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Dr Flora Tzelepis

Post Doctoral Research Fellow

School of Medicine and Public Health

Career Summary

Biography

Research Expertise
Dr Flora Tzelepis is a Cancer Institute NSW Early Career Research Fellow. Her PhD work investigated the effectiveness of proactively offering NSW Quitline telephone support on smokers' long-term cessation rates and she was awarded the University of Newcastle’s Research Higher Degree Excellence Award for the Faculty of Health for 2010. Her Cancer Institute NSW fellowship examines the effectiveness of real-time video counselling for smoking cessation compared to proactive telephone counselling or written materials among smokers residing in regional and remote areas. In previous work she led the development and psychometric evaluation of the Quality of Patient-Centered Cancer Care measure and assessed the quality of cancer care received by haematological cancer survivors and examined the effectiveness of proactive enrolment of TAFE students to existing telephone and online support in reducing smoking, alcohol, nutrition and physical activity health risk behaviours. Flora is also working on research that examines the effectiveness of an organisational change intervention on cessation rates among smokers attending drug and alcohol treatment centres and the acceptability of a stepped care model for smoking cessation. Flora has published 52 peer-reviewed research papers and has been awarded three competitive fellowships from the Leukaemia Foundation/Cure Cancer Australia, the National Heart Foundation and the Cancer Institute NSW.

Teaching Expertise
Flora has taught 4th year medical students communication skills regarding preparing patients for potentially threatening clinical procedures and obtaining informed consent. She has also taught evaluation designs and measurement and analysis to postgraduate students enroled in a health program evaluation course.

Qualifications

  • PhD, University of Newcastle
  • Bachelor of Science (Psychology)(Honours), University of Newcastle

Keywords

  • cancer prevention
  • multiple health behaviours
  • quality of care
  • smoking cessation

Fields of Research

Code Description Percentage
111799 Public Health and Health Services not elsewhere classified 65
160599 Policy and Administration not elsewhere classified 10
170199 Psychology not elsewhere classified 25

Professional Experience

UON Appointment

Title Organisation / Department
Post Doctoral Research Fellow University of Newcastle
School of Medicine and Public Health
Australia

Academic appointment

Dates Title Organisation / Department
1/01/2014 - 31/12/2015 National Heart Foundation Postdoctoral Research Fellow

National Heart Foundation Postdoctoral Research Fellowship

University of Newcastle
1/01/2012 - 1/12/2013 Fellow

Leukaemia

Foundation:- National Research Program (Postdoctoral Fellowship)

University of Newcastle
School of Medicine and Public Health
Australia
1/01/2011 - 1/12/2011 Fellow

Cure Cancer

Australia Foundation:- Postdoctoral Fellowship

University of Newcastle
School of Medicine and Public Health
Australia
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (55 outputs)

Year Citation Altmetrics Link
2016 Bonevski B, Guillaumier A, Shakeshaft A, Farrell M, Tzelepis F, Walsberger S, et al., 'An organisational change intervention for increasing the delivery of smoking cessation support in addiction treatment centres: Study protocol for a randomized controlled trial', Trials, 17 (2016)

© 2016 Bonevski et al.Background: The provision of smoking cessation support in Australian drug and alcohol treatment services is sub-optimal. This study examines the cost-effect... [more]

© 2016 Bonevski et al.Background: The provision of smoking cessation support in Australian drug and alcohol treatment services is sub-optimal. This study examines the cost-effectiveness of an organisational change intervention to reduce smoking amongst clients attending drug and alcohol treatment services. Methods/design: A cluster-randomised controlled trial will be conducted with drug and alcohol treatment centres as the unit of randomisation. Biochemically verified (carbon monoxide by breath analysis) client 7-day-point prevalence of smoking cessation at 6 weeks will be the primary outcome measure. The study will be conducted in 33 drug and alcohol treatment services in four mainland states and territories of Australia: New South Wales, Australian Capital Territory, Queensland, and South Australia. Eligible services are those with ongoing client contact and that include pharmacotherapy services, withdrawal management services, residential rehabilitation, counselling services, and case management services. Eligible clients are those aged over 16 years who are attending their first of a number of expected visits, are self-reported current smokers, proficient in the English language, and do not have severe untreated mental illness as identified by the service staff. Control services will continue to provide usual care to the clients. Intervention group services will receive an organisational change intervention, including assistance in developing smoke-free policies, nomination of champions, staff training and educational client and service resources, and free nicotine replacement therapy in order to integrate smoking cessation support as part of usual client care. Discussion: If effective, the organisational change intervention has clear potential for implementation as part of the standard care in drug and alcohol treatment centres. Trial registration: Australian and New Zealand Clinical Trials Registry, ACTRN12615000204549. Registered on 3 March 2015.

DOI 10.1186/s13063-016-1401-6
Co-authors Chris Paul, Adrian Dunlop, Billie Bonevski
2016 Wilson AJ, Bonevski B, Dunlop A, Shakeshaft A, Tzelepis F, Walsberger S, et al., ''The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings', Drug and Alcohol Review, 35 92-101 (2016)

© 2016 Australasian Professional Society on Alcohol and other Drugs.Introduction and Aims: The aim of this study was to explore beliefs about tobacco dependence treatment from th... [more]

© 2016 Australasian Professional Society on Alcohol and other Drugs.Introduction and Aims: The aim of this study was to explore beliefs about tobacco dependence treatment from the perspective of staff and clients in addiction treatment settings.Design and Methods: A qualitative study was conducted between August and November 2013 using grounded theory methodology. Participants were recruited from four government-funded drug and alcohol services in a regional centre of New South Wales, Australia. Treatment centre staff (n=10) were interviewed using a semistructured interview guide and two focus groups (n=5 and n=6) were held with clients of the same treatment centres.Results: Both clients and staff wish to do more about tobacco use in addiction treatment services, but a number of barriers were identified. Staff barriers included lack of time, tobacco-permissive organisational culture, lack of enforcement of smoke-free policies, beliefs that tobacco is not a treatment priority for clients and that clients need to smoke as a coping strategy, and perceptions that treatment was either ineffective or not used by clients. Clients reported smoking as a habit and for enjoyment or stress relief, seeing staff smoking, nicotine replacement therapy unaffordability and perceptions that nicotine replacement therapy may be addictive, and inability to relate to telephone cessation counselling as barriers to quitting smoking.Discussion and Conclusions: Client and staff perceptions and attitudes about the treatment of tobacco, particularly those relating telephone support and nicotine replacement therapy, provided information, which will inform the design of smoking cessation programs for addiction treatment populations. [Wilson AJ, Bonevski B., Dunlop A., Shakeshaft A, Tzelepis F., Walsberger S., Farrell M., Kelly PJ, Guillaumier A. 'The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings. Drug Alcohol Rev 2015].

DOI 10.1111/dar.12322
Co-authors Adrian Dunlop, Billie Bonevski, Amanda Wilson
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]

© 2015 Tzelepis et al.Purpose: The Institute of Medicine (IOM) identified patient-centeredness as crucial to quality health care. The IOM endorsed six patient-centeredness dimens... [more]

© 2015 Tzelepis et al.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.

DOI 10.2147/PPA.S81975
Citations Scopus - 1
Co-authors Alison Zucca, Rob Sanson-Fisher
2015 Paul C, Wolfenden L, Tzelepis F, Yoong S, Bowman J, Wye P, et al., 'Nicotine replacement therapy as a smoking cessation aid among disadvantaged smokers: What answers do we need?', Drug and Alcohol Review, (2015)

© 2015 Australasian Professional Society on Alcohol and other Drugs.In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates ... [more]

© 2015 Australasian Professional Society on Alcohol and other Drugs.In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates than the general population. As there are limited data specific to these groups regarding the success of nicotine replacement therapy for smoking cessation, this commentary will provide an overview of the relevant international literature supplemented with observational data relevant to the policy contexts in Australia and New Zealand.

DOI 10.1111/dar.12362
Co-authors Jenny Bowman, Luke Wolfenden, John Wiggers, Serene Yoong, Chris Paul
2015 Tzelepis F, Sanson-Fisher RW, Hall AE, Carey ML, Paul CL, Clinton-Mcharg T, 'Development and psychometric evaluation of the Quality of Patient-Centered Cancer Care measure with hematological cancer survivors', Cancer, 121 2383-2392 (2015) [C1]

© 2015 American Cancer Society.BACKGROUND The Institute of Medicine (IOM) recommended 6 objectives for achieving patient-centered care. However, most patient-reported outcome mea... [more]

© 2015 American Cancer Society.BACKGROUND The Institute of Medicine (IOM) recommended 6 objectives for achieving patient-centered care. However, most patient-reported outcome measures developed with cancer populations fail to address all 6 patient-centeredness dimensions. The Quality of Patient-Centered Cancer Care (QPCCC) measure was developed on the basis of IOM recommendations, and the measure's validity, reliability, and floor and ceiling effects were examined. METHODS The development of the QPCCC measure included interviews with hematological cancer survivors and feedback from hematologists and cancer patients. To evaluate the measure's psychometric properties, hematological cancer survivors were identified via 2 cancer registries and were mailed the QPCCC measure. To examine test-retest reliability, a second QPCCC measure was mailed to survivors 7 to 14 days after they had returned the first measure. RESULTS Overall, 545 hematological cancer survivors completed the 48-item QPCCC measure. Exploratory factor analysis revealed a 10-factor structure with factor loadings>0.40. The subscales were labeled Treatment Delivery, Treatment Decision Making, Coordinated and Integrated Care, Emotional Support, Timely Care, Follow-Up Care, Respectful Communication, Patient Preferences and Values, Cancer Information, and Equitable Care. The QPCCC measure demonstrated acceptable internal consistency for all subscales (Cronbach's a=.73-.94). When test-retest reliability was assessed, 4 items demonstrated substantial agreement (¿>0.60), whereas 40 items showed moderate agreement (¿=0.41-0.60). Ceiling effects were present for 8 subscales. CONCLUSIONS The QPCCC measure has acceptable face and content validity, construct validity, and internal consistency. However, the measure's discriminant validity and test-retest reliability could be improved. The QPCCC measure could be used to improve patient-centered cancer care. Cancer 2015;121:2383-2392.

DOI 10.1002/cncr.29384
Citations Scopus - 1
Co-authors Tara Clinton-Mcharg, Chris Paul, Mariko Carey, Alix Hall, Rob Sanson-Fisher
2015 Bryant J, Sanson-Fisher R, Stevenson W, Smits R, Henskens F, Wei A, et al., 'Protocol of a multi-centre randomised controlled trial of a web-based information intervention with nurse-delivered telephone support for haematological cancer patients and their support persons', BMC Cancer, 15 (2015) [C3]

© 2015 Bryant et al.; licensee BioMed Central.Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatmen... [more]

© 2015 Bryant et al.; licensee BioMed Central.Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatment and their Support Persons. Psychosocial distress may be minimised by ensuring that patients are sufficiently involved in decision making, provided with tailored information and adequate preparation for potentially threatening procedures. To date, there are no published studies evaluating interventions designed to reduce psychosocial distress and unmet needs specifically in patients with haematological cancers and their Support Persons. This study will examine whether access to a web-based information tool and nurse-delivered telephone support reduces depression, anxiety and unmet information needs for haematological cancer patients and their Support Persons. Methods/Design: A non-blinded, parallel-group, multi-centre randomised controlled trial will be conducted to compare the effectiveness of a web-based information tool and nurse-delivered telephone support with usual care. Participants will be recruited from the haematology inpatient wards of five hospitals in New South Wales, Australia. Patients diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, Burkitt's lymphoma, Lymphoblastic lymphoma (B or T cell), or Diffuse Large B-Cell lymphoma and their Support Persons will be eligible to participate. Patients and their Support Persons will be randomised as dyads. Participants allocated to the intervention will receive access to a tailored web-based tool that provides accurate, up-to-date and personalised information about: cancer and its causes; treatment options including treatment procedures information; complementary and alternative medicine; and available support. Patients and Support Persons will complete self-report measures of anxiety, depression and unmet needs at 2, 4, 8 and 12 weeks post-recruitment. Patient and Support Person outcomes will be assessed independently. Discussion: This study will assess whether providing information and support using web-based and telephone support address the major psychosocial challenges faced by haematological patients and their Support Persons. The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.

DOI 10.1186/s12885-015-1314-x
Co-authors Chris Paul, Catherine Deste, Rob Sanson-Fisher, Frans Henskens, Mariko Carey
2015 Hall AE, Sanson-Fisher RW, Lynagh MC, Tzelepis F, D'Este C, 'What do haematological cancer survivors want help with? A cross-sectional investigation of unmet supportive care needs', BMC Research Notes, 8 (2015) [C1]

© 2015 Hall et al.Background: This study aimed to identify the most prevalent unmet needs of haematological cancer survivors. Methods: Haematological cancer survivors aged 18-80 ... [more]

© 2015 Hall et al.Background: This study aimed to identify the most prevalent unmet needs of haematological cancer survivors. Methods: Haematological cancer survivors aged 18-80 years at time of recruitment were selected from four Australian state cancer registries. Survivors completed the Survivor Unmet Needs Survey. The most frequently reported "high/very high" unmet needs items were identified, as well as characteristics associated with the three most prevalent "high/very high" unmet needs reported by haematological cancer survivors. Results: A total of 715 eligible survivors returned a completed survey. "Dealing with feeling tired" (17%), was the most frequently endorsed "high/very high" unmet need. Seven out of the ten most frequently endorsed unmet needs related to emotional health. Higher levels of psychological distress (e.g., anxiety, depression and stress) and indicators of financial burden as a result of cancer (e.g., having used up savings and trouble meeting day-to-day expenses due to cancer) were consistently identified as characteristics associated with the three most prevalent "high/very high" unmet needs. Conclusions: A minority of haematological cancer survivors endorsed a "high/very high" unmet need on individual items. Additional emotional support may be needed by a minority of survivors. Survivors reporting high levels of psychological distress or those who experience increased financial burden as a result of their cancer diagnosis may be at risk of experiencing the most prevalent "high/very high" unmet needs identified by this study.

DOI 10.1186/s13104-015-1188-7
Citations Scopus - 1
Co-authors Catherine Deste, Marita Lynagh, Rob Sanson-Fisher, Alix Hall
2015 Tzelepis F, Sanson-Fisher RW, Hall AE, Carey ML, Paul CL, Clinton-Mcharg T, 'The quality of patient-centred care: Haematological cancer survivors' perceptions', Psycho-Oncology, 24 796-803 (2015) [C1]

Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.Objective Patient-reported outcome measures (PROMs) that assess the quality of patient-centred c... [more]

Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.Objective Patient-reported outcome measures (PROMs) that assess the quality of patient-centred cancer care have failed to measure all six patient-centredness dimensions endorsed by the Institute of Medicine (IOM). This study is the first to use the Quality of Patient-Centered Cancer Care (QPCCC) measure that covers all six IOM patient-centredness dimensions to examine haematological cancer survivors' perceptions of care and characteristics associated with perceived quality of care. Methods Haematological cancer survivors diagnosed in the last 6 years and aged 18-80 years were recruited from two Australian state population-based cancer registries. Survivors were mailed the 48-item QPCCC measure. Results Overall, 545 haematological cancer survivors completed the measure. Areas of care most commonly identified as delivered were hospital staff showing respect to survivors (93%) and making sure the correct treatment was received (93%). Aspects of care most frequently nominated as not delivered were hospital staff helping family and friends (34%) or the survivor (32%) to find other people with similar experiences to talk to. Characteristics associated with survivors perceiving higher quality care was delivered included being employed, having private health insurance, being younger, a Non-Hodgkin lymphoma diagnosis and more recent diagnosis. Being depressed or stressed was associated with perceived lower quality of care. Conclusions Provision of peer support programs that allow haematological cancer survivors and families and friends to talk to others in similar situations could be improved. Using PROMs to identify areas where cancer survivors perceive improvements are needed is essential to quality improvement efforts.

DOI 10.1002/pon.3728
Co-authors Mariko Carey, Chris Paul, Rob Sanson-Fisher, Alix Hall, Tara Clinton-Mcharg
2015 Tzelepis F, Paul CL, Wiggers J, Kypri K, Bonevski B, McElduff P, et al., 'Targeting multiple health risk behaviours among vocational education students using electronic feedback and online and telephone support: Protocol for a cluster randomised trial Health behavior, health promotion and society', BMC Public Health, 15 (2015) [C3]

© 2015 Tzelepis et al.Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adul... [more]

© 2015 Tzelepis et al.Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when health risk behaviours become established. Furthermore, high rates of smoking, risky alcohol consumption, inadequate fruit and vegetable intake and insufficient physical activity have been reported in TAFE students. There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population. The proposed trial will examine the effectiveness of providing TAFE students with electronic feedback regarding health risk behaviours and referral to a suite of existing online and telephone services addressing smoking, risky alcohol consumption, fruit and vegetable intake, and physical activity levels. Methods/Design: A two arm, parallel, cluster randomised trial will be conducted within TAFE campuses in New South Wales (NSW), Australia. TAFE classes will be randomly allocated to an intervention or control condition (50 classes per condition). To be eligible, students must be: enrolled in a course that runs for more than 6 months; aged 16 years or older; and not meet Australian health guideline recommendations for at least one of the following: smoking, alcohol consumption, fruit and/or vegetable intake, or physical activity. Students attending intervention classes, will undertake via a computer tablet a risk assessment for health risk behaviours, and for behaviours not meeting Australian guidelines be provided with electronic feedback about these behaviours and referral to evidence-based online programs and telephone services. Students in control classes will not receive any intervention. Primary outcome measures that will be assessed via online surveys at baseline and 6 months post-recruitment are: 1) daily tobacco smoking; 2) standard drinks of alcohol consumed per week; 3) serves of fruit consumed daily; 4) serves of vegetables consumed daily; and 5) metabolic equivalent minutes of physical activity per week. Discussion: Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease. This trial will be the first to examine a potentially scalable intervention targeting multiple health risk behaviours among students in the vocational training setting.

DOI 10.1186/s12889-015-1898-8
Co-authors Luke Wolfenden, John Wiggers, Billie Bonevski, Clare Collins, Philip Morgan, Chris Paul, Marita Lynagh, Kypros Kypri
2015 Tzelepis F, Paul CL, Knight J, Duncan SL, McElduff P, Wiggers J, 'Improving the continuity of smoking cessation care delivered by quitline services', Patient Education and Counseling, 98 1643-1648 (2015) [C1]

© 2015 Elsevier Ireland Ltd.Objectives: This study identified smokers' intended use of new quitline features aimed at improving smoking cessation such as having the same quitline... [more]

© 2015 Elsevier Ireland Ltd.Objectives: This study identified smokers' intended use of new quitline features aimed at improving smoking cessation such as having the same quitline advisor for each call, longer-term telephone counselling and provision of additional cessation treatments. Methods: Smokers who had previously used quitline counselling completed a computer-assisted telephone interview examining intended use of potential quitline enhancements. Results: The majority of smokers (61.1%) thought their chances of quitting would have increased a lot/moderately if they had the same quitline advisor for each call. Most smokers reported likely use of longer-term quitline telephone support after a failed (58.3%) or successful (60%) quit attempt. Smokers were likely to use quitline support long-term (mean = 9.9 months). Most smokers would be likely to use free or subsidised nicotine replacement therapy (NRT) (74.9%) if offered by quitlines. Younger smokers had greater odds of being likely to use text messages, whereas less educated smokers had greater odds of being likely to use free or subsidised NRT. Conclusions: Smokers appear interested in quitlines offering longer-term telephone support, increased continuity of care and additional effective quitting strategies. Practice implications: Quitlines could adopt a stepped care model that involves increasingly intensive treatments and extended telephone counselling delivered by the same quitline advisor.

DOI 10.1016/j.pec.2015.07.004
Co-authors Chris Paul, John Wiggers
2014 Smits R, Bryant J, Sanson-Fisher R, Tzelepis F, Henskens F, Paul C, Stevenson W, 'Tailored and integrated Web-based tools for improving psychosocial outcomes of cancer patients: the DoTTI development framework.', J Med Internet Res, 16 e76 (2014) [C1]
DOI 10.2196/jmir.2849
Citations Scopus - 3Web of Science - 1
Co-authors Chris Paul, Rob Sanson-Fisher, Frans Henskens
2014 Clinton-Mcharg T, Carey M, Sanson-Fisher R, Tzelepis F, Bryant J, Williamson A, 'Anxiety and depression among haematological cancer patients attending treatment centres: Prevalence and predictors', Journal of Affective Disorders, 165 176-181 (2014) [C1]

Background This study aimed to: (1) estimate the prevalence of anxiety and/or depression among haematological cancer patients attending treatment centres; and (2) explore the demo... [more]

Background This study aimed to: (1) estimate the prevalence of anxiety and/or depression among haematological cancer patients attending treatment centres; and (2) explore the demographic, disease and treatment characteristics associated with anxiety and/or depression. Methods A cross-sectional study was conducted with outpatients from three haematology clinics in Australia. Patients with a confirmed diagnosis of haematological cancer were approached by a research assistant while waiting for their appointment and invited to participate in the survey. Participants completed the Hospital Anxiety and Depression Scale (HADS) and self-reported demographic, disease and treatment characteristics. Results Questionnaires from 304 participants were returned. Twenty-seven percent of patients reported anxiety and 17% reported depression. Specifically, 15% reported anxiety without depression, 5% reported depression without anxiety, and 12% reported comorbid anxiety and depression. Participants who had to relocate to receive treatment had almost three times the odds of reporting anxiety and/or depression compared to those who did not have to move. Former smokers also had significantly higher odds of reporting anxiety and/or depression. Limitations The HADS is likely to have produced some false positives and false negatives when compared with gold standard structured clinical interviews for assessing psychological morbidity. Conclusions Approximately 20% of haematological cancer patients attending outpatient clinics may experience clinically significant levels of anxiety and/or depression. Providing additional tailored support to patients who have had to relocate for treatment, and to former smokers, may help to reduce anxiety and depression among these subgroups. © 2014 Published by Elsevier B.V.

DOI 10.1016/j.jad.2014.04.072
Co-authors Tara Clinton-Mcharg, Mariko Carey, Rob Sanson-Fisher
2014 Tzelepis F, Sanson-Fisher RW, Hall AE, Carey ML, Paul CL, Clinton-McHarg T, 'DEVELOPMENT AND PSYCHOMETRIC EVALUATION OF THE QUALITY OF PATIENT-CENTERED CANCER CARE MEASURE WITH HAEMATOLOGICAL CANCER SURVIVORS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 10 254-255 (2014) [E3]
Co-authors Mariko Carey, Tara Clinton-Mcharg, Chris Paul, Rob Sanson-Fisher, Alix Hall
2014 Hall A, D Este C, Tzelepis F, Lynagh M, Sanson-Fisher R, 'Factors associated with haematological cancer survivors experiencing a high level of unmet need across multiple items of supportive care: a cross-sectional survey study', Supportive Care in Cancer, 22 2899-2909 (2014) [C1]

© 2014, Springer-Verlag Berlin Heidelberg.Purpose: This study aimed to identify subgroups of haematological cancer survivors who report a ¿high/very high¿ level of unmet need o... [more]

© 2014, Springer-Verlag Berlin Heidelberg.Purpose: This study aimed to identify subgroups of haematological cancer survivors who report a ¿high/very high¿ level of unmet need on multiple (=7) items of supportive care.Results: Of the 696 survivors included in this study, 175 (n = 25¿%) reported a ¿high/very high¿ level of unmet need on seven or more items of the SUNS. Survivors who: had relocated due to their cancer (OR: 2.04; 95¿% CI: 1.18, 3.52), had difficulty paying bills (OR: 2.42; 95¿% CI: 1.34, 4.38), had used up their savings as a result of cancer (OR: 1.90; 95¿% CI: 1.06, 3.40), and were classified as having above normal symptoms of depression (OR: 3.65; 95¿% CI: 2.17, 6.15) and stress (OR: 5.94; 95¿% CI: 3.22, 10.95) on the Depression Anxiety and Stress Scale-21 (DASS-21) had statistically significantly higher odds of reporting seven or more ¿high/very high¿ unmet needs.Methods: Haematological cancer survivors, aged 18 to 80¿years at recruitment were selected from four Australian state-based cancer registries. Eligible survivors were sent a survey containing the Survivor Unmet Needs Survey (SUNS). Logistic regression analysis was used to identify characteristics associated with haematological cancer survivors reporting a ¿high/very high¿ level of unmet need on =7 items of the SUNS.Conclusions: Additional and intensive supportive care may be needed for this subgroup of haematological cancer survivors experiencing multiple ¿high/very high¿ unmet needs. Assistance with accessing relevant financial support and highly accessible services that provide emotional and information support, such as online and telephone peer support programs may prove beneficial in addressing the needs of this subgroup of haematological cancer survivors. It is suggested that future, methodologically rigorous intervention studies assess such strategies.

DOI 10.1007/s00520-014-2264-6
Citations Scopus - 3Web of Science - 2
Co-authors Rob Sanson-Fisher, Marita Lynagh, Alix Hall, Catherine Deste
2014 Hall A, D'Este C, Tzelepis F, Sanson-Fisher R, Lynagh M, 'The Survivor Unmet Needs Survey (SUNS) for haematological cancer survivors: a cross-sectional study assessing the relevance and psychometric properties', BMC HEALTH SERVICES RESEARCH, 14 (2014) [C1]
DOI 10.1186/1472-6963-14-211
Citations Scopus - 3
Co-authors Alix Hall, Rob Sanson-Fisher, Marita Lynagh, Catherine Deste
2014 Hall A, Sanson-Fisher R, Lynagh M, Tzelepis F, D'Este C, 'A COMPARISON OF THE UNMET NEEDS OF YOUNGER AND OLDER ADULT HAEMATOLOGICAL CANCER SURVIVORS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, 10 162-163 (2014) [E3]
Co-authors Alix Hall, Catherine Deste, Marita Lynagh, Rob Sanson-Fisher
2014 Tzelepis F, Rose SK, Sanson-Fisher RW, Clinton-McHarg T, Carey ML, Paul CL, 'Are we missing the Institute of Medicine's mark? A systematic review of patient-reported outcome measures assessing quality of patient-centred cancer care', BMC Cancer, 14 (2014) [C1]

Background: The Institute of Medicine (IOM) has endorsed six dimensions of patient-centredness as crucial to providing quality healthcare. These dimensions outline that care must ... [more]

Background: The Institute of Medicine (IOM) has endorsed six dimensions of patient-centredness as crucial to providing quality healthcare. These dimensions outline that care must be: 1) respectful to patients' values, preferences, and expressed needs; 2) coordinated and integrated; 3) provide information, communication, and education; 4) ensure physical comfort; 5) provide emotional support-relieving fear and anxiety; and 6) involve family and friends. However, whether patient-reported outcome measures (PROMs) comprehensively cover these dimensions remains unexplored. This systematic review examined whether PROMs designed to assess the quality of patient-centred cancer care addressed all six IOM dimensions of patient-centred care and the psychometric properties of these measures.Methods: Medline, PsycINFO, Current Contents, Embase, CINAHL and Scopus were searched to retrieve published studies describing the development and psychometric properties of PROMs assessing the quality of patient-centred cancer care. Two authors determined if eligible PROMs included the six IOM dimensions of patient-centred care and evaluated the adequacy of psychometric properties based on recommended criteria for internal consistency, test-retest reliability, face/content validity, construct validity and cross-cultural adaptation.Results: Across all 21 PROMs, the most commonly included IOM dimension of patient-centred care was " information, communication and education" (19 measures). In contrast, only five measures assessed the " involvement of family and friends." Two measures included one IOM-endorsed patient-centred care dimension, two measures had two dimensions, seven measures had three dimensions, five measures had four dimensions, and four measures had five dimensions. One measure, the Indicators (Non-small Cell Lung Cancer), covered all six IOM dimensions of patient-centred care, but had adequate face/content validity only. Eighteen measures met the recommended adequacy criteria for construct validity, 15 for face/content validity, seven for internal consistency, three for cross-cultural adaptation and no measure for test-retest reliability.Conclusions: There are no psychometrically rigorous PROMs developed with cancer patients that capture all six IOM dimensions of patient-centred care. Using more than one measure or expanding existing measures to cover all six patient-centred care dimensions could improve assessment and delivery of patient-centred care. Construction of new comprehensive measures with acceptable psychometric properties that can be used with the general cancer population may also be warranted. © 2014 Tzelepis et al.; licensee BioMed Central Ltd.

DOI 10.1186/1471-2407-14-41
Citations Scopus - 10Web of Science - 6
Co-authors Mariko Carey, Chris Paul, Rob Sanson-Fisher, Tara Clinton-Mcharg
2013 Tzelepis F, Paul CL, Walsh RA, Knight J, Wiggers J, 'Who enrolled in a randomized controlled trial of quitline support? Comparison of participants versus nonparticipants.', Nicotine Tob Res, 15 2107-2113 (2013) [C1]
DOI 10.1093/ntr/ntt114
Citations Scopus - 2Web of Science - 1
Co-authors Chris Paul, John Wiggers
2013 Paul CL, McLennan J, Baxendale A, Schnelle B, Rawson J, Turon HE, Tzelepis F, 'Implementation of a personalized workplace smoking cessation programme.', Occup Med (Lond), 63 568-574 (2013) [C1]
DOI 10.1093/occmed/kqt121
Co-authors Chris Paul
2013 Tzelepis F, Paul CL, Walsh RA, Wiggers J, Duncan SL, Knight J, 'Predictors of abstinence among smokers recruited actively to quitline support', ADDICTION, 108 181-185 (2013) [C1]
DOI 10.1111/j.1360-0443.2012.03998.x
Citations Scopus - 5Web of Science - 5
Co-authors Chris Paul, John Wiggers
2012 Carey ML, Anderson AE, Sanson-Fisher RW, Lynagh MC, Paul CL, Tzelepis F, 'How well are we meeting haematological cancer survivors' preferences for involvement in treatment decision making?', Patient Education and Counseling, 88 87-92 (2012) [C1]
Citations Scopus - 10Web of Science - 6
Co-authors Mariko Carey, Chris Paul, Amy Anderson, Marita Lynagh, Rob Sanson-Fisher
2012 Paul CL, Clinton-Mcharg TL, Lynagh MC, Sanson-Fisher RW, Tzelepis F, 'On-line information and support for supporters and carers of haematological cancer patients: Is access an issue?', Supportive Care in Cancer, 20 2687-2695 (2012) [C1]
Co-authors Tara Clinton-Mcharg, Chris Paul, Marita Lynagh, Rob Sanson-Fisher
2012 Carey ML, Paul CL, Cameron EC, Lynagh MC, Hall AE, Tzelepis F, 'Financial and social impact of supporting a haematological cancer survivor', European Journal of Cancer Care, 21 169-176 (2012) [C1]
Citations Scopus - 7Web of Science - 5
Co-authors Alix Hall, Chris Paul, Mariko Carey, Marita Lynagh
2012 Walsh RA, Cholowski KM, Tzelepis F, Stojanovski E, 'Smoking prevalence, attitudes, and confidence about tobacco roles among Australian nursing students', Journal of Addictions Nursing, 23 181-190 (2012) [C1]
Citations Scopus - 1
Co-authors Elizabeth Stojanovski
2012 Wolfenden L, Paul CL, Tzelepis F, Freund MA, Wiggers JH, Gillham K, 'Acceptability of proactive telephone recruitment to a telephone support service to encourage healthy eating, physical activity and weight loss', Australian and New Zealand Journal of Public Health, 36 295-296 (2012) [C1]
Citations Scopus - 1Web of Science - 1
Co-authors Luke Wolfenden, John Wiggers, Chris Paul
2012 Tzelepis F, Paul CL, Duncan SL, Walsh RA, Wiggers JH, Knight JJ, 'Increasing the reach of quitlines through active telephone recruitment: Do cold-called smokers differ from quitline callers?', Nicotine & Tobacco Research, 14 1488-1493 (2012) [C1]
Citations Scopus - 4Web of Science - 3
Co-authors John Wiggers, Chris Paul
2011 Tzelepis F, Paul CL, Walsh RA, McElduff P, Knight JJ, 'Proactive telephone counseling for smoking cessation: Meta-analyses by recruitment channel and methodological quality', Journal of the National Cancer Institute, 103 922-941 (2011) [C1]
DOI 10.1093/jnci/djr169
Citations Scopus - 25Web of Science - 22
Co-authors Chris Paul
2011 Tzelepis F, Paul CL, Wiggers JH, Walsh RA, Knight JJ, Duncan SL, et al., 'A randomised controlled trial of proactive telephone counselling on cold-called smokers' cessation rates', Tobacco Control, 20 40-46 (2011) [C1]
DOI 10.1136/tc.2010.035956
Citations Scopus - 16Web of Science - 14
Co-authors Chris Paul, John Wiggers
2011 Walsh RA, Paul CL, Paras LE, Stacey FG, Tzelepis F, 'Workplace-related smoking in New South Wales: Extent of bans, public attitudes and relationships with relapse', Health Promotion Journal of Australia, 22 85-90 (2011) [C1]
Citations Scopus - 2Web of Science - 2
Co-authors Chris Paul
2009 Tzelepis F, Paul CL, Walsh RA, Wiggers JH, Knight JJ, Lecathelinais LC, et al., 'Telephone recruitment into a randomized controlled trial of Quitline support', American Journal of Preventive Medicine, 37 324-329 (2009) [C1]
DOI 10.1016/j.amepre.2009.05.022
Citations Scopus - 18Web of Science - 16
Co-authors Chris Paul, John Wiggers
2009 Walsh RA, Tzelepis F, Stojanovski E, 'Australian superannuation funds and tobacco investments: Issues for DAR readers', Drug and Alcohol Review, 28 445-446 (2009) [C3]
DOI 10.1111/j.1465-3362.2009.00095.x
Co-authors Elizabeth Stojanovski
2009 Tzelepis F, Paul CL, Walsh RA, Wiggers JH, Duncan SL, Knight JJ, 'Active telephone recruitment to quitline services: Are nonvolunteer smokers receptive to cessation support?', Nicotine & Tobacco Research, 11 1205-1215 (2009) [C1]
DOI 10.1093/ntr/ntp125
Citations Scopus - 10Web of Science - 8
Co-authors John Wiggers, Chris Paul
2008 Paul CL, Walsh RA, Stacey FG, Tzelepis F, Oakes W, Tang A, 'Smoking in movies in Australia: Who feels over-exposed and what level of regulation will the community accept?', Health Promotion Journal of Australia, 19 229-231 (2008) [C1]
Citations Scopus - 1
Co-authors Chris Paul
2008 Paul CL, Tzelepis F, Parfitt N, Girgis A, 'How to improve adolescents' sun protection behavior? Age and gender issues', American Journal of Health Behavior, 32 387-398 (2008) [C1]
Citations Scopus - 20Web of Science - 18
Co-authors Chris Paul
2008 Walsh RA, Paul CL, Tzelepis F, Stojanovski E, Tang A, 'Is government action out-of-step with public opinion on tobacco control? Results of a New South Wales population survey', Australian and New Zealand Journal of Public Health, 32 482-488 (2008) [C1]
DOI 10.1111/j.1753-6405.2008.00284.x
Citations Scopus - 32Web of Science - 25
Co-authors Chris Paul, Elizabeth Stojanovski
2008 Paul CL, Tzelepis F, Walsh RA, Bonevski B, 'Is Australia headed for an epidemic of nicotine replacement therapy addicts?', Medical Journal of Australia, 189 346 (2008) [C3]
Citations Scopus - 1
Co-authors Chris Paul, Billie Bonevski
2008 Walsh RA, Tzelepis F, Stojanovski E, 'Australian pension funds and tobacco investments: promoting ill health and out-of-step with their members', Health Promotion International, 23 35-41 (2008) [C1]
DOI 10.1093/heapro/dam043
Citations Scopus - 1Web of Science - 1
Co-authors Elizabeth Stojanovski
2007 Paul CL, Tzelepis F, Walsh RA, Turner R, 'Pharmacists on the front line in providing support for nicotine replacement therapy and bupropion purchasers', Drug and Alcohol Review, 26 429-433 (2007) [C1]
DOI 10.1080/09595230701373966
Citations Scopus - 3Web of Science - 3
Co-authors Chris Paul
2007 Walsh RA, Tzelepis F, 'Adolescents and tobacco use: Systematic review of qualitative research methodologies and partial synthesis of findings', Substance Use and Misuse, 42 1269-1321 (2007) [C1]
DOI 10.1080/10826080701204904
Citations Scopus - 6Web of Science - 7
2006 Walsh RA, Cholowski KM, Tzelepis F, 'Surveying university students: variability in ethics committee requirements (Letter)', Australian and New Zealand Journal of Public Health, 30 84-85 (2006) [C3]
2006 Walsh RA, Paul CL, Tzelepis F, Stojanovski E, 'Quit smoking behaviours and intentions and hard-core smoking in New South Wales', Health Promotion Journal of Australia, 17 54-60 (2006) [C1]
Citations Scopus - 15
Co-authors Elizabeth Stojanovski, Chris Paul
2005 Paul CL, Walsh RA, Tzelepis F, 'A Monetary Incentive Increases Postal Survey Response Rates for Pharmacists', Journal of Epidemiology and Community Health, 59 1099-1101 (2005) [C1]
DOI 10.1136/jech.2005.037143
Citations Scopus - 15Web of Science - 10
Co-authors Chris Paul
2005 Walsh RA, Bowman JA, Tzelepis F, Lecathelinais LC, 'Smoking cessation interventions in Australian drug treatment agencies: a national survey of attitudes and practices', Drug and Alcohol Review, 24 235-244 (2005) [C1]
DOI 10.1080/09595230500170282
Citations Scopus - 40Web of Science - 34
Co-authors Jenny Bowman
2005 Walsh RA, Bowman JA, Tzelepis F, Lecathelinais LC, 'Regulation of environmental tobacco smoke by Australian drug treatment agencies', Australian and New Zealand Journal of Public Health, 29 276-278 (2005) [C1]
DOI 10.1111/j.1467-842X.2005.tb00768.x
Citations Scopus - 5Web of Science - 4
Co-authors Jenny Bowman
2004 Paul CL, Girgis A, Tzelepis F, Walsh RA, 'Solaria use by minors in Australia: Is there a cause for concern?', ANZ Journal of Public Health, 28 90 (2004) [C3]
Citations Scopus - 10Web of Science - 9
Co-authors Chris Paul
2003 Paul CL, Tzelepis F, Walsh RA, Girgis A, King L, McKenzie J, 'Has the investment in public cancer education delivered observable changes in knowledge over the past 10 years?', Cancer, 97 2931-2939 (2003) [C1]
DOI 10.1002/cncr.11393
Citations Scopus - 32Web of Science - 28
Co-authors Chris Paul
2003 Paul CL, Tzelepis F, Girgis A, Parfitt N, 'The Slip Slop Slap years: Have they had a lasting impact on todays' adolescents?', Health Promotion Journal of Australia, 14 219-221 (2003) [C3]
Co-authors Chris Paul
2003 Cockburn JD, Paul CL, Tzelepis F, McElduff P, Byles JE, 'Delay in seeking advice for symptoms that potentially indicate bowel cancer', American Journal of Health Behavior, 27 401-407 (2003) [C1]
Citations Scopus - 30Web of Science - 22
Co-authors Julie Byles, Chris Paul
2003 Walsh RA, Tzelepis F, 'Support for smoking restrictions in bars and gaming areas: review of Australian studies', Australia & New Zealand Journal of Public Health, 27 310-322 (2003) [C1]
DOI 10.1111/j.1467-842X.2003.tb00400.x
Citations Scopus - 21Web of Science - 18
2003 Tzelepis F, Walsh RA, Paul CL, 'Community attitudes towards environmental tobacco smoke in licensed premises: follow-up study after the Sharp case', Australia & New Zealand Journal of Public Health, 27 539-542 (2003) [C1]
DOI 10.1111/j.1467-842X.2003.tb00830.x
Citations Scopus - 5Web of Science - 3
Co-authors Chris Paul
2003 Girgis A, Tzelepis F, Paul CL, Walsh RA, McElduff P, McKenzie J, 'Australians' use of fake tanning lotions: another piece of the puzzle', Promoting Health, 27 529-532 (2003) [C1]
DOI 10.1111/j.1467-842X.2003.tb00828.x
Citations Scopus - 15Web of Science - 12
Co-authors Chris Paul
2002 Cockburn JD, Paul CL, Tzelepis F, McElduff P, Byles JE, 'Screening for bowel cancer among NSW adults with varying levels of risk: a community survey', Australian and New Zealand Journal of Public Health, 26(3) 236-241 (2002) [C1]
Citations Scopus - 15Web of Science - 14
Co-authors Chris Paul, Julie Byles
2002 Walsh RA, Tzelepis F, Paul CL, McKenzie J, 'Environmental tobacco smoke in homes, motor vehicles and licensed premises: community attitudes and practices', Australian and New Zealand Journal of Public Health, 26(6) 536-542 (2002) [C1]
Citations Scopus - 26Web of Science - 22
Co-authors Chris Paul
2000 Perkins JJ, Sanson-Fisher RW, Rainbird KJ, Tzelepis F, 'Unmet needs: The challenge of caring for people with advanced cancer', PSYCHO-ONCOLOGY, 9 S40-S40 (2000)
Co-authors Rob Sanson-Fisher
2000 Walsh RA, Paul CL, Tzelepis F, 'Overwhelming support for smoking bans', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 24 640-641 (2000)
DOI 10.1111/j.1467-842X.2000.tb00536.x
Citations Web of Science - 5
Show 52 more journal articles

Conference (19 outputs)

Year Citation Altmetrics Link
2015 Skelton E, Bonevski B, Tzelepis F, Shakeshaft A, Guillaumier A, 'STAFF AND MANAGER ATTITUDES, BARRIERS AND ORGANISATIONAL READINESS FOR DELIVERY OF SMOKING CESSATION CARE TO CLIENTS OF AUSTRALIAN DRUG AND ALCOHOL TREATMENT CENTRES', DRUG AND ALCOHOL REVIEW (2015) [E3]
Co-authors Billie Bonevski
2015 Skelton E, Bonevski B, Tzelepis F, Shakeshaft A, Guillaumier A, Wood W, Jauncey M, 'TOBACCO SMOKING BEHAVIOURS, NICOTINE DEPENDENCE AND INTEREST IN QUITTING - A SURVEY OF SYDNEY MEDICALLY SUPERVISED INJECTING CENTRE CLIENTS', DRUG AND ALCOHOL REVIEW (2015) [E3]
Co-authors Billie Bonevski
2015 Clinton-Mcharg TL, Wolfenden L, Yoong S, Tzelepis F, Kingsland M, Fielding A, Skelton E, 'Reliable and valid measures for evaluating public health research implementation', 4th Annual NHMRC Symposium on Research Translation jointly with CIPHER (2015) [E3]
Co-authors Tara Clinton-Mcharg, Serene Yoong, Luke Wolfenden
2015 Skelton E, Bonevski B, Tzelepis F, Shakeshaft A, Guillaumier A, Wood W, Jauncey M, 'THE TOBACCO SMOKING PROFILE OF CLIENTS ATTENDING A MEDICALLY SUPERVISED INJECTING CENTRE', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2015) [E3]
Co-authors Billie Bonevski
2015 Oosterveen E, Tzelepis F, Ashton L, Hutchesson MJ, 'eHealth behavioural interventions targeting smoking, nutrition, alcohol, physical activity and/or obesity (SNAPO) in young adults: A systematic review', http://www.anzos2015.org/program-page/ (2015) [E3]
Co-authors Melinda Hutchesson, Lee Ashton
2014 Bonevski B, Wilson A, Dunlop A, Shakeshaft A, Tzelepis F, Walsberger S, et al., 'SMOKING CESSATION IN DRUG AND ALCOHOL TREATMENT SETTINGS: A QUALITATIVE STUDY OF STAFF AND CLIENT BARRIERS AND FACILITATORS', DRUG AND ALCOHOL REVIEW (2014) [E3]
Co-authors Adrian Dunlop, Amanda Wilson, Billie Bonevski
2014 Hall A, Tzelepis F, Lynagh M, Sanson-Fisher R, D'Este C, 'PREVALENCE AND ASSOCIATES OF THE TOP HIGH/VERY HIGH UNMET NEEDS OF AUSTRALIAN HAEMATOLOGICAL CANCER SURVIVORS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Alix Hall, Rob Sanson-Fisher, Marita Lynagh, Catherine Deste
2014 Paul CL, Tzelepis F, Wiggers J, McLennan J, Hull P, Drinkwater R, et al., 'INCREASING IMPLEMENTATION OF EFFECTIVE SMOKING CESSATION STRATEGIES - THE QUITSTAIR', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors Chris Paul, John Wiggers
2014 Tzelepis F, Paul CL, Wolfenden L, Bonevski B, Wiggers J, 'PROACTIVE RECRUITMENT INTO EFFECTIVE INTERVENTIONS TARGETING CANCER RISK BEHAVIOURS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Co-authors John Wiggers, Chris Paul, Luke Wolfenden, Billie Bonevski
2013 Tzelepis F, Sanson-Fisher R, Hall A, Carey M, Paul C, Clinton-McHarg T, 'Development and Psychometric Evaluation of a Quality of Patient-Centred Cancer Care Measure', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Mariko Carey, Tara Clinton-Mcharg, Chris Paul, Rob Sanson-Fisher, Alix Hall
2013 Hall A, Lynagh M, Sanson-Fisher R, Tzelepis F, D'Este C, 'Unmet Needs: What do Hematological Cancer Survivors Want Help With?', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Marita Lynagh, Rob Sanson-Fisher, Catherine Deste, Alix Hall
2013 Hall A, D'Este C, Tzelepis F, Lynagh M, Sanson-Fisher R, 'Survivor Unmet Needs Survey (SUNS) for Hematological Cancer Survivors: A Psychometric Assessment', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Catherine Deste, Rob Sanson-Fisher, Marita Lynagh, Alix Hall
2013 Tzelepis F, Rose S, Sanson-Fisher R, Clinton-McHarg T, Carey M, Paul C, 'A Systematic Review of Patient-Reported Outcome Measures Assessing Quality of Patient-Centred Cancer Care', PSYCHO-ONCOLOGY (2013) [E3]
Co-authors Tara Clinton-Mcharg, Mariko Carey, Chris Paul, Rob Sanson-Fisher
2012 Bonevski B, Shakeshaft A, Paul C, Tzelepis F, Bryant J, Salmon A, Hull P, 'PRESENTATION 2-ORGANISATIONAL CHANGE INTERVENTIONS TO ENHANCE SMOKING CESSATION TREATMENT PROVISION IN THE DRUG AND ALCOHOL TREATMENT SETTING', DRUG AND ALCOHOL REVIEW (2012) [E3]
Co-authors Billie Bonevski
2012 Bonevski B, Shakeshaft A, Paul CL, Tzelepis F, Bryant JL, Salmon A, Hull P, 'Organisational change interventions to enhance smoking cessation treatment provision in the drug and alcohol treatment setting', Drug and Alcohol Review: Abstracts of the Australasian Professional Society on Alcohol and other Drugs Conference 2012 (2012) [E3]
Co-authors Billie Bonevski, Chris Paul
2010 Tzelepis F, Paul CL, Walsh RA, McElduff P, Knight JJ, 'Cold calling smokers for proactive telephone counselling: what are their long-term cessation rates?', 12th Annual Meeting of the SRNT Europe Programme (2010) [E3]
Co-authors Chris Paul
2010 Tzelepis F, Paul CL, Walsh RA, McElduff P, Knight JJ, 'Proactive telephone counselling for smoking cessation: meta-analyses of the impact of recruitment channel and methodological quality on efficacy', 12th Annual Meeting of the SRNT Europe Programme (2010) [E3]
Co-authors Chris Paul
2007 Paul CL, Walsh RA, Paras L, Tzelepis F, 'NSW smokers' views on the new graphic pack warnings: the motivated and the disaffected (Poster)', Oceania Tobacco Control Conference: From Vision to Reality. Programme and Presentations (2007) [E3]
Co-authors Chris Paul
2007 Tzelepis F, Paul CL, Walsh RA, Wiggers JH, Knight JJ, Daly JB, et al., 'Telemarketing smoking cessation: a proactive approach to non-volunteer smokers (Poster)', Oceania Tobacco Control Conference: From Vision to Reality. Programme and Presentations (2007) [E3]
Co-authors John Wiggers, Chris Paul
Show 16 more conferences
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Grants and Funding

Summary

Number of grants 15
Total funding $2,943,491

Click on a grant title below to expand the full details for that specific grant.


20161 grants / $592,843

A randomised controlled trial of the effectiveness of real-time video counselling on smoking cessation in smokers residing in regional and remote areas$592,843

Funding body: Cancer Institute NSW

Funding body Cancer Institute NSW
Project Team Doctor Flora Tzelepis
Scheme Early Career Fellowship
Role Lead
Funding Start 2016
Funding Finish 2018
GNo G1500775
Type Of Funding Other Public Sector - State
Category 2OPS
UON Y

20143 grants / $190,000

Targeted evidence-based support for reducing unhealthy Smoking, Nutrition, Alcohol and Physical Activity behaviours among students in vocational education: a cluster randomised controlled trial$150,000

Funding body: National Heart Foundation of Australia

Funding body National Heart Foundation of Australia
Project Team Doctor Flora Tzelepis
Scheme Postdoctoral Research Fellowship
Role Lead
Funding Start 2014
Funding Finish 2015
GNo G1300688
Type Of Funding Aust Competitive - Non Commonwealth
Category 1NS
UON Y

The Quit-STAIR: Is a stepped care model cost-effective for increasing smoking cessation success at a community level? $20,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Associate Professor Christine Paul, Doctor Flora Tzelepis, Professor John Wiggers, Ms Jenny Knight, Caprf ANDREW Searles
Scheme Near Miss Grant
Role Investigator
Funding Start 2014
Funding Finish 2014
GNo G1301402
Type Of Funding Internal
Category INTE
UON Y

Quality of cancer care from the patient perspective: An international comparison study$20,000

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Laureate Professor Robert Sanson-Fisher, Doctor Mariko Carey, Dr Megumi Uchida, Doctor Flora Tzelepis, Ms Alison Zucca, Miss Alix Hall, Miss Lisa Mackenzie
Scheme Project Grant
Role Investigator
Funding Start 2014
Funding Finish 2014
GNo G1400058
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

20135 grants / $1,242,042

Cost-effectiveness of a systems change intervention for smoking cessation in drug and alcohol treatment centres$1,060,523

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Professor Billie Bonevski, Associate Professor Anthony Shakeshaft, Professor Michael Farrell, Doctor Flora Tzelepis, Dr Allison Salmon, Professor John Strang
Scheme Project Grant
Role Investigator
Funding Start 2013
Funding Finish 2016
GNo G1200208
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Cost-effectiveness of a systems change intervention for smoking cessation in drug and alcohol treatment centres$75,519

Funding body: Cancer Council NSW

Funding body Cancer Council NSW
Project Team Professor Billie Bonevski, Associate Professor Anthony Shakeshaft, Associate Professor Christine Paul, Doctor Flora Tzelepis, Doctor Jamie Bryant, Dr Peter Kelly
Scheme Research Grant
Role Investigator
Funding Start 2013
Funding Finish 2016
GNo G1300120
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

The Quit-STAIR: A randomised controlled trial of a proactive stepped approach for maximising uptake of evidence-based smoking cessation support$50,000

Funding body: University of Newcastle

Funding body University of Newcastle
Project Team Associate Professor Christine Paul, Doctor Flora Tzelepis, Professor John Wiggers, Doctor Patrick McElduff
Scheme Near Miss Grant
Role Investigator
Funding Start 2013
Funding Finish 2013
GNo G1300471
Type Of Funding Internal
Category INTE
UON Y

The Quit-STAIR: A randomised controlled trial of a proactive stepped approach for maximising uptake of evidence-based smoking cessation support$50,000

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Associate Professor Christine Paul, Doctor Flora Tzelepis, Professor John Wiggers, Doctor Patrick McElduff, Ms Jenny Knight
Scheme Near Miss
Role Investigator
Funding Start 2013
Funding Finish 2013
GNo G1300800
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

HMRI Leukaemia Travel Award 2012$6,000

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Doctor Flora Tzelepis
Scheme Project Grant
Role Lead
Funding Start 2013
Funding Finish 2013
GNo G1300506
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

20124 grants / $634,437

Improving cancer treatment systems: An RCT of a consumer action model for cancer patients receiving chemotherapy$249,408

Funding body: ARC (Australian Research Council)

Funding body ARC (Australian Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Ms A Tang, Doctor Mariko Carey, Doctor Jamie Bryant, Doctor Flora Tzelepis, Ms Kathryn Chapman, Ms Paula Vallentine, Conjoint Professor Christopher Doran, Doctor Patrick McElduff
Scheme Linkage Projects
Role Investigator
Funding Start 2012
Funding Finish 2014
GNo G1100618
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Increasing rates of organ donor registration: An RCT to determine the differential effectiveness of electronic and interpersonal information interventions.$237,682

Funding body: NHMRC (National Health & Medical Research Council)

Funding body NHMRC (National Health & Medical Research Council)
Project Team Laureate Professor Robert Sanson-Fisher, Doctor Conor Gilligan, Doctor Heidi Turon, Doctor Tara Clinton-Mcharg, Doctor Flora Tzelepis
Scheme Project Grant
Role Investigator
Funding Start 2012
Funding Finish 2013
GNo G1100421
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON Y

Improving cancer treatment systems: evaluation of a consumer action model for cancer patients receiving chemotherapy$133,140

Funding body: Cancer Council NSW

Funding body Cancer Council NSW
Project Team Laureate Professor Robert Sanson-Fisher, Ms A Tang, Doctor Mariko Carey, Doctor Jamie Bryant, Doctor Flora Tzelepis, Ms Kathryn Chapman, Ms Paula Vallentine, Conjoint Professor Christopher Doran, Doctor Patrick McElduff
Scheme Linkage Projects Partner Funding
Role Investigator
Funding Start 2012
Funding Finish 2014
GNo G1100721
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y

Improving cancer care for lymphoma: patients' perceptions of optimal care$14,207

Funding body: Hunter Medical Research Institute

Funding body Hunter Medical Research Institute
Project Team Doctor Flora Tzelepis, Doctor Mariko Carey, Associate Professor Christine Paul, Doctor Tara Clinton-Mcharg, Ms Alison Zucca
Scheme Research Grant
Role Lead
Funding Start 2012
Funding Finish 2012
GNo G1200212
Type Of Funding Contract - Aust Non Government
Category 3AFC
UON Y

20112 grants / $284,169

Quality of care in blood cancer: Patients perceptions$198,836

Funding body: Leukaemia Foundation

Funding body Leukaemia Foundation
Project Team Doctor Flora Tzelepis, Laureate Professor Robert Sanson-Fisher
Scheme National Research Program (Postdoctoral Fellowship)
Role Lead
Funding Start 2011
Funding Finish 2013
GNo G1100276
Type Of Funding Aust Competitive - Non Commonwealth
Category 1NS
UON Y

Quality of care in blood cancer: Patients' perception about the quality of care they receive$85,333

Funding body: Cure Cancer Australia Foundation

Funding body Cure Cancer Australia Foundation
Project Team Doctor Flora Tzelepis, Laureate Professor Robert Sanson-Fisher
Scheme Postdoctoral Fellowship
Role Lead
Funding Start 2011
Funding Finish 2011
GNo G1000760
Type Of Funding Grant - Aust Non Government
Category 3AFG
UON Y
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Research Supervision

Number of supervisions

Completed1
Current4

Total current UON EFTSL

PhD1.13

Current Supervision

Commenced Level of Study Research Title / Program / Supervisor Type
2016 PhD Smoking Cessation Care for Australian Cancer Patients: Exploring Current Practices and Potential for Improvement
PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle
Co-Supervisor
2015 PhD Tackling Nicotine Together: An Organisational Change Intervention for Smoking Cessation in Drug and Alcohol Treatment Centres
PhD (Psychiatry), Faculty of Health and Medicine, The University of Newcastle
Co-Supervisor
2015 PhD Self-care Behaviours in Ghanaian Adult Type 2 Diabetes Patients: Adherence, Barriers and Health Outcomes.
PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle
Co-Supervisor
2014 PhD Tackling Nicotine Together: An Organisational Change Intervention for Smoking Cessation in Drug and Alcohol Treatment Centres
, Faculty of Health and Medicine, The University of Newcastle
Co-Supervisor

Past Supervision

Year Level of Study Research Title / Program / Supervisor Type
2014 PhD Unmet Needs of Survivors of a Haematological Malignancy: Prevalence, Predictors, and Psychometrics
PhD (Behavioural Science), Faculty of Health and Medicine, The University of Newcastle
Co-Supervisor
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News

Hunter cancer research projects gain $1.65m funding boost

June 9, 2016

University of Newcastle/HMRI researchers have received almost $1.65 million to support four ground-breaking cancer projects, as part of a $39 million funding package announced by the NSW Government this week.

Dr Flora Tzelepis

Position

Post Doctoral Research Fellow
School of Medicine and Public Health
Faculty of Health and Medicine

Contact Details

Email flora.tzelepis@newcastle.edu.au
Phone (02) 4924 6275

Office

Room 1182
Building Booth Building
Location Wallsend Campus

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