Dr Liz Fradgley
Honorary Lecturer
School of Medicine and Public Health
- Email:elizabeth.fradgley@newcastle.edu.au
- Phone:(02) 4042 0642
Career Summary
Biography
Dr Fradgley has made significant contributions to understanding and promoting the delivery of patient-centred care with recent publications exploring how patients can be involved in redesigning health services and how to support busy health professionals to adapt evidence-based models of care.
Liz has an outstanding record relative to opportunity including a rapidly increasing publication trajectory with 28 peer-reviewed papers and 8 currently under review. She is cited over 150 times, including by the World Health Organization. She also recently completed an international Fellowship visit to the University of Calgary's Tom Baker Cancer Centre, a world-leading institution in provision of evidence-based supportive care led by Prof Barry Bultz.
Liz has attracted over $1.5 mil in competitive research funding including an NHMRC partnership grant, CINSW Early Career Fellowship and 2 commissioned studies.
Qualifications
- Doctor of Philosophy, University of Newcastle
- Bachelor of Health Sciences (Honours), University of Calgary - Canada
Keywords
- Health behaviour
- Health services research
- Implementation science
- Multidisciplinary care
- Patient-centred care
- Psycho-oncology
- Supportive care
Languages
- French (Fluent)
- English (Mother)
Fields of Research
Code | Description | Percentage |
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420313 | Mental health services | 100 |
Professional Experience
Academic appointment
Dates | Title | Organisation / Department |
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15/2/2016 - |
Postdoctoral Research Associate Dr Fradgley is a postdoctoral researcher within the University of Newcastle's Priority Research Centre for Health Behaviour. She is currently responsible for the daily management of a national randomised controlled trial, and is leading a national audit of distress management practices in Australian cancer services. |
The University of Newcastle, Australia Australia |
Professional appointment
Dates | Title | Organisation / Department |
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27/2/2012 - 15/2/2016 | Research Assistant | The University of Newcastle - Faculty of Health and Medicine Australia |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (40 outputs)
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2024 |
Carlson MA, Fradgley EA, Paul CL, 'Understanding experiences of cognitive decline and cognitive assessment from the perspectives of people with glioma and their caregivers: A qualitative interview study', International Journal of Nursing Studies Advances, 6 100179-100179 (2024) [C1]
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2023 |
Carlson MA, Fradgley EA, Yates D, Morris S, Tait J, Paul CL, 'Response to Gorter et al. regarding "Acceptability and feasibility of neurocognitive assessments with adults with primary brain cancer and brain metastases: A systematic review"', Neuro-Oncology Practice, 10 493-494 (2023)
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2023 |
Carlson MA, Fradgley EA, Yates D, Morris S, Tait J, Paul CL, 'Acceptability and feasibility of cognitive assessments with adults with primary brain cancer and brain metastasis: A systematic review', Neuro-Oncology Practice, 10 219-237 (2023) [C1]
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2023 |
O'Neill CJ, Carlson MA, Rowe CW, Fradgley EA, Paul C, 'Hearing the Voices of Australian Thyroid Cancer Survivors: Qualitative Thematic Analysis of Semistructured Interviews Identifies Unmet Support Needs.', Thyroid : official journal of the American Thyroid Association, 33 1455-1464 (2023) [C1]
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2023 |
Widjaja W, Rowe CW, Oldmeadow C, Cope D, Fradgley EA, Paul C, O'Neill CJ, 'Current patterns of care in low-risk thyroid cancer-A national cross-sectional survey of Australian thyroid clinicians.', Endocrinol Diabetes Metab, 6 e398 (2023) [C1]
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2023 |
Taylor J, Fradgley EA, Clinton-McHarg T, Hall A, Paul CL, 'Perceived importance of emotional support provided by health care professionals and social networks: Should we broaden our focus for the delivery of supportive care?', Asia Pac J Clin Oncol, 19 681-689 (2023) [C1]
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2023 |
O'Neill CJ, Morris-Baguley H, Alam AS, Carlson MA, Blefari N, Rowe CW, et al., 'Thyroid cancer patient reported outcome measures in clinical practice: analysing acceptability and optimizing recruitment.', ANZ J Surg, 93 2214-2221 (2023) [C1]
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2022 |
Blefari NDA, Rowe CW, Wiadji E, Lambkin D, Carroll R, Fradgley EA, O'Neill CJ, 'Long-Term Health-Related Quality of Life Outcomes Following Thyroid Surgery for Malignant or Benign Disease: Deficits Persist in Cancer Survivors Beyond Five Years.', World J Surg, 46 2423-2432 (2022) [C1]
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2022 |
Taylor J, Fradgley EA, Clinton-McHarg T, Hall A, Paul CL, 'Referral and uptake of services by distressed callers to the Cancer Council Information and Support telephone service', Asia-Pacific Journal of Clinical Oncology, 18 303-310 (2022) [C1] Background: Patient-centered cancer care includes emotional, informational, and practical support that is personalised to the needs of patients and inclusive of family and friends... [more] Background: Patient-centered cancer care includes emotional, informational, and practical support that is personalised to the needs of patients and inclusive of family and friends. However, when supportive care referrals are offered in hospital settings, distressed patients and carers do not consistently act on those referrals, which can prolong patient suffering. The degree to which sub-optimal referral uptake also occurs in Australian telephone support services is unknown. Aims: To report, among a sample of distressed patients and caregivers who called a cancer information and support service: 1) the types of services used; 2) proportion who received and actioned a referral (uptake); 3) associations between referral to a service and callers¿ characteristics); and, 4) associations between uptake of a referred service and callers¿ characteristics. Methods: This study used cross-sectional data collected at 3-month post-baseline from control participants (usual care group) enrolled in the Structured Triage and Referral by Telephone (START) trial. The START trial recruited distressed adult cancer patients and caregivers from the Cancer Council Information and Support Service (CIS). A research assistant conducted a 30¿45 min telephone interview with participants, which included recall of referrals provided by CIS staff and reported uptake of referral(s) to the offered service types. Results: Most patients (98%) and caregivers (97%) reported receiving a referral to a service. For patients and caregivers respectively, information materials (71%, 77%), CIS call-back (51%, 43%), practical services (52%, 45%), and group peer support (49%, 51%) were the services most frequently offered. For callers receiving a referral, uptake was highest for information materials (91%) and CIS call-backs (89%) and lowest for specialist psychological services (30%). Significant association was found between older age and reduced uptake of services (p = 0.03). Conclusion: The high uptake rate of CIS call-backs suggests it is a potentially more acceptable form of support compared to specialist psychological services. Efforts to reduce the barriers to telephone-based psychological services are required. Specifically, older age peoples¿ and caregivers¿ preferences for support and priorities who may benefit from a referral coordinator.
