processes is indicated.
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2021 |
Fielding A, Mundy BE, Tapley A, Klein L, Gani S, Bentley M, et al., 'Study protocol: content and perceived educational utility of different modalities of clinical teaching visit (CTV) workplace-based assessments within Australian general practice vocational training: a cross-sectional study', BMJ OPEN, 11 (2021)
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2020 |
Davey A, Tapley A, Mulquiney K, van Driel M, Fielding A, Holliday E, et al., 'Management of urinary tract infection by early-career general practitioners in Australia', Journal of Evaluation in Clinical Practice, 26 1703-1710 (2020) [C1]
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2020 |
Grady A, Fielding A, Golley RK, Finch M, Hendrie GA, Burrows T, et al., 'Adaptation, acceptability and feasibility of a Short Food Survey to assess the dietary intake of children during attendance at childcare', Public Health Nutrition, 23 1484-1494 (2020) [C1]
Objective: To (i) describe the adaptation of the Short Food Survey (SFS) for assessing the dietary intake of children (2-5 years) during attendance at Early Childhood Education an... [more]
Objective: To (i) describe the adaptation of the Short Food Survey (SFS) for assessing the dietary intake of children (2-5 years) during attendance at Early Childhood Education and Care (SFS-ECEC); (ii) determine the acceptability and feasibility of the SFS-ECEC; and (iii) compare the SFS-ECEC to direct observations for assessing dietary intake of children in care.Design: The adapted forty-seven-item SFS-ECEC was completed by childcare educators to capture individual child's usual intake over the past month. Acceptability and feasibility were assessed via educator self-report and completion rates. Mean servings of food groups consumed in accordance with dietary guidelines reported in the SFS-ECEC were compared to those obtained by a single-day direct observation via visual estimation conducted by trained personnel. Mean differences, intra-class correlations, Bland-Altman plots, percentage agreement and Cohen's ¿ were examined.Setting: Early Childhood Education and Care, NSW, Australia.Participants: Educators and children.Results: 213 (98·61 %) SFS-ECECs were returned. Acceptability was high with 86·54 % of educators reporting the tool as easy to understand. Mean differences in servings of food groups between the SFS-ECEC and direct observation were statistically significantly different for five out of six foods and ranged 0·08-1·07, with intra-class correlations ranging 0·00-0·21. Agreement between the methods in the classification of children meeting or not meeting dietary guidelines ranged 42·78-93·01 %, with Cohen's ¿ ranging -0·03 to 0·14.Conclusions: The SFS-ECEC is acceptable and feasible for completion by childcare educators. While tool refinement and further validation is warranted, small mean differences suggest the tool may be useful in estimating group-level intakes.
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2020 |
Sturman NJ, Tapley A, van Driel ML, Holliday EG, Ball J, Davey AR, et al., 'Configurations for obtaining in-consultation assistance from supervisors in general practice training, and patient-related barriers to trainee help-seeking: a survey study', BMC MEDICAL EDUCATION, 20 (2020) [C1]
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2020 |
FitzGerald K, Bentley M, Fielding A, Moad D, Tapley AM, Turnock A, et al., 'Provision of registrar or undergraduate supervision in rural general practice by early-career general practitioners', AUSTRALIAN JOURNAL OF RURAL HEALTH, 28 620-622 (2020)
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2019 |
Fielding A, Mulquiney K, Canalese R, Tapley A, Holliday E, Ball J, et al., 'A general practice workplace-based assessment instrument: Content and construct validity', MEDICAL TEACHER, 42 204-212 (2019) [C1]
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2019 |
Magin P, Moad D, Tapley A, Holliday L, Davey A, Spike N, et al., 'New alumni EXperiences of Training and independent Unsupervised Practice (NEXT-UP): protocol for a cross-sectional study of early career general practitioners', BMJ OPEN, 9 (2019)
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2019 |
Tranter I, Magin P, Tapley A, Holliday E, Davey AR, Fielding A, et al., 'Immunising older Australians
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2018 |
Grady A, Seward K, Finch M, Fielding A, Stacey F, Jones J, et al., 'Barriers and Enablers to Implementation of Dietary Guidelines in Early Childhood Education Centers in Australia: Application of the Theoretical Domains Framework.', Journal of nutrition education and behavior, 50 229-237.e1 (2018) [C1]
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2017 |
Wolfenden L, Nathan NK, Sutherland R, Yoong SL, Hodder RK, Wyse RJ, et al., 'Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2017) [C1]
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2017 |
Yoong SL, Grady A, Wiggers J, Flood V, Rissel C, Finch M, et al., 'A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol', BMJ OPEN, 7 (2017)
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2017 |
Jones J, Wyse R, Wiggers J, Yoong SL, Finch M, Lecathelinais C, et al., 'Dietary intake and physical activity levels of children attending Australian childcare services.', Nutr Diet, 74 446-453 (2017) [C1]
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2016 |
Clinton-McHarg T, Yoong SL, Tzelepis F, Regan T, Fielding A, Skelton E, et al., 'Psychometric properties of implementation measures for public health and community settings and mapping of constructs against the Consolidated Framework for Implementation Research: a systematic review', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2016 |
Yoong SL, Jones J, Marshall J, Wiggers J, Seward K, Finch M, et al., 'A theory-based evaluation of a dissemination intervention to improve childcare cooks' intentions to implement nutritional guidelines on their menus', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2015 |
