EditCareer Summary
Biography
A/Prof Paul is a research-only academic with the Health Behaviour Research group, part of the Priority Research Centre for Health Behaviour and Hunter Medical Research Institute.
A/Prof Christine Paul is a behavioural scientist with considerable experience in the development and evaluation of strategies for achieving behavioural change on an individual, system and population level across preventive health issues and provision of patient care. Much of her early work was focused on cancer prevention and tobacco control, with an emphasis on the dissemination and adoption of effective behaviour change strategies. She retains a strong interest in cancer prevention and control, with a growing research portfolio relating to each of social disadvantage, chronic disease and health service delivery. Recent work involves applying behavioural approaches to challenges to large multi-site intervention studies in the fields of diabetes care, stroke treatment with and improving health among disadvantaged groups including Aboriginal and Torres Strait Islander peoples.
Qualifications
- PhD, University of Newcastle, 13/10/1995
Research
Research keywords
- Indigenous health
- access to care
- cancer prevention
- cancer services
- diabetes
- health behaviour
- health services
- patient care
- public health
- social disadvantage
- solar protection
- stroke
- tobacco control
Research expertise
A/Prof Christine Paul is a behavioural scientist with considerable experience in the development and evaluation of strategies for achieving behavioural change on an individual, system and population level across preventive health issues and provision of patient care. Much of A/Prof Paul’s work has been focused on cancer prevention and tobacco control, with an emphasis on the dissemination and adoption of effective behaviour change strategies. Recent work involves applying behavioural approaches to challenges to large multi-site intervention studies in the fields of diabetes care, stroke treatment and improving health among disadvantaged groups.
In 2004, A/Prof Paul was awarded the prestigious National Heart Foundation Rudolf Gerstl Research Award for her proposal of a randomised controlled trial of the telemarketing of telephone support for smokers. This study has now been completed, with a number of related publications and presentations giving rise to both academic and public sector interest in this innovative approach to addressing behaviour change at a population level.
Research Translation: A series of bi-ennial state-wide community surveys on cancer-related issues which were used to successfully advocate for legislative changes in NSW such as bans on smoking in public places, bans on smoking in cars and the licensing of tobacco retailers. A large randomised controlled trial which demonstrated the cost-effectiveness of a ‘cold calling’ approach to recruiting smokers to cessation support. Publication of the trial results in 2009 has resulted in consideration of the approach by national and international Quitline operators. A quasi-experimental study of organisational change strategies for improving hospital-based smoking care has been used as a model for improving smoking care in hospitals. An exploration of solarium operations via simulated customers which was the first rigorous work demonstrating poor compliance with standards, followed by a later study showing no improvement in practices over time. This was one of several keys to successful efforts to regulate the solarium industry. Conducting applied research which is both relevant to practice and policy is one of the hallmarks of A/Prof Paul’s work to date.
Research Training: A/Prof Paul places a strong emphasis on training research higher degree students, with a number of her students being awarded postdoctoral fellowships and research awards. AProf Paul has also been nominated for and received awards for RHD student supervision.
Fields of Research
| Code | Description | Percentage |
|---|
| 111700 | Public Health And Health Services | 55 |
| 111299 | Oncology And Carcinogenesis Not Elsewhere Classified | 30 |
| 110399 | Clinical Sciences Not Elsewhere Classified | 15 |
Memberships
Committee/Associations (relevant to research).
- provide research expertise & advice - Member, NSW Solaria Compliance Working Group
- Provide research expertise - NSW Cancer Council Tobacco Retailer Strategy Committee
- Provide direction & advice on implentation of skin cancer research funding - The Cancer Council NSW/University of Wollongong Skin Cancer Reference Group
- provide advice and research direction on cancer component of NSW study cohort - The Sax Institute-NSW 45 & up study cancer group
- advise on NSW tobacco evaluation framework - Tobacco Research and Evaluation Committee, NSW Department of Health
Appointments
Director Robert Paul Jewellery (Australia) | 01/01/1991 |
Consultant National Breast Cancer Centre (Australia) | 01/01/1995 - 01/12/1998 |
Senior Research Academic Centre for Health Research & Psycho-oncology (Australia) | 01/11/1999 |
Consultant Sax Insitute (Australia) | 01/01/2003 - 01/12/2004 |
Acting Director Centre for Health Research & Psycho-oncology (Australia) | 01/04/2003 - 01/06/2003 |
Awards
Research Award.
| 2004 | Rudolf Gerstl Research Award National Heart Foundation (Australia) The Rudolf Gerstl Research Award is granted by the National Heart Foundation for outstanding research design. |
|---|
| 1991 | Commonwealth Postgraduate Research Award University of Newcastle (Australia) Academic Excellence |
|---|
Collaboration
AProf Paul is a strong collaborator with a long history of research projects in common with researchers across a range of disciplines.