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2022 |
Carlson MA, Fradgley EA, Bridge P, Taylor J, Morris S, Coutts E, Paul C, 'The dynamic relationship between cancer and employment-related financial toxicity: an in-depth qualitative study of 21 Australian cancer survivor experiences and preferences for support', SUPPORTIVE CARE IN CANCER, 30 3093-3103 (2022) [C1]
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2021 |
Bygrave A, Whittaker K, Paul C, Fradgley EA, Varlow M, Aranda S, 'Australian experiences of out-of-pocket costs and financial burden following a cancer diagnosis: A systematic review', International Journal of Environmental Research and Public Health, 18 1-24 (2021) [C1] (1) Background: This systematic review was conducted to identify cancer patient experi-ences, and the impact of out-of-pocket costs and financial burden in Australia. (2) Methods:... [more] (1) Background: This systematic review was conducted to identify cancer patient experi-ences, and the impact of out-of-pocket costs and financial burden in Australia. (2) Methods: A systematic review, following the Preferring Reporting Items for Systematic Reviews and Meta-Anal-yses, was conducted. Cumulative Index of Nursing and Allied Health Literature and PubMed were searched. The primary outcome was financial burden among cancer patients and their families in Australia. The secondary outcome was out-of-pocket costs associated with cancer care and treatment within the population sample, and the impact of financial burden. (3) Results: Nineteen studies were included, covering more than 70,000 Australians affected by cancer. Out-of-pocket costs varied by cancer type and ranged from an average of AUD 977 for breast cancer and lymphoedema patients to AUD 11,077 for prostate cancer patients. Younger aged patients (=65 years), Aboriginal and Torres Strait Islander people, people in rural and/or remote areas, households with low income, those who were unemployed and people with private health insurance were at increased risk of experiencing out-of-pocket costs, financial burden or a combination of both. (4) Conclusions: Australians diagnosed with cancer frequently experience financial burden, and the health and financial consequences are significant. Focusing efforts on the costs of care and options about where to have care within the context of informed decisions about cancer care is necessary.
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2021 |
McCarter K, Carlson MA, Baker AL, Paul CL, Lynam J, Johnston LN, Fradgley EA, 'A qualitative study investigating Australian cancer service outpatients' experience of distress screening and management: what is the personal relevance, acceptability and improvement opportunities from patient perspectives?', SUPPORTIVE CARE IN CANCER, 30 2693-2703 (2021) [C1]
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2021 |
Fradgley EA, Booth K, Paul C, Zdenkowski N, Rankin NM, 'Facilitating High Quality Cancer Care: A Qualitative Study of Australian Chairpersons' Perspectives on Multidisciplinary Team Meetings', JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, 14 3429-3439 (2021) [C1]
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2021 |
Carlson MA, Morris S, Day F, Dadich A, Ryan A, Fradgley EA, Paul C, 'Psychometric properties of leadership scales for health professionals: a systematic review', IMPLEMENTATION SCIENCE, 16 (2021) [C1]
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2021 |
Taylor J, Fradgley E, Clinton-McHarg T, Byrnes E, Paul C, 'What are the sources of distress in a range of cancer caregivers? A qualitative study', Supportive Care in Cancer, 29 2443-2453 (2021) [C1] Purpose: Caring for a person diagnosed with cancer is associated with elevated distress that may impact on caregiver health and patient outcomes. However, caregivers¿ distress is ... [more] Purpose: Caring for a person diagnosed with cancer is associated with elevated distress that may impact on caregiver health and patient outcomes. However, caregivers¿ distress is relatively under-researched. This Australian study explored a range of caregivers¿ reported sources of distress. Methods: The grounded theory approach informed semi-structured interviews that were conducted with a purposive and broad range sample of distressed caregivers identified through the ¿Structured Triage And Referral by Telephone¿ (START) trial. A grounded theory framework was used to generate themes with data analysed by two independent coders using the NVivo software. Results: Caregivers (n = 14) were aged from 25 to 80 years, including two bereaved caregivers. The relationships of the caregivers to the patients were as follows: partner (n = 8), parent (n = 1), child (n = 3), sibling (n = 1), and friend (n = 1). Six major themes emerged in relation to sources of distress: (1) a lack of sufficient and timely information; (2) uncertainty; (3) the role and duties of caregiving; (4) lack of family-centred services; (5) practical challenges; and (6) impact of distress. Conclusion: Caregivers face a number of specific challenges beyond those experienced by patients. It is essential to ensure that caregivers are actively well-informed and well-supported alongside the person who is diagnosed with cancer.
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2020 |
Taylor J, Fradgley EA, Clinton-McHarg T, Roach D, Paul CL, 'Distress screening and supportive care referrals used by telephone-based health services: a systematic review', Supportive Care in Cancer, 28 2059-2069 (2020) [C1] Purpose: People affected by chronic diseases such as cancer report high levels of distress and a need for psychosocial support. It is unclear whether telephone-based services for ... [more] Purpose: People affected by chronic diseases such as cancer report high levels of distress and a need for psychosocial support. It is unclear whether telephone-based services for people affected by chronic disease are a practical setting for implementing distress screening, referral protocols and rescreening to direct supportive care where it is needed. This systematic review aimed to describe the published literature regarding distress screening and supportive care referral practices in telephone-based services for people affected by chronic diseases such as cancer. Methods: A systematic literature search of MEDLINE, Embase, PsycInfo, CINAHL, Cochrane and Scopus was conducted in February 2018. Included quantitative studies involved: patients or caregivers affected by chronic diseases including cancer and describe a health service assessing psychosocial needs or distress via telephone. Extracted data included the type of cancer or other chronic disease, sample size, screening tool, referral or rescreening protocols, and type of health service. Results: The search identified 3989 potential articles with additional searches returning 30 studies (n = 4019); fourteen were eligible for full-text review. Of the 14 studies, 13 included cancer patients. Studies were across multiple settings and identified nine distress screening tools in use. Conclusion: The reviewed studies indicate that validated distress-screening tools are being used via telephone to identify distress, particularly in relation to cancer. Screening-driven supportive care referrals are also taking place in telephone-based services. However, not all services use an established referral protocol. Ongoing rescreening of callers¿ distress is also limited despite it being an important recommendation from psycho-oncology guidelines.
