Dr Elise Mansfield
Post Doctoral Research Fellow
School of Medicine and Public Health
- Doctor of Philosophy, University of Newcastle
- Bachelor of Psychology (Honours), University of Newcastle
|Title||Organisation / Department|
|Post Doctoral Research Fellow||University of Newcastle
School of Medicine and Public Health
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (13 outputs)
Herrmann A, Mansfield E, Hall AE, Sanson-Fisher R, Zdenkowski N, 'Wilfully out of sight? A literature review on the effectiveness of cancer-related decision aids and implementation strategies', BMC Medical Informatics and Decision Making, 16 (2016) [C1]
Â© 2016 Herrmann et al.Background: There is evidence to suggest that decision aids improve a number of patient outcomes. However, little is known about the progression of research... [more]
Â© 2016 Herrmann et al.Background: There is evidence to suggest that decision aids improve a number of patient outcomes. However, little is known about the progression of research effort in this area over time. This literature review examined the volume of research published in 2000, 2007 and 2014 which tested the effectiveness of decision aids in improving cancer patient outcomes, coded by cancer site and decision type being targeted. These numbers were compared with the volume of research examining the effectiveness of strategies to increase the adoption of decision aids by healthcare providers. Methods: A literature review of intervention studies was undertaken. Medline, Embase, PsychInfo and Cochrane Database of Systematic Reviews were searched. The search was limited to human studies published in English, French, or German. Abstracts were assessed against eligibility criteria by one reviewer and a random sample of 20 % checked by a second. Eligible intervention studies in the three time periods were categorised by: i) whether they tested the effectiveness of decision aids, coded by cancer site and decision type, and ii) whether they tested strategies to increase healthcare provider adoption of decision aids. Results: Over the three time points assessed, increasing research effort has been directed towards testing the effectiveness of decision aids in improving patient outcomes (p < 0.0001). The number of studies on decision aids for cancer screening or prevention increased statistically significantly (p < 0.0001) whereas the number of studies on cancer treatment did not (p = 1.00). The majority of studies examined the effectiveness of decision aids for prostate (n = 10), breast (n = 9) or colon cancer (n = 7). Only two studies assessed the effectiveness of implementation strategies to increase healthcare provider adoption of decision aids. Conclusions: While the number of studies testing the effectiveness of decision aids has increased, the majority of research has focused on screening and prevention decision aids for only a few cancer sites. This neglects a number of cancer populations, as well as other areas of cancer care such as treatment decisions. Also, given the apparent effectiveness of decision aids, more effort needs to be made to implement this evidence into meaningful benefits for patients.
Mansfield E, Bryant J, Regan T, Waller A, Boyes A, Sanson-Fisher R, 'Burden and Unmet Needs of Caregivers of Chronic Obstructive Pulmonary Disease Patients: A Systematic Review of the Volume and Focus of Research Output', COPD: Journal of Chronic Obstructive Pulmonary Disease, 13 662-667 (2016)
Â© 2016 Taylor & Francis Group, LLC.Caregivers of individuals with chronic obstructive pulmonary disease (COPD) experience significant burden. To develop effective interventions t... [more]
Â© 2016 Taylor & Francis Group, LLC.Caregivers of individuals with chronic obstructive pulmonary disease (COPD) experience significant burden. To develop effective interventions to support this vulnerable group, it is necessary to understand how this burden varies as a function of patient well-being and across the illness trajectory. This systematic review aimed to identify the number and type of data-based publications exploring the burden and unmet needs of caregivers of individuals with COPD. Medline, Embase, PsycINFO and Cochrane databases were searched for studies published between January 2000 and February 2014. Studies were eligible if they were quantitative studies examining unmet needs of, or burden on, adult caregivers of individuals with COPD. Eligible papers were categorised according to (i) type (i.e. descriptive, measurement and intervention studies); (ii) whether they measured associations between patient and caregiver burden and (iii) whether they measured caregiver burden longitudinally. Twenty-seven data-based papers met criteria for inclusion. There was a significant increase in the total number of publications over time. The majority of publications were descriptive studies (nÂ¿=Â¿25), with one measurement and one intervention study identified. Fourteen descriptive studies measured the relationship between patient or caregiver factors and caregiver burden. Only two studies measured caregiver burden over time. There are a number of gaps in the body of research examining burden and unmet needs of caregivers of individuals with COPD that preclude the development of effective interventions for this population. Greater research effort should be directed towards identifying rigorous measurement tools which more accurately characterise caregiver burden, so that evidence-based interventions can be developed.