Teaching
Teaching keywords
- behavioural science
- cancer prevention
- communication skills
- health promotion
- interactional skills
- public health
Teaching expertise
A/Prof Paul has written courses and curricula including the Cancer Control module of the Master of Public Health, RACOG Behavioural Medicine Unit and Interactional Skills for undergaduate students in the Faculty of Health. She continues to teach interactional skills and cancer control. Teaching of postgraduate research students continues to be a major focus of her work.
EditGrants and Funding
Summary
| Number of grants | 57 |
|---|
| Total funding | $7,870,700 |
|---|
For project grants received where the lead institution is other than the University of Newcastle, details are shown in italics.
- Indicates that the researcher may be seeking students for this project.
Click on a grant title below to expand the full details for that specific grant.
2013 (4 grants)
A randomised controlled trial of online versus telephone-based information and support: Can electronic platforms deliver effective care for lung cancer patients?$175,000
Funding Body: Cancer Council NSW
Cost-effectiveness of a systems change intervention for smoking cessation in drug and alcohol treatment centres$75,519
Funding Body: Cancer Council NSW
The Quit-STAIR: A randomised controlled trial of a proactive stepped approach for maximising uptake of evidence-based smoking cessation support$50,000
Funding Body: Hunter Medical Research Institute
The Quit-STAIR: A randomised controlled trial of a proactive stepped approach for maximising uptake of evidence-based smoking cessation support$50,000
Funding Body: University of Newcastle
2012 (6 grants)
A randomised controlled trial of online versus telephone-based information and support: Can electronic platforms deliver effective care for lung cancer patients?$321,251
Funding Body: NHMRC (National Health & Medical Research Council)
Multiple substance use, mental health and other health risk behaviours among patients of Aboriginal Medical Services: Patient priorities for change and preferences for models of support$39,324
Funding Body: NSW Ministry of Health
Which anti-smoking media campaign best predicts perceived effectiveness among socioeconomically disadvantaged smokers? An experimental study$23,548
Funding Body: Hunter Medical Research Institute
Evaluating the acceptability of a web-based approach to improve knowledge transfer to general practice regarding care for sleep disorders $18,000
Funding Body: Sleep Health Foundation
Improving cancer care for lymphoma: patients' perceptions of optimal care$14,207
Funding Body: Hunter Medical Research Institute
Population Health Methods and Challenges, International Conference Centre, Birmingham, UK, 24 - 26 April 2012$2,000
Funding Body: University of Newcastle - Faculty of Health
2011 (5 grants)
A cluster randomised trial to test a systems based collaborative for type 2 diabetes among Indigenous Australians$542,240
Funding Body: NHMRC (National Health & Medical Research Council)
The role of individual patient, social support and treatment centre variables in the psychosocial outcomes of cancer patients$494,604
Funding Body: NHMRC (National Health & Medical Research Council)
Type 2 Diabetes among Indigenous Australians Project$45,000
Funding Body: Baker IDI
Acceptability and feasibility of providing feedback to ACCHO patients and their GPs about patients' risky alcohol, tobacco and drug use.$34,490
Funding Body: NSW Ministry of Health
Oceania Tobacco Control Conference, Brisbane Convention & Exhibition Centre, 17 - 20 September 2011$678
Funding Body: University of Newcastle - Faculty of Health
2010 (7 grants)
Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice. A cluster randomised controlled trial in acute stroke care$772,950
Funding Body: NHMRC (National Health & Medical Research Council)
RCT of a client-centred, caseworker-delivered smoking cessation intervention for a socially disadvantaged population$423,200
Funding Body: NHMRC (National Health & Medical Research Council)
Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice. A cluster randomised controlled trial in acute stroke care $50,000
Funding Body: Victorian Department of Health
Implementation of thrombolytic therapy in acute stroke. A cluster randomised trial$30,000
Funding Body: BellBerry Limited
Delay in seeking treatment for symptoms of bowel cancer: a community survey of self-reported delay timeframes and triggers for seeking treatment among those aged 55+$21,485
Funding Body: Hunter Children`s Research Foundation
Providing accessible support for the support persons of people with haematological cancers$7,500
Funding Body: Psycho-Oncology Co-operative Research Group
12th Annual Meeting of the SRNT Europe, University of Bath, 6 - 9 September 2010$2,000
Funding Body: University of Newcastle - Faculty of Health
2009 (6 grants)
Effectiveness of continuing medical education and feedback in altering diabetes outcomes at a population level. A RCT$717,940
Funding Body: NHMRC (National Health & Medical Research Council)
Blood cancer survivors and support persons: A national survey of rural/urban unmet needs and psychological disturbance$518,838
Funding Body: Cancer Australia
Health Behaviour Research Centre (HBRC)$267,361
Funding Body: University of Newcastle
| Project Team |
|---|
| Laureate Professor Robert Sanson-Fisher, Conjoint Professor Afaf Girgis, Professor John Wiggers, Conjoint Professor Alison Jones, Conjoint Professor David Durrheim, Associate Professor Christine Paul, Associate Professor Erica James, Associate Professor Billie Bonevski, Conjoint Associate Professor Colin Bell, Doctor Allison Boyes, Professor Kypros Kypri, Professor Catherine d'Este, Professor John Attia, Doctor Luke Wolfenden, Doctor Frank Tuyl, Ms Lyn Francis, Ms Megan Freund, Dr Claire Johnson, Doctor Josephine Gwynn, Associate Professor Jennifer Bowman, Doctor Suzanne Outram, Doctor Marita Lynagh, Doctor Natalie Johnson, Doctor Conor Gilligan, Conjoint Professor David Sibbritt, Doctor Edouard Tursan D'Espaignet, Doctor Libby Campbell |
| Scheme | Role |
|---|
| Priority Research Centre | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $267,361 | 2009 | 2012 |
| GNo:G0189877 |
The acceptability and effectiveness of a system based approach to reducing CV risk, including depression and lifestyle risk factors in rural and remote general practices. A RCT.$189,422
Funding Body: National Heart Foundation of Australia
Tackling Tobacco: An exploration of methods to reduce smoking in socially disadvantaged populations$55,305
Funding Body: Cancer Institute NSW
Testing the acceptability of a system-oriented intervention, involving touch screen computers, for reducing cancer risk status among general practice patients$49,970
Funding Body: Cancer Institute NSW
2008 (4 grants)
Action research for tackling tobacco in community based social services$75,988
Funding Body: Cancer Council NSW
Assessing the value and usefulness of a cancer-registry based systematic approach to advising first degree relatives of colorectal cancer patients about their risks and need for screening$64,000
Funding Body: Australian Rotary Health
Upgrade of computer equipment for the computer assisted telephone generalised electronic system$25,000
Funding Body: NHMRC (National Health & Medical Research Council)
| Project Team |
|---|
| Professor John Wiggers, Conjoint Professor Afaf Girgis, Conjoint Professor David Durrheim, Associate Professor Jennifer Bowman, Conjoint Associate Professor Colin Bell, Associate Professor Christine Paul, Conjoint Associate Professor Raoul Walsh, Dr Edouard Tursan D'Espaignet, Ms Lyn Francis, Doctor Frank Tuyl, Associate Professor Erica James, Doctor Allison Boyes, Doctor Luke Wolfenden, Doctor Libby Campbell |
| Scheme | Role |
|---|
| Equipment Grant | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $25,000 | 2008 | 2008 |
| GNo:G0188548 |
Tackling tobacco in community based social services: a pilot study$8,487
Funding Body: University of Newcastle
2007 (4 grants)
Understanding pro-smoking environments in relation to social disadvantage$91,888
Funding Body: Cancer Council NSW
| Project Team |
|---|
| Associate Professor Christine Paul, Conjoint Associate Professor Raoul Walsh, Conjoint Professor Afaf Girgis |
| Scheme | Role |
|---|
| Research Grant | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $91,888 | 2007 | 2007 |
| GNo:G0188036 |
Follow-up of non-participants to a smoking cessation intervention trial: tracking quitting-related attitudes, behaviours and hard-core status$16,206
Funding Body: Hunter Medical Research Institute
Maximizing the benefit of NuSport school holiday camps; encouraging increased participation in organized sporting activity$5,000
Funding Body: Hunter Medical Research Institute
Oceania tobacco control conference: Performing Arts and Conventions Auckland New Zealand, 4/9/2007 - 7/9/2007$1,954
Funding Body: University of Newcastle
2006 (4 grants)
Second Biennial NSW Community Smoking Survey$174,000
Funding Body: Cancer Council NSW
| Project Team |
|---|
| Associate Professor Christine Paul, Conjoint Professor Afaf Girgis, Dr Raoul Walsh |
| Scheme | Role |
|---|
| Research Program | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $174,000 | 2006 | 2007 |
| GNo:G0186802 |
Follow up of Dissemination of Solaria Guidelines to NSW Solaria$34,321
Funding Body: NSW Ministry of Health
| Project Team |
|---|
| Associate Professor Christine Paul, Conjoint Professor Afaf Girgis, Ms Jenny Hughes |
| Scheme | Role |
|---|
| Project Grant | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $34,321 | 2006 | 2007 |
| GNo:G0186547 |
National consensus on tobacco-related opinion items - Step 1$5,183
Funding Body: Cancer Council Australia
| Project Team |
|---|
| Associate Professor Christine Paul, Conjoint Professor Afaf Girgis |
| Scheme | Role |
|---|
| Project Grant | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $5,183 | 2006 | 2006 |
| GNo:G0187281 |
World Conference on Tobacco or Health July 12-15, 2006$2,400
Funding Body: University of Newcastle
2005 (8 grants)
A comprehensive work program to develop specialist palliative care referral guidelines, screening and assessment tools$1,150,000
Funding Body: Commonwealth Department of Health & Aged Care
| Project Team |
|---|
| Conjoint Professor Afaf Girgis, Professor David Currow, Associate Professor Christine Paul, Dr Claire Johnson, Professor Linda Kristjanson, Dr Amanda Neil |
| Scheme | Role |
|---|
| National Palliative Care Program | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $1,150,000 | 2005 | 2009 |
| GNo:G0185069 |
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service.$297,932
Funding Body: ARC (Australian Research Council)
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service.$67,712
Funding Body: Hunter New England Population Health
Exploring the relationships between retail access to tobacco, socio-economic status and tobacco consumption$26,418
Funding Body: Cancer Council NSW
| Project Team |
|---|
| Associate Professor Christine Paul, Doctor Kathleen Mee, Conjoint Associate Professor Raoul Walsh, Conjoint Professor Afaf Girgis |
| Scheme | Role |
|---|
| Research Grant | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $26,418 | 2005 | 2006 |
| GNo:G0186193 |
Health behaviour changes in newly diagnosed cancer patients$10,000
Funding Body: Hunter Medical Research Institute
Nicotine replacement therapy use in a random community sample of smokers: prevalence, effectiveness and non-cessation use$9,000
Funding Body: University of Newcastle
National consensus on cancer related knowledge and attitudes items$6,500
Funding Body: Cancer Council Australia
| Project Team |
|---|
| Conjoint Professor Afaf Girgis, Associate Professor Christine Paul |
| Scheme | Role |
|---|
| Project Grant | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $6,500 | 2005 | 2005 |
| GNo:G0186128 |
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service.$3
Funding Body: Cancer Council NSW
2004 (5 grants)
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service$99,353
Funding Body: National Heart Foundation of Australia
Needs based utilisation of Palliative care in Australia$30,000
Funding Body: Commonwealth Department of Health & Aged Care
| Project Team |
|---|
| Conjoint Professor Afaf Girgis, Professor David Currow, Associate Professor Christine Paul, Dr Claire Johnson, Professor Linda Kristjanson, Dr Amanda Neil |
| Scheme | Role |
|---|
| National Palliative Care Program | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $30,000 | 2004 | 2004 |
| GNo:G0184152 |