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2020 |
Fradgley EA, Byrnes E, McCarter K, Rankin N, Britton B, Clover K, et al., 'A cross-sectional audit of current practices and areas for improvement of distress screening and management in Australian cancer services: is there a will and a way to improve?', Supportive Care in Cancer, 28 249-259 (2020) [C1] Background: It is unknown how many distressed patients receive the additional supportive care recommended by Australian evidence-based distress management guidelines. The study id... [more] Background: It is unknown how many distressed patients receive the additional supportive care recommended by Australian evidence-based distress management guidelines. The study identifies the (1) distress screening practices of Australian cancer services; (2) barriers to improving practices; and (3) implementation strategies which are acceptable to service representatives interested in improving screening practices. Method: Clinic leads from 220 cancer services were asked to nominate an individual involved in daily patient care to complete a cross-sectional survey on behalf of the service. Questions related to service characteristics; screening and management processes; and implementation barriers. Respondents indicated which implementation strategies were suitable for their health service. Results: A total of 122 representatives participated from 83 services (51%). The majority of respondents were specialist nurses or unit managers (60%). Approximately 38% of representatives¿ services never or rarely screen; 52% who screen do so for all patients; 55% use clinical interviewing only; and 34% follow referral protocols. The most common perceived barriers were resources to action screening results (74%); lack of time (67%); and lack of staff training (66%). Approximately 65% of representatives were interested in improving practices. Of the 8 implementation strategies, workshops (85%) and educational materials (69%) were commonly selected. Over half (59%) indicated a multicomponent implementation program was preferable. Conclusions: Although critical gaps across all guideline components were reported, there is a broad support for screening and willingness to improve. Potential improvements include additional services to manage problems identified by screening, more staff time for screening, additional staff training, and use of patient-report measures.
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2020 |
Rankin NM, Fradgley EA, Barnes DJ, 'Implementation of lung cancer multidisciplinary teams: A review of evidence-practice gaps', Translational Lung Cancer Research, 9 1667-1679 (2020) [C1]
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2020 |
Fradgley EA, Karnon J, Roach D, Harding K, Wilkinson-Meyers L, Chojenta C, et al., 'Taking the pulse of the health services research community: A cross-sectional survey of research impact, barriers and support', Australian Health Review, 44 160-167 (2020) [C1]
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2020 |
McCarter K, Fradgley EA, Britton B, Tait J, Paul C, 'Not seeing the forest for the trees: a systematic review of comprehensive distress management programs and implementation strategies.', Curr Opin Support Palliat Care, 14 220-231 (2020) [C1]
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2019 |
Fradgley EA, Chong SE, Cox ME, Gedye C, Paul CL, 'Patients experiences and preferences for opt-in models and health professional involvement in biobanking consent: A cross-sectional survey of Australian cancer outpatients', Asia-Pacific Journal of Clinical Oncology, 15 31-37 (2019) [C1] Background: Many biobanks rely upon patients¿ willingness to donate biospecimens and healthcare professionals to initiate opt-in consent processes. This study explored if: (1) pat... [more] Background: Many biobanks rely upon patients¿ willingness to donate biospecimens and healthcare professionals to initiate opt-in consent processes. This study explored if: (1) patients accept opt-in or opt-out consent models with varying levels of professional involvement; (2) professionals discuss participation with specific patient groups; and (3) this discussion is associated with patient knowledge of biobanking processes. Methods: Outpatients completed surveys at a tertiary cancer center in New South Wales, Australia. Eligible participants were English-speaking adults who recently had cancer-related surgery. Participants completed 27 questions exploring acceptable consent models, biobanking experiences, knowledge, and willingness. Logistic regression and chi-square tests examined differences in the characteristics and knowledge of participants who were offered the opportunity to participate versus those who were not. Results: A total of 113 outpatients participated (97% response). Most participants (92%) found opt-out, patient-initiated consent acceptable; however, high acceptability was reported for all models except for opt-in, patient-initiated consent (58%). University or technical qualifications (P = 0.001) was associated with increased odds (OR¿=¿4.5) of being offered biobanking. The majority did not know what occurred to samples after surgery (59.3%) or pathology review (81.4%) and ability to answer these questions was associated with discussion of participation (P¿<¿0.001). Of the few outpatients who discussed biobanking with their doctor (29%), all consented. Conclusion: Professional-initiated, opt-in consent resulted in a few educated patients being approached; greater professional initiation of consent would be fruitful as most patients were willing to participate if asked. However, other consent approaches minimizing professional involvement were as acceptable to participants warranting further consideration.
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2018 |
Hall AE, Bryant J, Sanson-Fisher RW, Fradgley EA, Proietto AM, Roos I, 'Consumer input into health care: Time for a new active and comprehensive model of consumer involvement', Health Expectations, 21 707-713 (2018) [C1] Background: To ensure the provision of patient-centred health care, it is essential that consumers are actively involved in the process of determining and implementing health-care... [more] Background: To ensure the provision of patient-centred health care, it is essential that consumers are actively involved in the process of determining and implementing health-care quality improvements. However, common strategies used to involve consumers in quality improvements, such as consumer membership on committees and collection of patient feedback via surveys, are ineffective and have a number of limitations, including: limited representativeness; tokenism; a lack of reliable and valid patient feedback data; infrequent assessment of patient feedback; delays in acquiring feedback; and how collected feedback is used to drive health-care improvements. Objectives: We propose a new active model of consumer engagement that aims to overcome these limitations. This model involves the following: (i) the development of a new measure of consumer perceptions; (ii) low cost and frequent electronic data collection of patient views of quality improvements; (iii) efficient feedback to the health-care decision makers; and (iv) active involvement of consumers that fosters power to influence health system changes.
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2018 |
Fradgley EA, Paul CL, Bryant J, Zucca A, Oldmeadow C, 'System-wide and group-specific health service improvements: Cross-sectional survey of outpatient improvement preferences and associations with demographic characteristics', International Journal of Environmental Research and Public Health, 15 (2018) [C1]
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2018 |
Fradgley EA, Chong SE, Cox ME, Paul CL, Gedye C, 'Enlisting the willing: A study of healthcare professional initiated and opt-in biobanking consent reveals improvement opportunities throughout the registration process', European Journal of Cancer, 89 36-41 (2018) [C1] Biobanking consent processes should accord with patients' preferences and be offered in a consistent and systematic manner. However, these aims can be difficult to achieve un... [more] Biobanking consent processes should accord with patients' preferences and be offered in a consistent and systematic manner. However, these aims can be difficult to achieve under healthcare professionals' (HCPs) time-constrained workflows, resulting in low participation rates. This current perspective provides a brief overview of HCP involvement in consent and reports new data on participant attrition at each step of the biobanking consent process as experienced by 113 patients at an Australian tertiary cancer centre. To determine attrition in this HCP-driven consent process, we reviewed medical records for the following events: inclusion of biobanking consent forms; visible patient and HCP signatures; consent status selected (decline or accept) and specimen registration with local biobank. Accessible medical records revealed the following data: 75 of 85 records included viewable forms; 22 of 85 records included patient and 19 of 85 included HCP signatures; 15 of 85 records included signed and completed forms and 3 of 85 had samples banked with annotated clinical data. We compared these data with self-reported experiences of being approached to participate by HCPs. Of the 15 participants (17.6%) who successfully completed consent, only five could recall being asked and providing consent. The low enrolment rate is a considerable lost opportunity because most patients (59%) who were not asked to participate indicated they would have consented if asked. Furthermore, in comparing self-reported experiences with medical records, we believe cancer patients' preferences for participation are mismatched with actual biobanking enrolment, which has considerable attrition at each step in the consent process.
