Dr Kristy Fakes
Research Associate
School of Medicine and Public Health
- Email:kristy.fakes@newcastle.edu.au
- Phone:(02) 4042 0306
Career Summary
Biography
Dr Kristy Fakes (nee Forshaw) (PhD, MPH, BMedSc(Path)) is a postdoctoral researcher (3 FTE years post-PhD) within the School of Medicine and Public Health; College of Health, Medicine and Wellbeing. She has 11 years’ experience in health behaviour research and her work has spanned chronic disease prevention, treatment, and post-procedure outcomes. Her research focus is on improving patient preparation for medical interventions, quality of care, and psychosocial outcomes for people with chronic conditions including cardiovascular disease and cancer. Her PhD (awarded 2019) examined patient preparation for medical interventions. This encompassed development and testing of a new patient-reported experience measure assessing patients’ preparedness for medical interventions (MiPrep); and the first Australian study to examine the prevalence and correlates of pre-procedure anxiety across a diverse range of imaging modalities and medical conditions.
Dr Fakes has received over $3,000,000 in external research funding. She is part of multidisciplinary chief investigator teams successful in obtaining: a MRFF Primary Health Care Research Grant (2022: $1,093,405) that will use a cluster randomised controlled trial to examine the effectiveness and cost-effectiveness of a self-management support intervention for people with Type 2 diabetes, using health information from wearable technologies integrated with data from the patient's general practice electronic medical records; a National Heart Foundation Strategic Grant (awarded 2022) valued at $964,531 to test whether a wellbeing app for patients discharged with Acute Decompensated Heart Failure reduces depression; and a 2020 NHMRC Partnership Project Grant valued at $475,920 to test an action-oriented discharge intervention in increasing the number of days hip fracture patients spend living well in the community. Prior to this she was the project manager of a NHMRC Partnership-funded RCT with the Stroke Foundation, investigating the effectiveness of an intervention to improve stroke survivor engagement with the EnableMe web-based portal and the health outcomes of stroke survivors. Her prior 7-year clinical background as a medical scientist in both public and private hospital pathology laboratories included the diagnosis and monitoring of medical conditions and health risks factors.
Qualifications
- Doctor of Philosophy in Behavioural Science, University of Newcastle
- Bachelor of Medical Science (Pathology), Charles Sturt University
- Master of Public Health, University of Newcastle
Keywords
- Chronic disease
- Evidence-based practice
- Health services
- Patient preparation
- Quality of care
Languages
- English (Mother)
Fields of Research
Code | Description | Percentage |
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420201 | Behavioural epidemiology | 50 |
420605 | Preventative health care | 50 |
Professional Experience
UON Appointment
Title | Organisation / Department |
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Research Associate | University of Newcastle School of Medicine and Public Health Australia |
Research Fellow | University of Newcastle School of Medicine and Public Health Australia |
Awards
Award
Year | Award |
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2021 |
School of Medicine and Public Health (SMPH) Award for Cross Discipline Collaboration School of Medicine & Public Health, Faculty of Health & Medicine, University of Newcastle | Australia |
2019 |
Priority Research Centre for Health Behaviour (PRCHB) Best 2018 Publication Award Priority Research Centre for Health Behaviour (PRCHB) |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (27 outputs)
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2024 |
Fakes K, Boyes A, Hall A, Carey M, Leigh L, Brown S, Sanson-Fisher R, 'Trajectories and Predictors of Raised State Anxiety Among Outpatients Who Have Undergone Medical Imaging Procedures.', J Am Coll Radiol, 21 285-294 (2024) [C1]
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2024 |
Fakes K, 'Patient experiences and anxiety related to medical imaging: challenges and potential solutions', JOURNAL OF MEDICAL RADIATION SCIENCES, 71 3-6 (2024)
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2023 |
Fakes K, Williams T, Collins N, Boyle A, Sverdlov AL, Boyes A, Sanson-Fisher R, 'Preparation for cardiac procedures: a cross-sectional study identifying gaps between outpatients' views and experiences of patient-centred care.', Eur Heart J Qual Care Clin Outcomes, (2023) [C1]
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2023 |
Waller A, Fakes K, Carey M, Dizon J, Parrey K, Coad M, Sanson-Fisher R, 'Quality of life and mood disorders of mild to moderate stroke survivors in the early post-hospital discharge phase: a cross-sectional survey study', BMC Psychology, 11 (2023) [C1] Background: Exploring sociodemographic and disease characteristics that contribute to patient-reported outcomes can inform targeting of strategies to support recovery and adaptati... [more] Background: Exploring sociodemographic and disease characteristics that contribute to patient-reported outcomes can inform targeting of strategies to support recovery and adaptation to stroke. This study aimed to examine among a sample of stroke survivors at three months post-hospital discharge: (1) self-reported physical and mental health quality of life scores; (2) self-reported depressive and anxiety symptoms; and (3) sociodemographic and clinical predictors of these outcomes. Methods: This cross-sectional survey study recruited stroke survivors from eight hospitals in one Australian state. Adult survivors recently discharged from hospital stroke wards (within 3¿months) were mailed a study information package and invited to complete a pen-and paper survey. Survey items assessed: quality of life (SF12v2), depression (PHQ-9), anxiety (GAD-7) and sociodemographic and clinical characteristics. Predictors were examined using multiple linear regression analysis. Results: Of the 1161 eligible patients who were posted a recruitment pack, 401 (35%) returned a completed survey. Participants reported a mean SF-12v2 Physical Composite Score (PCS) quality of life score of 44.09 (SD = 9.57); and a mean SF-12v2 Mental Composite Score (MCS) quality of life score of 46.84 (SD = 10.0). Approximately one third of participants (34%; n = 132) were classified as depressed (PHQ-9 = 10); and 27% (n = 104) were classified as anxious (GAD-7 = 8). Lower PCS was associated with being female, not employed and having a comorbid diagnosis of diabetes and atrial fibrillation. Lower MCS was associated with a history of transient ischemic attack (TIA). Males and those with higher levels of education, had greater odds of having lower depression severity; those with a history of TIA or diabetes had lower odds of having lower depression severity. Males had greater odds of having lower anxiety severity; those with a history of TIA had lower odds of having lower anxiety severity. Conclusion: Sub-groups of stroke survivors may be at-risk of poorer quality of life and psychological morbidity in the early post-discharge phase. These findings support the role of early identification and prioritisation of at-risk survivors at discharge, as they may require modifications to standard hospital discharge processes tailored to their level of risk.