Jones J, Wyse R, Finch M, Lecathelinais C, Wiggers J, Marshall J, et al., 'Effectiveness of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services: a randomised controlled trial', IMPLEMENTATION SCIENCE, 10 (2015) [C1]
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2015 |
Finch M, Yoong SL, Thomson RJ, Seward K, Cooney M, Jones J, et al., 'A pragmatic randomised controlled trial of an implementation intervention to increase healthy eating and physical activity-promoting policies, and practices in centre-based childcare services: Study protocol', BMJ Open, 5 (2015) [C3]
Background: Promotion of healthy eating and physical activity in early childhood is recommended as a global chronic disease prevention strategy. Centre-based childcare services re... [more]
Background: Promotion of healthy eating and physical activity in early childhood is recommended as a global chronic disease prevention strategy. Centre-based childcare services represent a promising setting to provide children with opportunities to improve healthy eating and physical activity. Evidence to inform implementation of childcare obesity prevention guidelines into routine practice in childcare, however, is lacking. This study aims to assess the effectiveness of an intervention, delivered to childcare staff, aiming to increasing service implementation of healthy eating and physical activity-promoting policies and practices. Methods and analysis: A pragmatic parallel group randomised controlled trial will be undertaken with 165 childcare services in the Hunter New England region of New South Wales, Australia. Services will be randomised to receive either a 10-month evidence-based performance review intervention with other resources to support practice change, or to a waitlist control group. The primary trial outcome is the proportion of services implementing all of the following recommended healthy eating and physical activity promoting practices: written nutrition, physical activity and small screen recreation policies; providing information to families regarding healthy eating (including breastfeeding), physical activity and small screen time; providing twice weekly healthy eating learning experiences to children; providing water and only plain milk to children; providing fundamental movement skills activities for children every day; and limiting and using electronic screen time more for educational purposes and learning experiences. Effectiveness will be assessed using a telephone interview of practice implementation with childcare staff at baseline and 12 months following baseline. Ethics and dissemination: The study was approved by the Hunter New England Human Research Ethics Committee and the University of Newcastle Human Research Ethics Committee. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. Trial registration number: Australian New Zealand Clinical Trials Registry ACTRN12614000972628.
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2013 |
Fielding AA, Warren-Forward H, Baines SK, 'A snapshot of eating behavior, food tolerance, and dietary intake after laparoscopic adjustable gastric banding', Bariatric Surgical Patient Care, 8 99-107 (2013) [C1]
Background: This study aimed to describe eating behaviors, food tolerance, and dietary intake after laparoscopic adjustable gastric banding (LAGB); explore associations between th... [more]
Background: This study aimed to describe eating behaviors, food tolerance, and dietary intake after laparoscopic adjustable gastric banding (LAGB); explore associations between these variables; and examine the relationship between diet-related factors and percentage weight loss and quality of life after surgery. Methods: A cross-sectional survey was mailed to subjects who had previously undergone LAGB in Newcastle, Australia. Results: Sixty-seven subjects responded (55 females; mean age 49±11.5 years; postoperative body mass index [BMI] 34.5±5.4 kg/m2). Reported average weight loss since surgery was 20.5±9.2% (26.6±13.0 kg). Restraint (including flexible and rigid control) and disinhibition were higher than community norms and hunger trended toward being lower. The majority of respondents rated their eating ability as good (n=27, 40.3%) or excellent (n=15, 22.4%). Median reported energy intake was 4,833 kJ (3,823-5,961) per day. Protein and fat intake as a percentage of daily energy intake was within acceptable distribution ranges, although saturated fat intake exceeded recommendations. Fiber and several micronutrients were below estimated average requirements. BMI at time of surgery and satisfaction with eating ability were significantly associated with reported weight loss after surgery (adjusted R2=0.32, p<0.001), and satisfaction with eating ability and rigid control were significantly associated with physical well-being (adjusted R2=0.19, p=0.001). Conclusions: This study highlights that potential remains to improve aspects of eating behavior, food tolerance, and diet quality in some individuals who have undergone LAGB, and endorses the need for further development of multifactorial interventions to help optimize a range of diet-related factors after LAGB. © 2013 Mary Ann Liebert, Inc.
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2012 |
Dodsworth AA, Warren-Forward H, Baines SK, 'Feasibility of a protein-enriched diet after laparoscopic adjustable gastric banding: Results from a pilot intervention', e-SPEN Journal, 7 e57-e63 (2012) [C1]
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2011 |
Dodsworth AA, Warren-Forward H, Baines SK, 'A systematic review of dietary intake after laparoscopic adjustable gastric banding', Journal of Human Nutrition and Dietetics, 24 327-341 (2011) [C1]
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2010 |
Dodsworth AA, Warren-Forward H, Baines SK, 'Changes in eating behavior after laparoscopic adjustable gastric banding: A systematic review of the literature', Obesity Surgery, 20 1579-1593 (2010) [C1]
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