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2017 |
Paul CL, Fradgley EA, Roach D, Baird H, 'Impact of financial costs of cancer on patients - the Australian experience', CANCER FORUM, 41 4-9 (2017) [C1]
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2016 |
Bryant J, Sanson-Fisher R, Fradgley E, Hobden B, Zucca A, Henskens F, et al., 'A consumer register: an acceptable and cost-effective alternative for accessing patient populations', BMC Medical Research Methodology, 16 1-10 (2016) [C1] Background: Population-based registries are increasingly used to recruit patient samples for research, however, they have several limitations including low consent and participati... [more] Background: Population-based registries are increasingly used to recruit patient samples for research, however, they have several limitations including low consent and participation rates, and potential selection bias. To improve access to samples for research, the utility of a new model of recruitment termed the 'Consumer Register', that allows for direct patient recruitment from hospitals, was examined. This paper reports: (i) consent rates onto the register; (ii) preferred methods and frequency of contact; and (iii) the feasibility of establishing the register, including: (a) cost per person recruited to the register; (b) the differential cost and consent rates of volunteer versus paid data collectors; and (c) participant completion rates. Methods: A cross-sectional survey was conducted in five outpatient clinics in Australia. Patients were approached by volunteers or paid data collectors and asked to complete a touch-screen electronic survey. Consenting individuals were asked to indicate their willingness and preferences for enrolment onto a research register. Descriptive statistics were used to examine patient preferences and linear regression used to model the success of volunteer versus paid data collectors. The opportunity and financial costs of establishing the register were calculated. Results: A total of 1947 patients (80.6 %) consented to complete the survey, of which, 1486 (76.3 %) completed the questionnaire. Of the completers, the majority (69.4 %, or 1032 participants) were willing to be listed on the register and preferred to be contacted by email (50.3 %). Almost 39 % of completers were willing to be contacted three or more times in a 12 month period. The annual opportunity cost of resources consumed by the register was valued at $37,187, giving an opportunity cost per person recruited to the register of $36. After amortising fixed costs, the annual financial outlay was $23,004 or $22 per person recruited to the register. Use of volunteer data collectors contributed to an annual saving of $14,183, however paid data collectors achieved significantly higher consent rates. Successful enrolment onto the register was completed for 42 % of the sample. Conclusions: A Consumer Register is a promising and feasible alternative to population-based registries, with the majority of participants willing to be contacted multiple times via low-resource methods such as email. There is an effectiveness/cost trade off in the use of paid versus volunteer data collectors.
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2016 |
Fradgley EA, Paul CL, Bryant J, Oldmeadow C, 'Getting right to the point: Identifying Australian outpatients' priorities and preferences for patient-centred quality improvement in chronic disease care', International Journal for Quality in Health Care, 28 470-477 (2016) [C1] Objectives: To identify specific actions for patient-centred quality improvement in chronic disease outpatient settings, this study identified patients' general and specific ... [more] Objectives: To identify specific actions for patient-centred quality improvement in chronic disease outpatient settings, this study identified patients' general and specific preferences among a comprehensive suite of initiatives for change.Design and setting: A cross-sectional survey was conducted in three hospital-based clinics specializing in oncology, neurology and cardiology care located in New South Wales, Australia.Participants and measures: Adult English-speaking outpatients completed the touch-screen Consumer Preferences Survey in waiting rooms or treatment areas. Participants selected up to 23 general initiatives that would improve their experience. Using adaptive branching, participants could select an additional 110 detailed initiatives and complete a relative prioritization exercise.Results: A total of 541 individuals completed the survey (71.1% consent, 73.1% completion). Commonly selected general initiatives, presented in order of decreasing priority (along with sample proportion), included: improved parking (60.3%), up-to-date information provision (15.0%), ease of clinic contact (12.9%), access to information at home (12.8%), convenient appointment scheduling (14.2%), reduced wait-times (19.8%) and information on medical emergencies (11.1%). To address these general initiatives, 40 detailed initiatives were selected by respondents.Conclusions: Initiatives targeting service accessibility and information provision, such as parking and up-to-date information on patient prognoses and progress, were commonly selected and perceived to be of relatively greater priority. Specific preferences included the need for clinics to provide patient-designated parking in close proximity to the clinic, information on treatment progress and test results (potentially in the form of designated brief appointments or via telehealth) and comprehensive and trustworthy lists of information sources to access at home.
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2016 |
Fradgley EA, Paul CL, Bryant J, Collins N, Ackland SP, Bellamy D, Levi CR, 'Collaborative Patient-Centered Quality Improvement: A Cross-Sectional Survey Comparing the Types and Numbers of Quality Initiatives Selected by Patients and Health Professionals.', Eval Health Prof, 39 475-495 (2016) [C1]
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2016 |
Fradgley EA, Bryant J, Paul CL, Hall AE, Sanson-Fisher RW, Oldmeadow C, 'Cross-sectional data that explore the relationship between outpatients' quality of life and preferences for quality improvement in oncology settings', Journal of Oncology Practice, 12 e746-e754 (2016) [C1] Purpose This cross-sectional study assessed the association between oncology outpatients' quality improvement preferences and health-related quality of life (HRQoL). Implemen... [more] Purpose This cross-sectional study assessed the association between oncology outpatients' quality improvement preferences and health-related quality of life (HRQoL). Implementation of specific initiatives preferred by patients with lower HRQoL may be a strategic approach to enhancing care for potentially vulnerable patients. Methods English-speaking adults were recruited from five outpatient chemotherapy clinics located in New South Wales, Australia. Using touch screen devices, participants selected up to 25 initiatives that would improve their experiences and completed the Functional Assessment of Cancer Therapy-General (FACT-G) survey. The logistic odds of selecting an initiative according to FACT-G scores were calculated to determine whether preferences were associated with HRQoL after controlling for potential confounders. Results Of the 411 eligible outpatients approached to participate, 263 (64%) completed surveys. Commonly selected initiatives were up-to-date information on treatment and condition progress (19.8%), access to or information on financial assistance (18.3%), and reduced clinic wait times (17.5%). For those with relatively lower FACT-G scores, the adjusted odds of selecting five initiatives illustrated an increasing trend: convenient appointment scheduling systems (+23% [P =.002]), reduced wait times (+15% [P =.01]), information on medical emergencies (+14% [P =.04]), access to or information on financial assistance (+15% [P =.009]), help to maintain daily living activities (+18% [P =.007]). Conclusion Two areas of improvement were commonly selected: easily accessible health services and information and support for self-management. Although the results suggest an association between a few quality improvement preferences and HRQoL, a wider spectrum of patient characteristics must be considered when targeting quality improvement to patient subgroups.
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2016 |
Paul C, Bonevski B, Twyman L, D'Este C, Siahpush M, Guillaumier A, et al., 'The 'price signal' for health care is loud and clear: A cross-sectional study of self-reported access to health care by disadvantaged Australians', Australian and New Zealand Journal of Public Health, 40 132-137 (2016) [C1] Objective: To describe self-reported inability to access health care and factors associated with lack of access among a socioeconomically disadvantaged group. Method: A cross-sect... [more] Objective: To describe self-reported inability to access health care and factors associated with lack of access among a socioeconomically disadvantaged group. Method: A cross-sectional survey with 906 adult clients of a large community welfare agency in New South Wales. Clients attending the service for emergency assistance completed a touchscreen survey. Results: Inability to access health care in the prior year was reported by more than one-third of the sample (38%), compared to the 5% found for the general population. Dentists (47%), specialists (43%) or GPs (29%) were the least accessible types of health care. The main reason for inability to access health care was cost, accounting for 60% of responses. Almost half (47%) the sample reported delayed or non-use of medicines due to cost. Increasing financial stress was associated with increased inability to access GP or specialist care, medicines and imaging. Higher anxiety scores were associated with inability to access health care, and with cost-related inability to access medicines and imaging. Conclusion: For disadvantaged groups, cost-related barriers to accessing care are prominent and are disproportionately high - particularly regarding dentistry, specialist and GP care. Implications: Improvements in health outcomes for disadvantaged groups are likely to require strategies to reduce cost-related barriers to health care.
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2015 |
Zucca A, Sanson-Fisher R, Waller A, Carey M, Fradgley E, Regan T, 'Medical Oncology Patients: Are They Offered Help and Does It Provide Relief?', Journal of Pain and Symptom Management, 50 436-444 (2015) [C1] Context Identifying modifiable gaps in the symptom management pathway, as perceived by patients, is the first step to relieving patient suffering. Objectives The objective is to d... [more] Context Identifying modifiable gaps in the symptom management pathway, as perceived by patients, is the first step to relieving patient suffering. Objectives The objective is to describe the proportion of patients experiencing treatable cancer-related symptoms who reported 1) a health care provider at the treatment center offered assistance for their symptom, 2) they accepted the assistance offered, and 3) the assistance relieved suffering. Variation in symptom management among treatment centers also was examined. Methods A survey was done with 528 medical oncology outpatients recruited from six treatment centers. Eight items explored management of prevalent, burdensome, and treatable cancer-related symptoms: pain, fatigue, other physical side effects, and emotional distress. Participants were asked about symptom management provided at the clinic from where they were recruited. Questions referred to the last occasion the patient experienced the symptom. Results Fewer patients were offered help to relieve fatigue (44%) and emotional distress (57%), than pain (90%) and other physical side effects (84%). In most cases, help was not offered as clinic staff were not aware of the patient's symptom. Although the vast majority of patients accepted the help that was offered, more patients accepted help for physical symptoms (pain, 97%; fatigue, 95%; and other side effects, 98%) than emotional symptoms (87%). When care was provided, most patients experienced at least a little relief from pain (99%), fatigue (94%), and emotional distress (96%). Symptom management did not vary significantly by treatment center (P = 0.073). Conclusion Quality improvement initiatives must focus primarily on improving providers' awareness of their patients' symptoms and ensuring that patients are subsequently offered help.
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2015 |
Fradgley EA, Paul CL, Bryant J, 'A systematic review of barriers to optimal outpatient specialist services for individuals with prevalent chronic diseases: What are the unique and common barriers experienced by patients in high income countries?', International Journal for Equity in Health, 14 (2015) [C1] Health utilization and need assessment data suggest there is considerable variation in access to outpatient specialist care. However, it is unclear if the types of barriers experi... [more] Health utilization and need assessment data suggest there is considerable variation in access to outpatient specialist care. However, it is unclear if the types of barriers experienced are specific to chronic disease groups or experienced universally. This systematic review provides a detailed summary of common and unique barriers experienced by chronic disease groups when accessing and receiving care, and a synthesized list of possible health service initiatives to improve equitable delivery of optimal care in high-income countries. Quantitative articles describing barriers to specialist outpatient services were retrieved from CINAHL, MEDLINE, Embase, and PyscINFO. To be eligible for review, studies: were published from 2002 to May 2014; included samples with cancer, diabetes mellitus, osteoporosis, arthritis, ischaemic heart disease, stroke, asthma, chronic pulmonary disorder (COPD) or depression; and, were conducted in high-income countries. Using a previously validated model of access (Penchansky and Thomas' model of fit), barriers were grouped according to five overarching domains and defined in more detail using 33 medical subject headings. Results from reviewed articles, including the scope and frequency of reported barriers, are conceptualized using thematic analysis and framed as possible health service initiatives. A total of 3181 unique records were screened for eligibility, of which 74 studies were included in final analysis. The largest proportion of studies reported acceptability barriers (75.7 %), of which demographic disparities (44.6 %) were reported across all diseases. Other frequently reported barriers included inadequate need assessment (25.7 %), information provision (32.4 %), or health communication (20 %). Unique barriers were identified for oncology, mental health, and COPD samples. Based on the scope, frequency and measurement of reported barriers, eight key themes with associated implications for health services are presented. Examples include: common accommodation and accessibility barriers caused on service organization or physical structure, such as parking and appointment scheduling; common barriers created by poor coordination of care within the healthcare team; and unique barriers resulting from inadequate need assessment and referral practices. Consideration of barriers, across and within chronic diseases, suggests a number of specific initiatives are likely to improve the delivery of patient-centered care and increase equity in access to high-quality health services.
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Nova | |||||||||
2015 |
Bryant J, Sanson-Fisher R, Fradgley E, Regan T, Hobden B, Ackland SP, 'Oncology patients overwhelmingly support tissue banking.', BMC Cancer, 15 413 (2015) [C1]
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Nova | |||||||||
2015 |
Tzelepis F, Sanson-Fisher RW, Zucca AC, Fradgley EA, 'Measuring the quality of patient-centered care: Why patient-reported measures are critical to reliable assessment', Patient Preference and Adherence, 9 831-835 (2015) [C1] Purpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated th... [more] Purpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimensions that stipulated that care must be: respectful to patients¿ values, preferences, and expressed needs; coordinated and integrated; provide information, communication, and education; ensure physical comfort; provide emotional support; and involve family and friends. Patient-reported measures examine the patient¿s perspective and are essential to the accurate assessment of patient-centered care. This article¿s objectives are to: 1) use the six IOM-endorsed patient-centeredness dimensions as a framework to outline why patient-reported measures are crucial to the reliable measurement of patient-centered care; and 2) to identify existing patient-reported measures that assess each patient-centered care dimension. Methods: For each IOM-endorsed patient-centeredness dimension, the published literature was searched to highlight the essential role of patients in assessing patient-centered care and informing quality improvement efforts. Existing literature was also searched to identify examples of patient-reported measures that assess each patient-centeredness dimension. Conclusion: Patient-reported measures are arguably the best way to measure patient-centeredness. For instance, patients are best positioned to determine whether care aligns with patient values, preferences, and needs and the Measure of Patient Preferences is an example of a patient-reported measure that does so. Furthermore, only the patient knows whether they received the level of information desired, and if information was understood and can be recalled. Patient-reported measures that examine information provision include the Lung Information Needs Questionnaire and the EORTC QLQ-INFO25. In relation to physical comfort, only patients can report the severity of physical symptoms and whether medications provide adequate relief. Patient-reported measures that investigate physical comfort include the Pain Care Quality Survey and the Brief Pain Inventory. Using patient-reported measures to regularly measure patient-centered care is critical to identifying areas of health care where improvements are needed.
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Nova | |||||||||
2014 |
Yergens D, Fradgley E, Aiyar R, Lang E, Rowe BH, Ghali WA, 'An environmental scan of medical assessment units in Canada.', Healthc Q, 17 28-33 (2014) [C2]
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Nova | |||||||||
2014 |
Fradgley EA, Paul CL, Bryant J, Roos IA, Henskens FA, Paul DJ, 'Consumer participation in quality improvements for chronic disease care: development and evaluation of an interactive patient-centered survey to identify preferred service initiatives.', Journal of medical Internet research, 16 e292 (2014) [C1]
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Nova | |||||||||
Show 37 more journal articles |
Conference (30 outputs)
Year | Citation | Altmetrics | Link | ||||||||
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2022 | Taylor J, Lynam J, Fradgley L, Ben B, 'Medicinal cannabis in Australian oncology patients: A survey comparing users to non-users', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2022) | ||||||||||
2021 |
Paul C, Cox M, Boyes A, Rose S, Baker A, Clinton-McHarg T, et al., 'Online and PhoneAssistance for Lung Cancer Patients (OPAL): Uptake and outcomes for telephone versus online support in a randomised controlled trial', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2021)
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2021 |
Paul C, Fradgley E, Lane K, Miller A, Bridge P, Taylor J, 'Use of support services among patients and carers with cancer who contacted cancer council support services: Uptake of and reasons for non-use of services', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2021)
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2020 |
Lane K, Fradgley E, Spence D, Bridge P, Taylor J, Paul C, 'Financial toxicity as a side-effect of cancer - A Victorian profile of callers to a phone-based information and support line', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2020)
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2015 |
Fradgley E, Paul C, Bryant J, Oldmeadow C, 'AIMING FOR THE RIGHT QUALITY IMPROVEMENT TARGET: CROSS-SECTIONAL DATA EXPLORING OUTPATIENTS' PRIORITIES AND PREFERENCES FOR QUALITY IMPROVEMENT IN TERTIARY CLINICS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2015) [E3]
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2015 |
Fradgley E, Paul C, Bryant J, Collins N, Ackland S, Bellamy D, Levi C, 'ADVANCING COLLABORATIVE QUALITY IMPROVEMENT IN TERTIARY SETTINGS: DO CHRONIC DISEASE OUTPATIENTS AND HEALTH PROFESSIONALS IDENTIFY SIMILAR TYPES AND NUMBERS OF QUALITY INITIATIVES?', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2015) [E3]
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2014 |
Henskens FA, Paul DJ, Wallis M, Bryant J, Carey M, Fradgley E, et al., 'Web-based support for population-based medical research: Presenting the QuON survey system', HEALTHINF 2014 - 7th International Conference on Health Informatics, Proceedings; Part of 7th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2014 (2014) [E1] This paper discusses the needs of medical researchers working in the area of patient-centred medicine, in particular their use of survey data in measuring patient opinions, needs,... [more] This paper discusses the needs of medical researchers working in the area of patient-centred medicine, in particular their use of survey data in measuring patient opinions, needs, perceived quality of care received, and priorities of health service interventions. Until quite recently, collection of survey data has been either paper-based, or achieved using computer software that largely duplicated paper-based processes with limited additional functionality. The authors investigate the use of web-based technology to support collection of such data from patients, including experiences and observations on enhanced/additional functionality made possible by its adoption. A novel software design termed QuON is presented, together with examples of its capabilities and uses in current research projects. Copyright © 2014 SCITEPRESS - Science and Technology Publications. All rights reserved.
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Nova | |||||||||
2014 |
Henskens FA, Paul DJ, Wallis M, Bryant J, Carey M, Fradgley E, et al., 'How Do Health Researchers Benefit From Web-Based Survey Systems?', Proceedings of e-Health 2014, Lisbon, Portugal (2014) [E1]
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Nova | |||||||||
2014 |
Fradgley E, Paul C, Bryant J, Zucca A, 'A Multi-site Study to Explore Patient-identified and Prioritized Health Service Initiatives to Improve Oncology Outpatient Care: Are We Aiming for the Right Targets?', PSYCHO-ONCOLOGY (2014) [E3]
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2014 |
Fradgley E, Paul C, Bryant J, Roos I, 'Optimising New Technologies to Enable Consumer Participation in Quality Improvements for Oncology Care: Development and Evaluation of an Interactive Survey of Preferences and Priorities', PSYCHO-ONCOLOGY (2014) [E3]
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2014 |
Bryant J, Sanson-Fisher R, Fradgley L, Regan T, Hobden B, Ackland S, Turon H, 'ONCOLOGY PATIENTS OVERWHELMINGLY SUPPORT TISSUE BANKING', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
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Show 27 more conferences |
Grants and Funding
Summary
Number of grants | 20 |
---|---|
Total funding | $1,696,268 |
Click on a grant title below to expand the full details for that specific grant.
Highlighted grants and funding
A multi-component implementation strategy to improve evidence-based distress management practices of Australian cancer services: the effectiveness and cost of online Training and EducatioNal OutReach$700,000
Funding body: Cancer Instititue NSW
Funding body | Cancer Instititue NSW |
---|---|
Scheme | Early Career Fellowship |
Role | Lead |
Funding Start | 2019 |
Funding Finish | 2022 |
GNo | |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | N |
Career Advancement Fellowship in Cancer Research$51,906
Funding body: Priority Research Centre for Cancer Research, Innovation and Translation
Funding body | Priority Research Centre for Cancer Research, Innovation and Translation |
---|---|
Project Team | Dr Elizabeth Fradgley |
Scheme | Career Advancement Fellowship in Cancer Research |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
A randomised trial to implement systematic distress screening and structured care for callers using Cancer Councils' telephone services$446,774
Distress can interfere with the ability to cope effectively with cancer, its symptoms and treatment. Guidelines for distress management recommend pathways of support or structured care based on testing for distress; more simply, individuals should be asked standardised questions about their distress and then be matched with the services able to help with mild, moderate or severe distress. Structured care models have not been tested in community-based services like the Cancer Council 13 11 20 telephone service which provides support for people affected by cancer. The 13 11 20 service is staffed by trained consultants who can offer callers a wide range of services which provide informational, instrumental and emotional support. This randomised trial will assess the effectiveness of a structured care model in improving callers’ use of offered services and reducing levels of distress.
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Project Team | A/Prof Christine Paul, Dr Allison Boyes, Prof Paul Jacobsen, Ms Lorna O'Brien, Dr Tara Clinton-Mcharg, Dr Anna Boltong, Dr Elizabeth Fradgley, Ms Katherine Lane |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Quantifying and addressing the evidence-practice gap in distress screening: a national environmental scan and short pilot-test to determine improvement areas and acceptability of implementation strategies for Australian cancer services.$29,795
The National Comprehensive Cancer Network (NCCN) defines distress as a multifactorial unpleasant emotional experience of a psychological, social and/or spiritual nature that may interfere with an individual’s ability to cope with a cancer diagnosis, symptoms and treatment. Up to 45% of patients will experience distress during their cancer journey, which if left untreated, can be associated with the development of clinically significant disorders such as depression and anxiety. Distressed cancer patients are more likely to report lower quality of life with relatively worse survival rates, decreased treatment compliance, and longer length of hospital stays.
Due to the complex and evolving nature of distress, health professionals often fail to detect distress in time- or resource-poor clinical settings. Distress screening is the standardised assessment of patients with the intent to inform referral decisions, specifically if more extensive assessment and psychosocial support services are warranted. There are limited data about the extent to which Australian cancer services have implemented distress-screening guidelines.
This project will identify: (1) the proportion of cancer services who adhere to evidence-based guidelines; (2) potential areas of improvement (i.e. use of validated screening measure, timing of screening, or referral protocols based on distress); (3) barriers and facilitators to implementing distress screening (including lack of care options for identified cases); and (4) whether quality improvement techniques, such as mentoring and bench-marking, are acceptable to services who wish to improve screening rates.
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr Elizabeth Fradgley, A/Prof Christine Paul, Dr Greg Carter, Prof Paul Jacobsen, Dr Ben Britton, Dr Kerrie Clover, Mr Douglas Bellamy, Dr Kristen McCarter, Ms Martine Cox |
Scheme | HCRA Implementation Flagship program |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20221 grants / $5,000
Brain cancer and cognitive decline: The acceptability of Cognitive Screening for Aboriginal peoples in New South Wales (NSW)$5,000
Funding body: White Coats Foundation
Funding body | White Coats Foundation |
---|---|
Project Team | Associate Professor Michelle Kennedy, Ms Melissa Carlson, Doctor Liz Fradgley, Professor Christine Paul |
Scheme | Power of One Grant |
Role | Investigator |
Funding Start | 2022 |
Funding Finish | 2022 |
GNo | G2200248 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
20193 grants / $809,129
A multi-component implementation strategy to improve evidence-based distress management practices of Australian cancer services: the effectiveness and cost of online Training and EducatioNal OutReach$700,000
Funding body: Cancer Instititue NSW
Funding body | Cancer Instititue NSW |
---|---|
Scheme | Early Career Fellowship |
Role | Lead |
Funding Start | 2019 |
Funding Finish | 2022 |
GNo | |
Type Of Funding | C1700 - Aust Competitive - Other |
Category | 1700 |
UON | N |
COgnitive impairment in People with glioma and distress in their INformal care-Givers: feasibility and acceptability of a systematic screening process and structured referral process$100,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Liz Fradgley, Professor Christine Paul, Conjoint Professor Peter Schofield, Doctor Craig Gedye, Conjoint Professor Stephen Ackland, Associate Professor Helen Wheeler, Ms Marina Kastelan, Sandy Nixon, Mrs Alisha Gooley, Associate Professor Fiona Schulte |
Scheme | Project Grant |
Role | Lead |
Funding Start | 2019 |
Funding Finish | 2021 |
GNo | G1801423 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Identifying and managing the financial toxicity of cancer$9,129
Funding body: Cancer Council Victoria
Funding body | Cancer Council Victoria |
---|---|
Project Team | Professor Christine Paul, Doctor Liz Fradgley |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | G1901061 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
20185 grants / $338,250
A multi-component implementation strategy to improve evidence-based distress management practices of Australian cancer services: the effectiveness and cost of online Training and EducatioNal OutReach $221,344
Funding body: Cancer Institute NSW
Funding body | Cancer Institute NSW |
---|---|
Project Team | Doctor Liz Fradgley |
Scheme | Early Career Fellowship |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2022 |
GNo | G1800294 |
Type Of Funding | C2300 – Aust StateTerritoryLocal – Own Purpose |
Category | 2300 |
UON | Y |
Career Advancement Fellowship in Cancer Research$51,906
Funding body: Priority Research Centre for Cancer Research, Innovation and Translation
Funding body | Priority Research Centre for Cancer Research, Innovation and Translation |
---|---|
Project Team | Dr Elizabeth Fradgley |
Scheme | Career Advancement Fellowship in Cancer Research |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Qualitative sub-study to investigate health professionals' perspectives on current and ideal referral processes and meeting organisation$30,000
Funding body: HCRA Hunter Cancer Research Alliance
Funding body | HCRA Hunter Cancer Research Alliance |
---|---|
Project Team | Prof Christine Paul, Dr Elizabeth Fradgley, Prof Tony Prietto, Ms Jill Lack, Ms Rachel Pitt, Ms Denise Kaminiski, Dr Nick Zdenkowski |
Scheme | Research Project |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
A cross-sectional study to explore patterns of use and perceptions towards cannabis in the NSW cancer population$30,000
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr James Lynam, Dr Ben Britton, Dr Elizabeth Fradgley, Prof Jennifer Martin, Dr Gareth Watts |
Scheme | HCRA Implementation Flagship program |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Referral uptake by distressed cancer patients and caregivers$5,000
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Ms Joanne Taylor, Dr Elizabeth Fradgley, Prof Chris Paul, Dr Tara Clinton-McHarg |
Scheme | HCRA Implementation Flagship program |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20174 grants / $36,366
A scoping review of the current state of health services research in Australia$24,866
Funding body: Health Services Research Association of Australia and New Zealand
Funding body | Health Services Research Association of Australia and New Zealand |
---|---|
Project Team | Professor Christine Paul, Professor John Wiggers, Professor Deb Loxton, Doctor Catherine Chojenta, Doctor Melissa Harris, Doctor Liz Fradgley |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1601330 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Systematic review of the distress screening practices in telephone-based services$5,000
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Ms Joanne Taylor, Dr Elizabeth Fradgley, Prof Christine Paul, Dr Tara Clinton-McHarg |
Scheme | Systematic Review Grant |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Publication Grant: "Enlisting the willing: A study of healthcare professional-initiated and opt-in biobanking consent reveals improvement opportunities throughout the registration process"$5,000
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr Elizabeth Fradgley, Dr Shu-Er Chong, Ms Martine Cox, Prof Chris Paul, Dr Craig Gedye |
Scheme | Publication Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Conference travel grant$1,500
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr Elizabeth Fradgley |
Scheme | Conference Travel Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20164 grants / $491,569
A randomised trial to implement systematic distress screening and structured care for callers using Cancer Councils' telephone services$446,774
Distress can interfere with the ability to cope effectively with cancer, its symptoms and treatment. Guidelines for distress management recommend pathways of support or structured care based on testing for distress; more simply, individuals should be asked standardised questions about their distress and then be matched with the services able to help with mild, moderate or severe distress. Structured care models have not been tested in community-based services like the Cancer Council 13 11 20 telephone service which provides support for people affected by cancer. The 13 11 20 service is staffed by trained consultants who can offer callers a wide range of services which provide informational, instrumental and emotional support. This randomised trial will assess the effectiveness of a structured care model in improving callers’ use of offered services and reducing levels of distress.
Funding body: National Health and Medical Research Council
Funding body | National Health and Medical Research Council |
---|---|
Project Team | A/Prof Christine Paul, Dr Allison Boyes, Prof Paul Jacobsen, Ms Lorna O'Brien, Dr Tara Clinton-Mcharg, Dr Anna Boltong, Dr Elizabeth Fradgley, Ms Katherine Lane |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Quantifying and addressing the evidence-practice gap in distress screening: a national environmental scan and short pilot-test to determine improvement areas and acceptability of implementation strategies for Australian cancer services.$29,795
The National Comprehensive Cancer Network (NCCN) defines distress as a multifactorial unpleasant emotional experience of a psychological, social and/or spiritual nature that may interfere with an individual’s ability to cope with a cancer diagnosis, symptoms and treatment. Up to 45% of patients will experience distress during their cancer journey, which if left untreated, can be associated with the development of clinically significant disorders such as depression and anxiety. Distressed cancer patients are more likely to report lower quality of life with relatively worse survival rates, decreased treatment compliance, and longer length of hospital stays.
Due to the complex and evolving nature of distress, health professionals often fail to detect distress in time- or resource-poor clinical settings. Distress screening is the standardised assessment of patients with the intent to inform referral decisions, specifically if more extensive assessment and psychosocial support services are warranted. There are limited data about the extent to which Australian cancer services have implemented distress-screening guidelines.
This project will identify: (1) the proportion of cancer services who adhere to evidence-based guidelines; (2) potential areas of improvement (i.e. use of validated screening measure, timing of screening, or referral protocols based on distress); (3) barriers and facilitators to implementing distress screening (including lack of care options for identified cases); and (4) whether quality improvement techniques, such as mentoring and bench-marking, are acceptable to services who wish to improve screening rates.
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr Elizabeth Fradgley, A/Prof Christine Paul, Dr Greg Carter, Prof Paul Jacobsen, Dr Ben Britton, Dr Kerrie Clover, Mr Douglas Bellamy, Dr Kristen McCarter, Ms Martine Cox |
Scheme | HCRA Implementation Flagship program |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Systematic review of the individual characteristics of effective change champions in health services $10,000
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Prof Chris Paul, Dr Ann Dadich, Ms Annika Ryan, Dr Elizabeth Fradgley |
Scheme | HCRA Implementation Flagship program |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Quantifying the evidence-practice gap in Australian private cancer services' distress screening practices $5,000
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Dr Elizabeth Fradgley, Prof Chris Paul, Prof Greg Carter, Dr Ben Britton, Dr Kerrie Clover, Mr Douglas Bellamy D, and Dr Kristen McCarter |
Scheme | Pilot Grants |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20151 grants / $5,000
HDR Completion Grant $5,000
Funding body: Faculty of Medicine and Public Health
Funding body | Faculty of Medicine and Public Health |
---|---|
Project Team | Dr Elizabeth Fradgley |
Scheme | HDR Completion Grant |
Role | Lead |
Funding Start | 2015 |
Funding Finish | 2016 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20141 grants / $3,289
Conference Travel Grant$3,289
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Dr Elizabeth Fradgley |
Scheme | Conference and Travel Grant |
Role | Lead |
Funding Start | 2014 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
20121 grants / $7,665
Development and testing of a novel tool to incorporate patient perspective in quality improvement. $7,665
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Dr Jamie Bryant, Prof Chris Paul, Dr Allison Boyes, A/Prof Mariko Carey, Prof Rob Sanson-Fisher, Dr Elizabeth Fradgley |
Scheme | Pilot Grants |
Role | Investigator |
Funding Start | 2012 |
Funding Finish | 2012 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Research Collaborations
The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.
Country | Count of Publications | |
---|---|---|
Australia | 67 | |
Canada | 4 | |
United States | 4 | |
United Kingdom | 3 | |
New Zealand | 1 |
News
News • 14 Feb 2019
Funding awarded for innovative cancer research
Three University of Newcastle researchers have been awarded career fellowships worth more than $1.6 million for research into innovative cancer treatment.
Dr Liz Fradgley
Position
Honorary Lecturer
Health Behaviour Research Group
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Contact Details
elizabeth.fradgley@newcastle.edu.au | |
Phone | (02) 4042 0642 |
Fax | (02) 4042 0040 |
Links |
Research Networks Research Networks Google+ |
Office
Building | HMRI Building L4 West |
---|---|
Location | Callaghan University Drive Callaghan, NSW 2308 Australia |