Bryant J, Mansfield E, Boyes AW, Waller A, Sanson-Fisher R, Regan T, 'Involvement of informal caregivers in supporting patients with COPD: A review of intervention studies', International Journal of COPD, 11 1587-1596 (2016)
Â© 2016 Bryant et al.Caregivers of individuals with COPD have a key role in maintaining patient adherence and optimizing patient function. However, no systematic review has examin... [more]
Â© 2016 Bryant et al.Caregivers of individuals with COPD have a key role in maintaining patient adherence and optimizing patient function. However, no systematic review has examined how the caregiver role has been operationalized in interventions to improve outcomes of individuals with COPD or the quality or effectiveness of these interventions. The aims of this review were to 1) determine whether caregivers have been involved as part of interventions to improve outcomes of individuals with COPD; 2) determine the risk of bias within included intervention studies; and 3) examine the effectiveness of interventions that have involved caregivers in improving outcomes of individuals with COPD. The electronic databases of Medline, Embase, PsycINFO, and Cochrane Library were searched from January 2000 to November 2015. Experimental studies testing interventions that involved a caregiver to improve COPD patient outcomes were eligible. Nine studies involving caregivers met inclusion criteria. No studies reported any intervention components targeted solely at caregivers, with most instead including caregivers in dyadic or group education sessions about COPD delivered by health care professionals. The risk of bias identified in included studies was mixed. Seven of the nine studies were effective in improving a broad range of outcomes. These findings highlight that there is an urgent need for methodologically rigorous interventions to examine the effectiveness of strategies to assist caregivers to provide direct care, encourage adherence to health care provider recommendations, act as a health care advocate, and provide emotional and psychosocial support to individuals with COPD.
Waller A, Turon H, Mansfield E, Clark K, Hobden B, Sanson-Fisher R, 'Assisting the bereaved: A systematic review of the evidence for grief counselling', Palliative Medicine, 30 132-148 (2016) [C1]
Â© The Author(s) 2015.Background: Supporting people after bereavement is a priority area for many health services. Investment in bereavement care must be supported by a rigorous e... [more]
Â© The Author(s) 2015.Background: Supporting people after bereavement is a priority area for many health services. Investment in bereavement care must be supported by a rigorous evidence-base. Aim: To examine the (1) relative proportion of descriptive, measurement and intervention research in grief counselling and (2) quality and effectiveness of intervention studies. Design: Systematic review of studies published in the area of grief counselling. Data sources: MEDLINE, Embase, Cochrane Library and PsycINFO databases were searched for studies published between 2000 and 2013. Eligible papers were categorised into descriptive, measurement, review, commentaries and intervention studies. Intervention studies were assessed against the Cochrane Effective Practice and Organisation of Care methodological criteria, and papers meeting criteria were assessed for quality. The impact of interventions on grief, psychological morbidity and quality of life was examined. Results: A total of 126 data-based papers, including 47 descriptive, 3 measurement and 76 grief counselling intervention studies were included. Only 59% (n = 45) of intervention studies met Effective Practice and Organisation of Care design criteria. Overall, study quality was poor, with the majority of interventions showing a risk of bias in several key areas. The three studies that met all criteria showed mixed effectiveness. Conclusion: Grief counselling interventions require a strong rationale for design, and a systematic approach to development and evaluation. Descriptive research efforts should inform this process, focusing on homogeneity in sample, identification of risk factors for complicated grief and the impact of extraneous factors on intervention effects. Interventions should include comparisons to usual care, as well as replication to confirm positive findings.