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2023 |
Healey SJR, Fakes K, Nair BR, 'Inequitable treatment as perceived by international medical graduates (IMGs): a scoping review.', BMJ Open, 13 e071992 (2023) [C1]
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2022 |
Hobden B, Turon H, Fakes K, Cameron E, Sanson-Fisher R, 'Systems-level audit and feedback interventions to improve oncology care: A scoping review', Translational Behavioral Medicine, 12 654-662 (2022) [C1] Audit and feedback is commonly used as a method of both monitoring and attempting to improve the quality of healthcare. No review has examined the literature on systems-level audi... [more] Audit and feedback is commonly used as a method of both monitoring and attempting to improve the quality of healthcare. No review has examined the literature on systems-level audit and feedback strategies to improve the quality of oncology care. This scoping review examines the number, care focus (technical, nontechnical, or both) and methodological quality of published intervention studies which have used systems-level audit and feedback intended to improve the quality of care delivered in oncology treatment centers. Medline, Embase, PsycINFO, and the Cochrane database were searched, from inception to March 2021, for intervention studies which examined the effectiveness of systems-level audit and feedback in improving care for cancer patients. Studies which met the Effective Practice and Organization of Care (EPOC) minimum design criteria were then assessed using the EPOC risk of bias tool. Study characteristics and outcomes were extracted for those meeting methodological criteria. A narrative approach was used to synthesize the results. A total of 32 intervention studies met the inclusion criteria, of which 53% focused on technical aspects of care, 31% focused on nontechnical and 16% focused on both. Four of the included 32 studies met the EPOC minimum design criteria (13%). Most studies had a before-after study design (75%; n = 24) and methodological quality of the final four studies was moderate. Audit and feedback studies involving oncology treatment centers have primarily focused on technical care aspects. The low number and moderate methodological quality of the studies make it difficult to draw clear inferences about the effectiveness of systems-level audit and feedback. Furthermore, high-quality audit and feedback interventions are required across technical and nontechnical aspects of care to quantify the effectiveness of strategies for improving cancer care and ensure healthcare resources are being optimized.
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2022 |
Waller A, Hobden B, Fakes K, Clark K, 'A Systematic Review of the Development and Implementation of Needs-Based Palliative Care Tools in Heart Failure and Chronic Respiratory Disease', FRONTIERS IN CARDIOVASCULAR MEDICINE, 9 (2022) [C1]
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2022 |
Zucca A, Mansfield E, Sanson-Fisher R, Wyse R, Johnston S-A, Fakes K, et al., 'Perceived Provision of Perioperative Information and Care by Patients Who Have Undergone Surgery for Colorectal Cancer: A Cross-Sectional Study', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022) [C1]
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2022 |
Turon H, Hobden B, Fakes K, Clapham M, Proietto A, Sanson-Fisher R, 'Preparation for Cancer Treatment: A Cross-Sectional Study Examining Patient Self-Reported Experiences and Correlates', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022) [C1]
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2020 |
Turon H, Wall L, Fakes K, Brown SD, Sanson-Fisher R, 'Cancer patient preferences for the provision of information regarding emotional concerns in relation to medical procedures: A discrete choice experiment', Patient Education and Counseling, 103 1439-1443 (2020) [C1] Objective: To explore the preferences of people with cancer regarding the timing and format of information provision about emotional concerns that may occur when undergoing medica... [more] Objective: To explore the preferences of people with cancer regarding the timing and format of information provision about emotional concerns that may occur when undergoing medical procedures. Methods: Eligible cancer survivors were mailed a survey containing discrete choice scenarios examining their timing and format preferences for information about potential emotional concerns associated with an upcoming hypothetical medical procedure. Results: Of 356 eligible patients, 271 (76 %) completed the survey. Both face-to-face discussion and written materials were preferred as the mode of information delivery over access to a website. In order of descending preference, participants preferred to receive the information 1 week, 3 days and the day of the procedure. There were no differences in preferences for timing or format between subgroups based on age, gender, education and cancer type. Conclusion: This study has demonstrated that cancer patients prefer receiving information about emotional concerns that might be experienced as part of a medical procedure in either written or via face-to-face format, and one week before the procedure. Practice Implications: In order to provide patient-centred care, clinicians and the healthcare system more broadly should consider patient preferences for information delivery about upcoming medical procedures. Information: preparation for medical procedures; discrete choice; oncology; patient preference; emotional response.