Perceptions and barriers of doctors to appropriate and timely referral of cancer patients to palliative care: A national survey.$15,000
Funding Body: University of Newcastle
| Project Team |
|---|
| Conjoint Professor Afaf Girgis, Associate Professor Christine Paul |
| Scheme | Role |
|---|
| Project Grant | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $15,000 | 2004 | 2004 |
| GNo:G0183506 |
Attitudes and barriers to the appropriate and timely referral of cancer patients to palliative care$3,000
Funding Body: Hunter Medical Research Institute
| Project Team |
|---|
| Dr Claire Johnson, Associate Professor Christine Paul, Conjoint Professor Afaf Girgis |
| Scheme | Role |
|---|
| PULSE Education Prize | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $3,000 | 2004 | 2004 |
| GNo:G0184445 |
Independent review of draft National Health & Medical Research Council/Health Advisory Committee documents$3
Funding Body: NHMRC (National Health & Medical Research Council)
2003 (2 grants)
National Solarium Standards: A compliance study of solaria operators in NSW.$23,500
Funding Body: NSW Ministry of Health
| Project Team |
|---|
| Associate Professor Christine Paul, Conjoint Professor Afaf Girgis |
| Scheme | Role |
|---|
| Medical & Health Research Funding | Chief Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $23,500 | 2003 | 2003 |
| GNo:G0183570 |
Attitudes and barriers to the appropriate and timely referral of cancer patients to palliative care.$9,920
Funding Body: University of Sydney
| Project Team |
|---|
| Conjoint Professor Afaf Girgis, Associate Professor Christine Paul, Dr Claire Johnson |
| Scheme | Role |
|---|
| Effective Healthcare Australia (EHA) | Investigator |
| Total Amount | Funding Start | Funding Finish |
|---|
| $9,920 | 2003 | 2003 |
| GNo:G0182697 |
2001 (1 grants)
Identifying the potential for increased support for smoking cessation in the pharmacy environment$5,000
Funding Body: University of Newcastle
1989 (1 grants)
CERP - Cancer Education Research Project.$621,100
Funding Body: Cancer Council NSW
EditResearch Supervision
| Number of current supervisions | 5 |
|---|
| Total current UoN PhD EFTSL | 2.06 |
|---|
For supervisions undertaken at an institution other that the University of Newcastle, details are shown in italics, and the institution name is listed below the program name.
Current Supervision
| Commenced | Proposed Completion | Program | Supervisor Type | Research Title |
|---|
| 2012 | 2016 | PhD (Behavioural Science) | Principal Supervisor | Understanding Consumers' Preferences for Health Service Change: Developing Measures to Inform the Development of Patient-Centred Interventions in Chronic Disease Ambulatory Clinics |
| 2012 | 2020 | PhD (Behavioural Science) | Principal Supervisor | Improving Pain Management Outcomes in Australian Primary Care |
| 2011 | 2015 | PhD (Behavioural Science) | Co-Supervisor | Smoking Cessation and Social Disadvantage: Psychological and Social Factors and Their Influence on Quitting Attempts and Success |
| 2011 | 2015 | PhD (Behavioural Science) | Principal Supervisor | Prevalence and Clustering of Health Risk Factors Among Patients Attending an Aboriginal Medical Service |
| 2011 | 2014 | PhD (Behavioural Science) | Co-Supervisor | Placing an Equity Lens on Population Tobacco Control Initiatives: A Review of the Reach and Impact on Highly Disadvantaged Smokers |
Past Supervision
| Year | Program | Supervisor Type | Research Title |
|---|
| 2012 | PhD (Behavioural Science) | Co-Supervisor | Colorectal Cancer Screening Participation and Medical Advice Seeking for Symptoms in Australia |
| 2012 | PhD (Behavioural Science) | Co-Supervisor | Tackling Tobacco: An Exploration of Social and Community Service Organisations as a way of Reaching the Socially Disadvantaged for Smoking Cessation |
| 2010 | PhD (Behavioural Science) | Principal Supervisor | Active Telephone Recruitment of Smokers into a Randomised Controlled Trial of Quitline Support |
| 2009 | PhD (Behavioural Science) | Co-Supervisor | Smoking Care Provision in Hospitals: A Study of Prevalence and Initiatives to Increase Care Delivery |
| 2007 | PhD (Behavioural Science) | Principal Supervisor | Palliative Care in Australia: Perceptions and Practices of Cancer Specialists and General Practitioners |