Bryant J, Mansfield E, Hall A, Waller A, Boyes A, Jayakody A, et al., 'The psychosocial outcomes of individuals with hematological cancers: Are we doing enough high quality research, and what is it telling us?', Critical Reviews in Oncology/Hematology, 101 21-31 (2016)
Â© 2016 Elsevier Ireland Ltd.This systematic review assessed the quantity and quality of research examining the psychosocial outcomes among hematological cancer patients. Studies ... [more]
Â© 2016 Elsevier Ireland Ltd.This systematic review assessed the quantity and quality of research examining the psychosocial outcomes among hematological cancer patients. Studies were categorised as either measurement, descriptive or intervention. Intervention studies were further assessed according to Effective Practice and Organisation of Care (EPOC) methodological criteria. A total of 261 eligible papers were identified. The number of publications increased by 8.8% each year (95% CI = 7.5-10.2%; p < 0.0001). The majority of studies were descriptive (n = 232; 89%), with few measurement (n = 8; 3%) and intervention (n = 21; 8%) studies identified. Ten intervention studies met EPOC design criteria, however only two interventions, one targeted at individuals with Hodgkin's or Non-Hodgkin's lymphoma and one targeted at individuals with leukaemia, lymphoma or myelomatosis were successful in improving patients' psychosocial outcomes. Despite an increasing volume of research examining psychosocial outcomes of hematological cancer patients, there is a need for robust measurement and methodologically rigorous intervention research in this area.
Regan T, Carey M, Bryant J, Waller A, Mansfield E, Sitas F, Tracey E, 'Prevalence and correlates of current smoking among medical oncology outpatients', Psycho-Oncology, 24 1258-1264 (2015) [C1]
Copyright Â© 2015 John Wiley & Sons, Ltd. Copyright Â© 2015 John Wiley & Sons, Ltd.Background Continued smoking following a cancer diagnosis has adverse impacts on cancer treatmen... [more]
Copyright Â© 2015 John Wiley & Sons, Ltd. Copyright Â© 2015 John Wiley & Sons, Ltd.Background Continued smoking following a cancer diagnosis has adverse impacts on cancer treatment and puts individuals at risk of secondary cancers. Data on the prevalence and correlates of smoking among cancer patients are critical for successfully targeting smoking cessation interventions. Aims To explore among a sample of medical oncology outpatients (a) the prevalence of self-reported current smoking and (b) the demographic and psychosocial factors associated with self-reported smoking. Methods A heterogeneous sample of cancer patients aged 18 years or over was recruited from 1 of 11 medical oncology treatment centres across Australia. Patients completed a survey assessing the following: smoking status; socio-demographic, disease and treatment characteristics; time since diagnosis; anxiety; and depression. Factors associated with self-reported smoking were examined using a univariate and multivariate mixed-effects logistic regression. Results A total of 1379 patients returned surveys and 1338 were included in the analysis. The prevalence of current smoking was 10.9% (n=146). After adjusting for treatment centre, patients aged 65 years and older and those without health concession cards were significantly less likely to smoke. Patients diagnosed with lung cancer and those without private health insurance were more likely to smoke. Discussion A minority of cancer patients reported continued smoking at an average time of 13 months post-diagnosis. Patients, who are younger, have been diagnosed with lung cancer and have lower socioeconomic status are at-risk groups and represent important targets for smoking cessation advice and intervention.