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2020 |
Hobden B, Bryant J, Forshaw K, Oldmeadow C, Evans TJ, Sanson-Fisher R, 'Prevalence and characteristics associated with concurrent smoking and alcohol misuse within Australian general practice patients', Australian Health Review, 44 125-131 (2020) [C1]
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2019 |
Sanson-Fisher R, Fakes K, Waller A, Mackenzie L, Bryant J, Herrmann A, 'Assessing patients' experiences of cancer care across the treatment pathway: a mapping review of recent psychosocial cancer care publications.', Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 27 1997-2006 (2019) [C1]
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2019 |
Fakes KL, Hall AE, Carey ML, Boyes AW, Symonds M, Evans TJ, Sanson-Fisher RW, 'Development and Validation of the MiPrep Survey: An Instrument Assessing Patients' Perceived Preparation for Medical Interventions Including Medical Imaging, Radiotherapy, and Surgery', Value in Health, 22 704-711 (2019) [C1] Background: Adequately preparing patients for medical interventions is an important component of quality healthcare. Nevertheless, few instruments for assessing patients' pre... [more] Background: Adequately preparing patients for medical interventions is an important component of quality healthcare. Nevertheless, few instruments for assessing patients' preparation exist. Objectives: To develop a psychometrically rigorous instrument to assess patients' perceptions of the quality of preparation. Methods: An instrument to measure patients' preparation for medical interventions (MiPrep) was developed and tested with patients undergoing medical imaging, radiotherapy, or surgery. Patients were recruited and asked to complete 2 surveys. Survey A assessed patient and intervention characteristics. Survey B (postintervention) contained MiPrep to assess validity (face, content, and construct) and reliability (internal consistency and test-retest). Results: A total of 869 (85%) patients consented to participate and 551 (63%) returned the postintervention survey. Face and content validity were demonstrated. Exploratory factor analysis identified 2 survey modules: receipt and adequacy of information (2 domains) and overall appraisal of patient-centered care (1 domain). Reliability was evidenced by adequate internal consistency (Cronbach a 0.81-0.89) and item-total correlations higher than 0.20. Nevertheless, individual item test-retest reliability requires further confirmation. The final instrument contained 27 items. Conclusions: The MiPrep instrument has evidence of being a valid and reliable instrument of preparation for medical interventions. Healthcare providers can use the instrument as a quality assurance tool to identify areas for improvement and areas of excellence in patients' preparation. Future studies should verify these findings in other populations and examine the divergent and predictive validity of the instrument.
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2018 |
Bryant J, Hobden B, Forshaw K, Oldmeadow C, Walsh J, Sanson-Fisher R, 'How accurately do general practitioners detect concurrent tobacco use and risky alcohol consumption? A cross-sectional study in Australian general practice', Australian Journal of Primary Health, 24 378-384 (2018) [C1] The negative health consequences of tobacco and risky alcohol consumption are compounded when used concurrently. Australian preventative health guidelines recommend that general p... [more] The negative health consequences of tobacco and risky alcohol consumption are compounded when used concurrently. Australian preventative health guidelines recommend that general practitioners (GPs) assess and provide evidence-based intervention. No studies, however, have examined the accuracy of GP detection of concurrent tobacco use and risky alcohol consumption or the factors associated with accurate detection. This study aimed to examine the: (i) accuracy of GP detection of concurrent tobacco and risky alcohol use compared to patient self-report and (ii) GP and patient characteristics associated with accurate detection following a single clinical encounter. Patients attending 12 Australian general practices completed a survey assessing smoking and alcohol consumption. For each participating patient, GPs completed a checklist to indicate the presence of these risk factors. GP judgements were compared to patient self-report. Fifty-one GPs completed a health risk checklist for 1332 patients. Only 23% of patients who self-reported concurrent tobacco and risky alcohol use identified by their GP. Patients who visited their GP four to six times in the last year were most likely to have concurrent tobacco and risky alcohol use were identified. It is imperative to establish systems to increase detection of preventative health risks in general practice to enable the provision of evidence-based treatments.
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2018 |
Carey M, Herrmann A, Hall A, Mansfield E, Fakes K, 'Exploring health literacy and preferences for risk communication among medical oncology patients', PLoS ONE, 13 (2018) [C1]
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2018 |
Forshaw KL, Boyes AW, Carey ML, Hall AE, Symonds M, Brown S, Sanson-Fisher RW, 'Raised Anxiety Levels Among Outpatients Preparing to Undergo a Medical Imaging Procedure: Prevalence and Correlates', Journal of the American College of Radiology, 15 630-638 (2018) [C1] Purpose: To examine the percentage of patients with raised state anxiety levels before undergoing a medical imaging procedure; their attribution of procedural-related anxiety or w... [more] Purpose: To examine the percentage of patients with raised state anxiety levels before undergoing a medical imaging procedure; their attribution of procedural-related anxiety or worry; and sociodemographic, health, and procedural characteristics associated with raised state anxiety levels. Materials and Methods: This prospective cross-sectional study was undertaken in the outpatient medical imaging department at a major public hospital in Australia, with institutional board approval. Adult outpatients undergoing a medical imaging procedure (CT, x-ray, MRI, ultrasound, angiography, or fluoroscopy) completed a preprocedural survey. Anxiety was measured by the short-form state scale of the six-item State-Trait Anxiety Inventory (STAI: Y-6). The number and percentage of participants who reported raised anxiety levels (defined as a STAI: Y-6 score = 33.16) and their attribution of procedural-related anxiety or worry were calculated. Characteristics associated with raised anxiety were examined using multiple logistic regression analysis. Results: Of the 548 (86%) patients who consented to participate, 488 (77%) completed all STAI: Y-6 items. Half of the participants (n = 240; 49%) experienced raised anxiety, and of these, 48% (n = 114) reported feeling most anxious or worried about the possible results. Female gender, imaging modality, medical condition, first time having the procedure, and lower patient-perceived health status were statistically significantly associated with raised anxiety levels. Conclusion: Raised anxiety is common before medical imaging procedures and is mostly attributed to the possible results. Providing increased psychological preparation, particularly to patients with circulatory conditions or neoplasms or those that do not know their medical condition, may help reduce preprocedural anxiety among these subgroups.
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2017 |
Paul CL, Piterman L, Shaw JE, Kirby C, Forshaw KL, Robinson J, et al., 'Poor uptake of an online intervention in a cluster randomised controlled trial of online diabetes education for rural general practitioners', Trials, 18 (2017) [C1] Background: In Australia, rural and remote communities have high rates of diabetes-related death and hospitalisation. General practitioners (GPs) play a major role in diabetes det... [more] Background: In Australia, rural and remote communities have high rates of diabetes-related death and hospitalisation. General practitioners (GPs) play a major role in diabetes detection and management. Education of GPs could optimise diabetes management and improve patient outcomes at a population level. The study aimed to describe the uptake of a continuing medical education intervention for rural GPs and its impact on the viability of a cluster randomised controlled trial of the effects of continuing medical education on whole-town diabetes monitoring and control. Method: Trial design: the cluster randomised controlled trial involved towns as the unit of allocation and analysis with outcomes assessed by de-identified pathology data (not reported here). The intervention programme consisted of an online active learning module, direct electronic access to specialist advice and performance feedback. Multiple rounds of invitation were used to engage GPs with the online intervention content. Evidence-based strategies (e.g. pre-notification, rewards, incentives) were incorporated into the invitations to enrol in the programme. Recruitment to the programme was electronically monitored through the hosting software package during the study intervention period. Results: Eleven matched pairs of towns were included in the study. There were 146 GPs in the 11 intervention towns, of whom 34 (23.3%) enrolled in the programme, and 8 (5.5%) completed the online learning module. No town had more than 10% of the resident GPs complete the learning module. There were no contacts made by GPs regarding requests for specialist advice. Consequently, the trial was discontinued. Conclusion: There is an ongoing need to engage primary care physicians in improving diabetes monitoring and management in rural areas. Online training options, while notionally attractive and accessible, are not likely to have high levels of uptake, even when evidence-based recruitment strategies are implemented. Trial registration: Australian New Zealand Clinical Trials Registry, identifier: ACTRN12611000553976. Retrospectively registered on 31 May 2011.
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2017 |
Paul CL, Ishiguchi P, D Este CA, Shaw JE, Sanson-Fisher RW, Forshaw K, et al., 'Testing for type 2 diabetes in indigenous Australians: Guideline recommendations and current practice', Medical Journal of Australia, 207 206-210 (2017) [C1] Objectives: To determine the proportion of Aboriginal Controlled Community Health Service (ACCHS) patients tested according to three national diabetes testing guidelines; to inves... [more] Objectives: To determine the proportion of Aboriginal Controlled Community Health Service (ACCHS) patients tested according to three national diabetes testing guidelines; to investigate whether specific patient characteristics were associated with being tested. Design, setting and participants: Cross-sectional study of 20 978 adult Indigenous Australians not diagnosed with diabetes attending 18 ACCHSs across Australia. De-identified electronic whole service data for July 2010 e June 2013 were analysed. Main outcomes measures: Proportions of patients appropriately screened for diabetes according to three national guidelines for Indigenous Australians: National Health and Medical Research Council (at least once every 3 years for those aged 35 years or more); Royal Australian College of General Practitioners and Diabetes Australia (at least once every 3 years for those aged 18 years or more); National Aboriginal Community Controlled Health Organisation (annual testing of those aged 18 years or more at high risk of diabetes). Results: 74% (95% CI, 74¿75%) of Indigenous adults and 77% (95% CI, 76¿78%) of 10 760 patients aged 35 or more had been tested for diabetes at least once in the past 3 years. The proportions of patients tested varied between services (range: all adults, 16¿90%; people aged 35 years or more, 23¿92%). 18% (95% CI, 18¿19%) of patients aged 18 or more were tested for diabetes annually (range, 0.1¿43%). Patients were less likely to be tested if they were under 50 years of age, were transient rather than current patients of the ACCHS, or attended the service less frequently. Conclusions: Some services achieved high rates of 3-yearly testing of Indigenous Australians for diabetes, but recommended rates of annual testing were rarely attained. ACCHSs may need assistance to achieve desirable levels of testing.
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2017 |
Regan T, Paul C, Ishiguchi P, D Este C, Koller C, Forshaw K, et al., 'Comparison of two sources of clinical audit data to assess the delivery of diabetes care in aboriginal communities', International Journal of Environmental Research and Public Health, 14 (2017) [C1]
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2017 |
Forshaw K, Hall AE, Boyes AW, Carey ML, Martin J, 'Patients' experiences of preparation for radiation therapy: A qualitative study', Oncology Nursing Forum, 44 E1-E9 (2017) [C1] Purpose/Objectives: To explore patients' experiences of and preferences for preparation for radiation therapy. Research Approach: Qualitative study. Participants: 26 individu... [more] Purpose/Objectives: To explore patients' experiences of and preferences for preparation for radiation therapy. Research Approach: Qualitative study. Participants: 26 individuals who recently received radiation therapy for cancer. Setting: One Australian radiation oncology clinic located within a tertiary referral hospital in New South Wales. Methodologic Approach: Semistructured interviews were conducted and analyzed based on a qualitative descriptive approach and content analysis of the transcribed interviews. Findings: Four main themes related to preparation techniques were identified: (a) psychological preparation (frame of mind, downward comparison, coping mechanisms, and reassurance); (b) information preparation (format, content, and knowledge from patients' own or others' experiences); (c) quality of health care; and (d) social support. Two themes related to outcomes of preparation were identified: feeling psychologically prepared and knowing what to expect. Overall, participants' accounts of preparation for radiation therapy revealed that provision of information was satisfactory. Some participants would have liked more information and support primarily in relation to side effects and the practicalities of what would happen during treatment. Conclusions: The information gained in this study indicates what strategies may best prepare patients for radiation therapy. Interpretation: Providing patients with information that creates a realistic expectation of what radiation therapy involves both before and after treatment seems particularly important in helping them feel prepared.
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2016 |
Paul CL, Piterman L, Shaw JE, Kirby C, Barker D, Robinson J, et al., 'Patterns of type 2 diabetes monitoring in rural towns: How does frequency of HbA1c and lipid testing compare with existing guidelines?', Australian Journal of Rural Health, 24 371-377 (2016) [C1] Objective: To indicate levels of monitoring of type 2 diabetes in rural and regional Australia by examining patterns of glycated haemoglobin (HbA1c) and blood lipid testing. Desig... [more] Objective: To indicate levels of monitoring of type 2 diabetes in rural and regional Australia by examining patterns of glycated haemoglobin (HbA1c) and blood lipid testing. Design and Setting: Retrospective analysis of pathology services data from twenty regional and rural towns in eastern Australia over 24 months. Participants: Of 13 105 individuals who had either a single HbA1c result =7.0% (53 mmol mol-1); or two or more HbA1c tests within the study period. Main outcome measures: Frequency of testing of HbA1c and blood lipids (cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol and triglycerides) were compared with guideline recommendations. Results: About 58.3% of patients did not have the recommended 6-monthly HbA1c tests and 30.6% did not have annual lipid testing. For those who did not receive tests at the recommended interval, the mean between-test interval was 10.5 months (95% CI = 7.5¿13.5) rather than 6 months for HbA1c testing; and 15.7 (95% CI = 13.3¿18.1) months rather than annually for blood lipids. For those with at least one out-of-range test result, 77% of patients failed to receive a follow-up HbA1c test and 86.5% failed to receive a follow-up blood lipid test within the recommended 3 months. Patients less than 50 years of age, living in a more remote area and with poor diabetes control were less likely to have testing at the recommended intervals (P < 0.0001). Conclusions: Although poor diabetes testing is not limited to rural areas, more intensive diabetes monitoring is likely to be needed for patients living in non-metropolitan areas, particularly for some subgroups.
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2016 |
Forshaw KL, Carey ML, Hall AE, Boyes AW, Sanson-Fisher R, 'Preparing patients for medical interventions: A systematic review of the psychometric qualities of published instruments', Patient Education and Counseling, 99 960-973 (2016) [C1] Objective: Preparing patients for medical interventions improves patient outcomes and is an ethical and legal imperative. This review examines the characteristics and psychometric... [more] Objective: Preparing patients for medical interventions improves patient outcomes and is an ethical and legal imperative. This review examines the characteristics and psychometric properties of published instruments which assess patients' preparation for medical interventions. Methods: Medline, CINAHL, EMBASE and PsycINFO electronic databases were searched from the date of their inception to November 2015. Data-based publications describing the development or validation of a self-report instrument designed to assess the quality of adult patients' perceived preparation for a medical intervention were included. Results: Nine publications described the development or validation of seven instruments which met inclusion criteria. The psychometric qualities of the instruments varied. None met all of the accepted criteria for psychometric rigour. Although the Satisfaction with Cancer Information Profile met the highest number (n = 5) of the defined psychometric properties, the study sample size was less than 100. Overall, content validity of the included instruments was the most frequently assessed criteria. Conclusion: Few instruments have been specifically developed to assess patients' self-reported preparation for medical interventions. Of the available instruments, none demonstrated adequate rigour across essential psychometric properties. Practice Implications: The need to develop instruments examining patient preparation for medical interventions is apparent given the limitations of the instruments reviewed.
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2015 |
Waller A, Forshaw K, Bryant J, Carey M, Boyes A, Sanson-Fisher R, 'Preparatory education for cancer patients undergoing surgery: A systematic review of volume and quality of research output over time', Patient Education and Counseling, 98 1540-1549 (2015) [C1] Objective: To determine the volume and scope of research output examining preparation of patients for people undergoing cancer-related surgical treatment, and the impact of pre-op... [more] Objective: To determine the volume and scope of research output examining preparation of patients for people undergoing cancer-related surgical treatment, and the impact of pre-operative education on patient outcomes and health care utilisation. Methods: Medline, EMBASE, PsychINFO databases were systematically searched. Eligible papers were coded as data-based or non-data-based. Data-based papers were further classified as descriptive, measurement or intervention studies. Methodological quality and effectiveness of intervention studies were assessed using Cochrane Effective Practice and Organisation of Care (EPOC) criteria. Results: We identified 121 eligible papers. The number of publications significantly increased over time. Most were data-based (n = 99) and descriptive (n = 83). Fourteen intervention studies met EPOC design criteria. Face-to-face interventions reported benefits for anxiety (5/7), satisfaction (1/1), knowledge (3/3) and health care costs (1/1). Audio-visual and multi-media interventions improved satisfaction (1/1) and knowledge (2/3), but not anxiety (0/3). Written interventions were mixed. Conclusion: Descriptive studies dominate the literature examining preoperative education in oncology populations, with few rigorous intervention studies. Pre-operative education can improve satisfaction, knowledge and reduce anxiety. Practice implications: Further work should be directed at multi-modal interventions, and those that include the caregiver, given their role in assisting patients to prepare and recover from surgery.
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2015 |
Waller A, Forshaw K, Carey M, Robinson S, Kerridge R, Proietto A, Sanson-Fisher R, 'Optimizing Patient Preparation and Surgical Experience Using eHealth Technology.', JMIR medical informatics, 3 e29 (2015) [C1]
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2014 |
Waller A, Forshaw K, Bryant J, Mair S, 'Interventions for preparing patients for chemotherapy and radiotherapy: a systematic review', Supportive Care in Cancer, (2014) [C1] Purpose Undergoing chemotherapy and radiotherapy can be physically and psychologically stressful for people with cancer. Providing preparatory information to cancer patients as th... [more] Purpose Undergoing chemotherapy and radiotherapy can be physically and psychologically stressful for people with cancer. Providing preparatory information to cancer patients as they face treatment and its aftermath has the potential to improve patient outcomes. This study assessed the methodological quality and effectiveness of interventions providing preparatory information about chemotherapy and/or radiotherapy to cancer patients in improving patient outcomes and health care use. Methods MEDLINE, EMBASE, and Cochrane databases were systematically searched from January 1995 until October 2012. Inclusion criteria: (1) met Effective Practice and Organisation of Care (EPOC) criteria for study design; (2) included adults with a current cancer diagnosis; (3) delivered preparatory information via a health care provider or was self-directed; (4) examined psychological well-being, quality of life, physical symptoms, satisfaction, knowledge, or health service utilisation. Studies were assessed for methodological quality using the EPOC criteria. Results Eighteen studies involving 3,443 cancer patients met inclusion criteria. Interventions included written information, audiotapes, videotapes, and computer programs. Interventions improved patient satisfaction (6/7 studies), information needs and patient knowledge (5/6 studies), physical symptoms (3/4 studies) and cost (1/1 study). More than half of the interventions improved psychological outcomes and quality of life (10/17 studies). Conclusion Providing preparatory information can improve patient-reported outcomes in cancer patients undergoing chemotherapy and radiotherapy, especially with respect to satisfaction and knowledge. Some, but not all, studies improved psychological outcomes and physical symptoms. There is a need for methodologically rigorous research to determine the most effective timing and method of delivery of preparatory information to improve patient outcomes. © 2014 Springer-Verlag Berlin Heidelberg.
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Conference (3 outputs)
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2020 |
Hobden B, Fakes K, Turon H, Oldmeadow C, Sanson-Fisher R, 'Predictors of care quality across the cancer care trajectory', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2020)
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2020 |
Fakes K, Boyes A, Carey M, Leigh L, Hall A, Brown S, Sanson-Fisher R, 'Cancer-related medical imaging procedures: Prevalence and predictors of raised postprocedure anxiety among outpatients', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2020)
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2017 |
Forshaw K, Carey M, Hall A, Boyes A, Proietto A, Sanson-Fisher R, 'Preparation for Radiotherapy: A Cross-Sectional Study Assessing Patients' Perceptions of the Quality of Procedural Preparation', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2017)
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Preprint (1 outputs)
Year | Citation | Altmetrics | Link | |||||
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2023 |
Fakes K, Williams T, Collins N, Boyle A, Sverdlov A, Boyes A, Sanson-Fisher R, 'Preparation for cardiac procedures: identifying gaps between outpatients views and experiences of patient-centred care (2023)
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Grants and Funding
Summary
Number of grants | 13 |
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Total funding | $3,044,669 |
Click on a grant title below to expand the full details for that specific grant.
20241 grants / $458,179
Understanding the Social Determinants of Young Peoples Mental Health: an Exploratory Mixed Methods Study $458,179
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
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Project Team | Doctor Bree Hobden, Doctor David Betts, Doctor Jamie Bryant, Doctor Kristy Fakes, Dr Lucy Leigh, Doctor Katie McGill, Doctor Alison Zucca |
Scheme | MRFF - Early to Mid-Career Researchers Grant |
Role | Investigator |
Funding Start | 2024 |
Funding Finish | 2025 |
GNo | G2300630 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
20231 grants / $3,915
Exploring patients’ experiences of treatment for Atrial Fibrillation (Atrial fibrillation ablation and cardioversion)$3,915
Funding body: University of Newcastle
Funding body | University of Newcastle |
---|---|
Project Team | Doctor Kristy Fakes, Ms Mikaela White, Doctor Trent Williams, Doctor Bradley Wilsmore |
Scheme | Pilot Funding Scheme |
Role | Lead |
Funding Start | 2023 |
Funding Finish | 2023 |
GNo | G2300472 |
Type Of Funding | Internal |
Category | INTE |
UON | Y |
20224 grants / $2,063,766
Improving the Well-Being of Patients with Acute Decompensated Heart Failure: a Randomised Controlled Trial$964,531
Funding body: National Heart Foundation of Australia
Funding body | National Heart Foundation of Australia |
---|---|
Project Team | Professor Andrew Boyle, Laureate Professor Robert Sanson-Fisher, Nicholas Collins, Professor Nicholas Zwar, Dr Nick Collins, Doctor Bree Hobden, Doctor Kristy Fakes, Prof Nicholas Zwar |
Scheme | Strategic Grant - Mental Health and Heart Disease |
Role | Investigator |
Funding Start | 2022 |
Funding Finish | 2025 |
GNo | G2100970 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
Wearables Integrated Technology to support healthy behaviours in people with Type 2 Diabetes (Wear-IT)$785,109
Funding body: Australian Government
Funding body | Australian Government |
---|---|
Project Team | Zwar N, Sanson-Fisher R, Wallis K, Maberly G, Hobden B, Fakes K, Lim K-S, Doran C, Oldmeadow C, Meyerowitz-Katz G. |
Scheme | Australian Government |
Role | Investigator |
Funding Start | 2022 |
Funding Finish | 2025 |
GNo | |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | N |
Wearables Integrated Technology to support healthy behaviours in people with Type 2 Diabetes (Wear- IT)$308,296
Funding body: Department of Health and Aged Care
Funding body | Department of Health and Aged Care |
---|---|
Project Team | Laureate Professor Robert Sanson-Fisher, Professor Chris Doran, Doctor Kristy Fakes, Professor Elizabeth Halcomb, Doctor Bree Hobden, Professor Glen Maberly, Mr Gideon Meyerowitz-Katz, Doctor Christopher Oldmeadow, Kean Seng-Lim, A/Prof Katharine Wallis, Professor Nicholas Zwar |
Scheme | MRFF - Primary Health Care |
Role | Investigator |
Funding Start | 2022 |
Funding Finish | 2025 |
GNo | G2200952 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
Career Development Funding, School of Medicine and Public Health (University of Newcastle)$5,830
Funding body: School of Medicine and Public Health
Funding body | School of Medicine and Public Health |
---|---|
Project Team | Kristy Fakes |
Scheme | School of Medicine and Public Health small grant funding allocation |
Role | Lead |
Funding Start | 2022 |
Funding Finish | 2022 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20202 grants / $486,016
The impact of individualised care plans for elderly patients discharged home from hospital after neck of femur fracture: A randomised controlled trial$482,133
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
---|---|
Project Team | Professor Zsolt Balogh, Dr Erica Epstein, Doctor Amy Waller, Dr Clarissa Sagi, Doctor Christopher Oldmeadow, Conjoint Professor Andrew Searles, Doctor Kristy Fakes, Emeritus Professor Michael Hensley, Laureate Professor Robert Sanson-Fisher |
Scheme | Partnership Projects |
Role | Investigator |
Funding Start | 2020 |
Funding Finish | 2026 |
GNo | G1901223 |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | Y |
Preparing patients for cardiac procedures: a systematic review of eHealth interventions$3,883
Funding body: Priority Research Centre for Health Behaviour (PRCHB)
Funding body | Priority Research Centre for Health Behaviour (PRCHB) |
---|---|
Project Team | Dr Kristy Fakes, Dr Trent Williams, Dr Allison Boyes, L/Prof Rob Sanson-Fisher |
Scheme | Priority Research Centre for Health Behaviour (PRCHB) |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20191 grants / $4,970
Exploring patients’ experiences of coronary revascularisation$4,970
Funding body: Priority Research Centre for Health Behaviour (PRCHB)
Funding body | Priority Research Centre for Health Behaviour (PRCHB) |
---|---|
Project Team | Dr K Fakes, L/Prof R Sanson-Fisher, A/Prof Mariko Carey |
Scheme | Priority Research Centre for Health Behaviour (PRCHB) |
Role | Lead |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20182 grants / $11,750
Quality of patient-centred care in outpatient oncology services$9,000
Funding body: 2018 Strategic Pilot Grant - Research and Teaching, Faculty of Health and Medicine, University of Newcastle
Funding body | 2018 Strategic Pilot Grant - Research and Teaching, Faculty of Health and Medicine, University of Newcastle |
---|---|
Project Team | Zucca A, Fakes K, Hobden B, Sanson-Fisher R. |
Scheme | 2018 Strategic Pilot Grant - Research and Teaching, Faculty of Health and Medicine, University of Newcastle |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Predictors of patients’ experiences of preparation for medical interventions$2,750
Funding body: Priority Research Centre for Health Behaviour (PRCHB)
Funding body | Priority Research Centre for Health Behaviour (PRCHB) |
---|---|
Project Team | Dr K Fakes, L/Prof Rob Sanson-Fisher, A/Prof Mariko Carey, Dr Allison Boyes, Dr Alix Hall |
Scheme | Priority Research Centre for Health Behaviour (PRCHB) |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20151 grants / $9,000
Exploring patient perceptions of and preparation for radiotherapy$9,000
Funding body: Priority Research Centre for Health Behaviour (PRCHB)
Funding body | Priority Research Centre for Health Behaviour (PRCHB) |
---|---|
Scheme | Priority Research Centre for Health Behaviour (PRCHB) |
Role | Lead |
Funding Start | 2015 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20141 grants / $7,073
Development of a psychometrically rigorous instrument to measure the adequacy of patient preparation for potentially threatening medical interventions$7,073
Funding body: Priority Research Centre for Health Behaviour (PRCHB)
Funding body | Priority Research Centre for Health Behaviour (PRCHB) |
---|---|
Scheme | Priority Research Centre for Health Behaviour (PRCHB) |
Role | Lead |
Funding Start | 2014 |
Funding Finish | 2014 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Research Supervision
Number of supervisions
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2022 | PhD | Lived Experiences Of International Medical Graduates Working In Australia | PhD (Medicine), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
Past Supervision
Year | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2020 | Masters | Exploring Patient-centred Preparatory Information Provision in the Digital Era: An Investigation among MRI and CT Medical Imaging Outpatients | M Philosophy (PubHeal&BehSci), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
News
News • 20 Feb 2024
$10.6m MRFF funding boosts researchers’ mission to improve Australia’s health
Seven University of Newcastle teams have secured more than $10.6m in Australian government funding to help solve some of the nation’s most pressing health issues.
News • 2 Mar 2022
$1m grant to target depression in heart patients
Cardiologist and researcher, Professor Andrew Boyle, will investigate whether a novel well-being app can reduce depression in patients discharged from hospital with acute heart failure.
News • 14 Oct 2020
Funding for better outcomes for elderly after hip surgery
With hip fracture posing a major risk of death in people over 50, a new study aims to establish evidence for improved discharge planning for elderly patients following hip surgery.
Dr Kristy Fakes
Positions
Research Associate
Health Behaviour Research Group
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Research Fellow
Health Behaviour Research Group
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Research Associate
Health Behaviour Research Group
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Contact Details
kristy.fakes@newcastle.edu.au | |
Phone | (02) 4042 0306 |
Office
Building | HMRI Building |
---|---|
Location | New Lambton , |