Bryant J, Carey M, Sanson-Fisher R, Mansfield E, Regan T, Bisquera A, 'Missed opportunities: General practitioner identification of their patients' smoking status', BMC Family Practice, 16 (2015) [C1]
Â© 2015 Bryant et al.; licensee BioMed Central.Background: In order to provide smoking cessation support to their patients in line with clinical practice guidelines, general pract... [more]
Â© 2015 Bryant et al.; licensee BioMed Central.Background: In order to provide smoking cessation support to their patients in line with clinical practice guidelines, general practitioners must first ascertain whether their patients' use tobacco. This study examined (i) the sensitivity, specificity, positive predictive value and negative predictive value of general practitioner detection of smoking, and (ii) the general practitioner and patient characteristics associated with detection of tobacco use. Methods: Eligible patients completed a touchscreen computer survey while waiting for an appointment with their general practitioner. Patients self-reported demographic characteristics, medical history, and current smoking status. Following the patient's consultation, their general practitioner was asked to indicate whether the patient was a current smoker (yes/no/unsure/not applicable). Smoking prevalence, sensitivity, specificity, positive predictive value and negative predictive values (with 95% confidence intervals) were calculated using patient self-report of smoking status as the gold standard. Generalised estimating equations were used to examine the general practitioner and patient characteristics associated with detection of tobacco use. Results: Fifty-one general practitioners and 1,573 patients in twelve general practices participated. Patient self-report of smoking was 11.3% compared to general practitioner estimated prevalence of 9.5%. Sensitivity of general practitioner assessment was 66% [95% CI 59-73] while specificity was 98% [95% CI 97-98]. Positive predictive value was 78% [95% CI 71-85] and negative predictive value was 96% [95% CI 95-97]. No general practitioner factors were associated with detection of smoking. Patients with a higher level of education or who responded 'Other ' were less likely to be detected as smokers than patients who had completed a high school or below level of education. Conclusion: Despite the important role general practitioners play in providing smoking cessation advice and support, a substantial proportion of general practitioners do not know their patient's smoking status. This represents a significant missed opportunity in the provision of preventive healthcare. Electronic waiting room assessments may assist general practitioners in improving the identification of smokers.
Carey M, Noble N, Mansfield E, Waller A, Henskens F, Sanson-Fisher R, 'The role of ehealth in optimizing preventive care in the primary care setting', Journal of Medical Internet Research, 17 (2015) [C1]
Modifiable health risk behaviors such as smoking, overweight and obesity, risky alcohol consumption, physical inactivity, and poor nutrition contribute to a substantial proportion... [more]
Modifiable health risk behaviors such as smoking, overweight and obesity, risky alcohol consumption, physical inactivity, and poor nutrition contribute to a substantial proportion of the world's morbidity and mortality burden. General practitioners (GPs) play a key role in identifying and managing modifiable health risk behaviors. However, these are often underdetected and undermanaged in the primary care setting. We describe the potential of eHealth to help patients and GPs to overcome some of the barriers to managing health risk behaviors. In particular, we discuss (1) the role of eHealth in facilitating routine collection of patient-reported data on lifestyle risk factors, and (2) the role of eHealth in improving clinical management of identified risk factors through provision of tailored feedback, point-of-care reminders, tailored educational materials, and referral to online self-management programs. Strategies to harness the capacity of the eHealth medium, including the use of dynamic features and tailoring to help end users engage with, understand, and apply information need to be considered and maximized. Finally, the potential challenges in implementing eHealth solutions in the primary care setting are discussed. In conclusion, there is significant potential for innovative eHealth solutions to make a contribution to improving preventive care in the primary care setting. However, attention to issues such as data security and designing eHealth interfaces that maximize engagement from end users will be important to moving this field forward.
Cooper PS, Wong ASW, Fulham WR, Thienel R, Mansfield E, Michie PT, Karayanidis F, 'Theta frontoparietal connectivity associated with proactive and reactive cognitive control processes', NeuroImage, 108 354-363 (2015) [C1]
Â© 2015 Elsevier Inc.Cognitive control involves both proactive and reactive processes. Paradigms that rely on reactive control have shown that frontoparietal oscillatory synchroni... [more]
Â© 2015 Elsevier Inc.Cognitive control involves both proactive and reactive processes. Paradigms that rely on reactive control have shown that frontoparietal oscillatory synchronization in the theta frequency band is associated with interference control. This study examines whether proactive control is also associated with connectivity in the same frontoparietal theta network or involves a distinct neural signature. A task-switching paradigm was used to differentiate between proactive and reactive control processes, involved in preparing to switch or repeat a task and resolving post-target interference, respectively. We confirm that reactive control is associated with frontoparietal theta connectivity. Importantly, we show that proactive control is also associated with theta band oscillatory synchronization but in a different frontoparietal network. These findings support the existence of distinct proactive and reactive cognitive control processes that activate different theta frontoparietal oscillatory networks.
Mansfield EL, Karayanidis F, Cohen MX, 'Switch-related and general preparation processes in task-switching: Evidence from multivariate pattern classification of EEG data', Journal of Neuroscience, 32 18253-18258 (2012) [C1]
Mansfield EL, Karayanidis F, Jamadar S, Heathcote AJ, Forstmann BU, 'Adjustments of response threshold during task switching: A model-based functional magnetic resonance imaging study', Journal of Neuroscience, 31 14688-14692 (2011) [C1]
Karayanidis F, Mansfield EL, Galloway KL, Smith JL, Provost AL, Heathcote AJ, 'Anticipatory reconfiguration elicited by fully and partially informative cues that validly predict a switch in task', Cognitive Affective & Behavioral Neuroscience, 9 202-215 (2009) [C1]
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Conference (9 outputs)
Turon H, Waller A, Mansfield E, Sanson-Fisher R, 'HOW GOOD IS THE QUALITY OF EVIDENCE FOR GRIEF COUNSELLING? A SYSTEMATIC REVIEW', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Carey M, Bryant J, Mansfield E, Bisquera A, Sanson-Fisher R, Mazza D, 'CORRELATES OF THE DETECTION OF CANCER RISK FACTORS BY GENERAL PRACTITIONERS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Mansfield EL, Karayanidis F, Heathcote A, Forstmann BU, 'INDIVIDUAL DIFFERENCES IN RESPONSE CAUTION ADJUSTMENT: EVIDENCE FROM A MODEL-BASED NEUROSCIENCE APPROACH', PSYCHOPHYSIOLOGY (2013) [E3]
Mansfield EL, Forstmann B, Heathcote AJ, Karayanidis F, 'Fronto-striatal involvement in strategic adjustments of response caution: A combined DWI and ERP study', Front. Hum. Neurosci. Conference Abstract: ACNS-2012 Australasian Cognitive Neuroscience Conference (2012) [E3]
Karayanidis F, Mansfield EL, Cohen MX, 'Distinct switch-related and task-related preparation in cue-target interval revealed by EEG spatial multivariate pattern analysis', Combined Abstracts of 2012 Australian Psychology Conferences (2012) [E3]
Karayanidis F, Mansfield EL, 'Increasing the requirement for top-down control in task-switching: ERP evidence from a voluntary task-switching paradigm', Combined Abstracts of 2010 Australian Psychology Conferences (2010) [E3]
Mansfield EL, Smith JL, Galloway KL, Karayanidis F, 'Ready, set, switch: B. Source analysis of ERP components of task-set reconfiguration', Clinical EEG and Neuroscience (2008) [E3]
Galloway KL, Smith JL, Mansfield EL, Karayanidis F, 'Ready, set, switch: A. ERP evidence for activation and inhibition components of task-set reconfiguration', Clinical EEG and Neuroscience (2008) [E3]
Smith JL, Mansfield EL, Galloway KL, Karayanidis F, 'Identifying components of task-set reconfiguration using ERP and BESA', International Journal of Psychophysiology (2008) [E3]
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Grants and Funding
|Number of grants||1|
Click on a grant title below to expand the full details for that specific grant.
20141 grants / $37,500
Funding body: Hunter Medical Research Institute
|Funding body||Hunter Medical Research Institute|
|Project Team||Ms Natalie Dodd, Laureate Professor Robert Sanson-Fisher, Doctor Mariko Carey, Doctor Elise Mansfield, Doctor Christopher Oldmeadow|
|Scheme||Postgraduate Research Scholarship|
|Type Of Funding||Grant - Aust Non Government|
Number of supervisions
Total current UON EFTSL
|Commenced||Level of Study||Research Title / Program / Supervisor Type|
Building Capacity for Health-Legal Collaboration to Improve Knowledge
and Uptake of Advance Personal Planning
PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle
Improving Uptake of Colorectal Screening Among Primary Care Attendees
PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle