2024 |
Bartrim K, Waite C, Williams LT, O'Shea MC, 'Allied health students' experiences of older adults in residential aged care placements: A scoping review', Nutrition and Dietetics, 81 107-119 (2024) [C1]
Aim: To explore the attitudes and experiences of allied health students working with older adults on residential aged care placements. Method: A systematic literature search was c... [more]
Aim: To explore the attitudes and experiences of allied health students working with older adults on residential aged care placements. Method: A systematic literature search was conducted to identify studies of any design describing allied health student experience of residential aged care placements. Online databases searched to identify potentially relevant documents included Scopus, Web of Science, PubMed, CINAHL Complete (EBSCOhost) and Health and Medicine (ProQuest). Studies were excluded if residential aged care facilities or allied health professional students could not be extracted from the data. No restrictions were applied to methodological design, language, geographical location or year of publication. The Mixed Methods Appraisal Tool was used to assess methodological quality. Extracted studies were analysed to identify the study design, participant and placement characteristics, study methodology and student experience measures. Data from the included studies were analysed thematically using meta-synthesis. Results: Six studies (total number of participants, n = 308) met inclusion criteria, with four papers scoring a 5/5 on the Mixed Methods Appraisal Tool. Studies included undergraduate and master's students from physiotherapy (n = 3), speech language pathology (n = 2), dietetics (n = 1) and audiology (n = 1). Placement length varied from two to 15 h, between one and six residential aged care visits. Three themes were identified; (1) Opportunity to improve skills and gain confidence, (2) Development of empathy and shift in attitudes towards older adults and (3) Recognised challenges associated with older adults and residential aged care settings. Conclusion: While the size of the evidence-base is limited, the studies were largely consistent in demonstrating an increase in positive attitudes towards older adults following residential aged care placements. Future research, innovations and planning around workforce size, preparation and motivation must be prioritised to ensure older adults receive the care they need and deserve.
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2024 |
O'Shea M-C, Barrett C, Corones-Watkins K, Foo J, Maloney S, Bauer J, et al., 'Dietetics student contribution to addressing malnutrition in residential aged care facilities.', Nutr Diet, (2024) [C1]
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2023 |
Clark PW, Williams LT, Lee J, Ball L, 'Delphi Plus: A novel methodology for identifying evidence-based data standards for health service decision-making', HEALTH SERVICES MANAGEMENT RESEARCH, [C1]
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2023 |
Kirkegaard A, Mitchell L, Ball L, Williams LT, 'Developing the Quality in Nutrition Care Model for Dietitians (QUINCE-MOD) in primary care: A mixed-method survey of healthcare consumers and professionals', JOURNAL OF HUMAN NUTRITION AND DIETETICS, 36 311-322 (2023) [C1]
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2023 |
Ball L, Brickley B, Williams L, Advocat J, Rieger E, Ng R, et al., 'Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review', BRITISH JOURNAL OF GENERAL PRACTICE, 73 E451-E459 (2023) [C1]
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2023 |
Ardouin S, Ball L, Burch E, Barton C, Sturgiss E, Williams LTT, 'The prevalence of psychological distress in adults newly diagnosed with type 2 diabetes: Data from the Australian 3D case-series study', HEALTH PROMOTION JOURNAL OF AUSTRALIA, [C1]
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2023 |
Prathivadi P, Advocat J, Ball L, Clark A, Williams LT, Sturgiss E, 'Do preventative care guidelines emphasize behaviour change? A content analysis of three commonly used Australian general practice guidelines', JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 29 371-379 (2023) [C1]
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2023 |
Clark PW, Williams LT, Brickley B, Ball L, 'Minimum reporting standards for process and outcomes assessments for private practice dietitians working in Australian primary care: The Thought Leader Consensus study', NUTRITION & DIETETICS, 80 284-296 (2023) [C1]
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2023 |
Kirkegaard A, Mitchell L, Ball L, Williams LT, 'Developing the EQUIPED approach to quality management using multi-grounded theory', NUTRITION & DIETETICS, 80 273-283 (2023) [C1]
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2023 |
Clark PW, Williams LT, O'Shea M-C, Ball L, 'Implementing evidence-based clinical and business data standards in Australian private practice clinics is feasible', NUTRITION & DIETETICS, [C1]
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2023 |
Richards KT, Williams LT, Rigby RR, 'Building a resilient future workforce: Analysis of initiatives in Australian and New Zealand dietetics curricula', NUTRITION & DIETETICS, [C1]
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2023 |
Advocat J, Sturgiss E, Ball L, Williams LT, Prathivadi P, Clark AM, 'Exploring behaviour change in general practice consultations: A realist approach', Chronic Illness, 19 817-835 (2023) [C1]
Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultati... [more]
Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultations. We aimed to identify mechanisms supporting GPs to undertake successful behaviour change in consultations for people with T2DM by exploring (a) the role of GPs in behaviour change, (b) what happens in GP consultations that supports or impedes behaviour change and (c) how context moderates the behaviour change consultation. Methods: Semi-structured interviews with academic clinicians (n = 13), GPs (n = 7) and patients with T2DM (n = 16) across Australia. Data were analysed thematically using a realist evaluation approach. Results: Perspectives about the role of GPs were highly variable, ranging from the provision of test results and information to a relational approach towards shared goals. A GP¿patient relationship that includes collaboration, continuity and patient-driven care may contribute to a sense of successful change. Different patient and GP characteristics were perceived to moderate the effectiveness and experience of behaviour change consultations. Discussion: When patient factors are recognised in consultations, a relational approach becomes possible and priorities around behaviour change, that might be missed in a transactional approach, can be identified. Therefore, GP skills for engaging patients are linked to a person-centred approach.
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2023 |
Williams LT, Somerville M, Wright F, Atkins H, Rogany A, Bell KL, Vincze L, 'How Can We Find Out What Indigenous Children and Their Families Need to Manage Weight? Lessons from Formative Nutrition Intervention Research with First Australians', NUTRIENTS, 15 (2023) [C1]
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2022 |
Brickley B, Williams LT, Morgan M, Ross A, Trigger K, Ball L, 'How has the COVID-19 pandemic influenced patient-centred care?', Australian Journal of General Practice, 51 357-364 (2022) [C1]
Background and objective The COVID-19 pandemic has significantly affected primary healthcare systems throughout the world. The aim of this article is to present the analysis of th... [more]
Background and objective The COVID-19 pandemic has significantly affected primary healthcare systems throughout the world. The aim of this article is to present the analysis of the perspectives and experiences of patientcentred care (PCC) during the pandemic by high-functioning general practice teams in Australia. Methods A qualitative descriptive approach and collective case study method was employed. Participants, who undertook a semi-structured interview, were representatives of high-functioning general practice teams. Reflective thematic analysis was applied to all interview data (meta-synthesis) using a constant comparison approach. Results Five clinic representatives were interviewed. Six themes developed, highlighting that despite the pandemic creating new challenges to delivering PCC, general practice teams maintained a focus on PCC. General practice teams adapted to deliver PCC through strategies not used prior to the pandemic. Discussion This study identified new approaches to PCC that can guide other general practices and progress the health system towards policy-based PCC objectives
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2022 |
Vincze L, Boswell M, Atkins H, Littlewood R, Williams L, 'Addressing childhood obesity in Queensland: Aboriginal and Torres Strait Islander Health Worker perspectives and practices.', Health Promot J Austr, 33 Suppl 1 163-173 (2022) [C1]
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2022 |
O'Shea MC, Palermo C, Rogers GD, Cardell E, Williams LT, 'It Is Time to Link Theory to Practice in Simulation-Based Learning: Lessons from Learning Theories', Journal of the Academy of Nutrition and Dietetics, 122 508-518 (2022) [C1]
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2022 |
Rigby RR, Williams LT, Mitchell LJ, Ball L, Hamilton K, 'Understanding dietary behaviour change after a diagnosis of diabetes: A qualitative investigation of adults with type 2 diabetes', PLoS ONE, 17 (2022) [C1]
Type 2 diabetes (T2D) is a major public health concern. Optimal management of T2D often requires individuals to make substantial changes to their dietary intake. This research emp... [more]
Type 2 diabetes (T2D) is a major public health concern. Optimal management of T2D often requires individuals to make substantial changes to their dietary intake. This research employed a qualitative methodology to examine decision making processes underpinning dietary behaviour change. Semi-structured telephone interviews were conducted on a purposive sample of 21 Australian adults who had recently consulted a dietitian after being diagnosed with T2D. Data were analysed using theoretical thematic analysis and themes were matched deductively with constructs that underpin motivational, volitional, and implicit processes which exist in common models of behaviour change. Influences on motivation, such as a desire to improve health status and making use of valuable support networks featured in participant narratives. Volitional influences included knowing their limits, dealing with falling off the wagon, and learning how their body responds to food. The themes unlearning habits and limit the availability were identified as underpinning implicit influences on dietary change. Individual differences and emotions were constructs additional to the model that influenced dietary change. These findings contribute to a richer understanding of the subjective experiences of adults with T2D regarding dietary change and highlight the multiple processes that guide their decision making in this context.
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2022 |
Kirkegaard A, Ball L, Mitchell L, Williams LT, 'A novel perspective of Australian primary care dietetics: Insights from an exploratory study using complex adaptive systems theory.', Nutr Diet, 79 469-480 (2022) [C1]
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2022 |
Somerville M, Ball L, Kirkegaard A, Williams LT, 'How do patients want to receive nutrition care? Qualitative findings from Australian health consumers', Australian Journal of Primary Health, 28 33-39 (2022) [C1]
This qualitative descriptive study explored health consumers' preferences for receiving nutrition care in Australian primary care. The study was underpinned by a constructivi... [more]
This qualitative descriptive study explored health consumers' preferences for receiving nutrition care in Australian primary care. The study was underpinned by a constructivist research paradigm. Semistructured telephone interviews were conducted with 25 health consumers (age 19-78 years; 19 female) from across Australia between May and August 2020. Content analysis, using an inductive approach revealed emergent themes. was used to reveal emergent themes. Five themes were identified in the data: (1) health consumers want to receive nutrition care from a qualified person; (2) nutrition care is viewed as important, and health consumers want to receive it in a format that meets their needs; (3) nutrition care should be low cost and available to everyone; (4) nutrition care services should be conveniently located; and (5) health consumers want nutrition care to be offered frequently, across their lifespan. Health consumers have a clear idea of how they would like to receive nutrition care in the primary care setting, but reported challenges to receiving this care within the current system. New models of service delivery are needed to meet the needs of health consumers.
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2022 |
O'Shea M-C, Palermo C, Rogers GD, Williams LT, 'Development of affective learning in dietetics graduates: A qualitative longitudinal study.', J Hum Nutr Diet, 35 872-882 (2022) [C1]
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2022 |
Brickley B, Williams LT, Morgan M, Ross A, Trigger K, Ball L, 'Patient-centred care delivered by general practitioners: a qualitative investigation of the experiences and perceptions of patients and providers', BMJ QUALITY & SAFETY, 31 191-198 (2022) [C1]
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2022 |
Clark PW, Williams LT, Kirkegaard A, Brickley B, Ball L, 'Perceptions of private practice dietitians regarding the collection and use of outcomes data in primary healthcare practices: A qualitative study.', J Hum Nutr Diet, 35 154-164 (2022) [C1]
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2022 |
Rigby RR, Williams LT, Ball L, Hamilton K, Mitchell L, 'Is there enough behaviour change science in nutrition and dietetics curricula in Australia and New Zealand? A descriptive study.', Nutr Diet, 79 636-646 (2022) [C1]
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2022 |
Ross LJ, Mitchell LJ, Williams EC, Lynch PJ, Munro JP, Williams LT, 'Impact of a resilience and wellbeing program: A longitudinal cohort study of student dietitians.', Nurs Health Sci, 24 591-600 (2022) [C1]
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2022 |
Kirkegaard A, Ball L, Mitchell L, Brickley B, Williams LT, 'Quality improvement strategies enhance primary care dietetics: A systematic review and meta-analysis.', J Hum Nutr Diet, 35 479-493 (2022) [C1]
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2022 |
Kirkegaard A, Ball L, Mitchell L, Williams LT, 'The Quality in Nutrition Care (QUINCE) model: development of a model based on Australian healthcare consumer perspectives.', Fam Pract, 39 471-478 (2022) [C1]
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2022 |
Burch E, Williams LT, Thalib L, Ball L, 'What happens to diet quality in people newly diagnosed with type 2 diabetes? The 3D case-series study.', J Hum Nutr Diet, 35 191-201 (2022) [C1]
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2022 |
Rigby RR, Mitchell LJ, Hamilton K, Ball L, Williams LT, 'Analyzing Dietary Behaviors Self-reported by People With Diabetes Using a Behavior Change Technique Taxonomy', Journal of Nutrition Education and Behavior, 54 753-763 (2022) [C1]
Objective: We aimed to explore both the dietary-related behavior change techniques (BCTs) adults with type 2 diabetes (T2D) described to enact themselves and the BCTs they perceiv... [more]
Objective: We aimed to explore both the dietary-related behavior change techniques (BCTs) adults with type 2 diabetes (T2D) described to enact themselves and the BCTs they perceived their dietitians to enact within consultations. Design: Qualitative study involving semistructured telephone interviews with adults who consulted with a dietitian after their T2D diagnosis. Participants shared their experience of dietary behavior change and interactions with dietitians. Setting: Telephone-based interviews from an Australian university setting. Participants: Twenty-one adults (12 females and 9 males) aged 36¿75 years were self-selected and invited by email. Phenomenon of Interest: Dietary behavior changes reportedly enacted after a T2D diagnosis by participants and their dietitians. Analysis: Transcripts were analyzed through thematic content analysis according to the BCT taxonomy. Results: Participants described several BCTs such as problem-solving and self-monitoring (behavior), which helped their dietary behavior change. Participants perceived their dietitians to use BCTs, including goal setting (outcome), self-monitoring (behavior), and instruction on how to perform the behavior. These participants who had consulted with a dietitian reported additional techniques than those prescribed in the consultation process. Conclusions and Implications: Adults with T2D undertake a variety of BCTs to support dietary behavior change. Dietitians can draw on behavior change taxonomies to support behavior change in clients.
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2022 |
Willmott TJ, Mathew A, Luck E, Rundle-Thiele S, Carins J, Vincze L, et al., 'Participatory design application in obesity prevention targeting young adults and adolescents: a mixed-methods systematic scoping review protocol', SYSTEMATIC REVIEWS, 11 (2022)
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2022 |
Brickley B, Williams LT, Morgan M, Ross A, Trigger K, Ball L, 'Patient-centred care during the COVID-19 pandemic', Australian Journal of General Practice, 51 77-81 (2022) [C1]
Background and objectiveThe COVID-19 pandemic has changedthe way general practice teams interactwith patients. This protocol articledescribes the rationale and design ofan explora... [more]
Background and objectiveThe COVID-19 pandemic has changedthe way general practice teams interactwith patients. This protocol articledescribes the rationale and design ofan exploration of the experiences andperceptions of patient-centred care (PCC)by high-functioning general practiceteams in Australia.
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2022 |
Sturgiss E, Advocat J, Ball L, Williams LT, Prathivadi P, Clark AM, 'Behaviour change for type 2 diabetes: perspectives of general practitioners, primary care academics, and behaviour change experts on the use of the 5As framework.', Fam Pract, 39 891-896 (2022) [C1]
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2021 |
Nikbakht E, Singh I, Vider J, Williams LT, Vugic L, Gaiz A, et al., 'Potential of anthocyanin as an anti-inflammatory agent: a human clinical trial on type 2 diabetic, diabetic at-risk and healthy adults', Inflammation Research, 70 275-284 (2021) [C1]
Objective: The present research aimed to investigate the anti-inflammatory potential of dietary anthocyanin (ACN) in type 2 diabetic (T2D), T2D-at-risk and healthy individuals. Fu... [more]
Objective: The present research aimed to investigate the anti-inflammatory potential of dietary anthocyanin (ACN) in type 2 diabetic (T2D), T2D-at-risk and healthy individuals. Furthermore, dietary inflammatory index (DII) was used to study the association of diet with biomarkers of inflammation. Research methods: An open-label clinical trial was conducted at Griffith University investigating the efficacy of 320¿mg ACN supplementation per day over the course of 4 weeks. Diabetes-associated inflammatory biomarkers and relevant biochemical and physical parameters were tested pre-and post-intervention, and participants¿ dietary inflammatory potential was estimated. Results: A significant reduction in the pro-inflammatory biomarkers¿ interleukin-6, interleukin-18, and tumour necrosis factor-a was observed in the T2D group. In addition, some, but not all, biochemical parameters including fasting blood glucose, low-density lipoprotein cholesterol and uric acid were significantly improved in T2D-at-risk group. Moreover, a significant difference was detected between the DII scores of the healthy and T2D groups. DII score for the T2D group was consistent with an anti-inflammatory diet. Conclusion: Anti-inflammatory potential of dietary ACN in T2D participants was evidenced in the present study. Although, anti-inflammatory dietary patterns of T2D participants may have accelerated the anti-inflammatory effect of the ACN capsules supplemented in this trial.
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2021 |
O'Shea MC, Palermo C, Rogers GD, Williams LT, 'Key Design Characteristics of Interprofessional Simulation-based Learning Experiences as Rated by Allied Health and Nursing Students', Clinical Simulation in Nursing, 50 55-64 (2021) [C1]
Background: This study reports the first non-nursing application of the Jeffries Simulation Design Scale (SDS) tool in dietetics education to assess design features of two interpr... [more]
Background: This study reports the first non-nursing application of the Jeffries Simulation Design Scale (SDS) tool in dietetics education to assess design features of two interprofessional simulation activities for perceived learner importance. Method: The SDS tool was modified to decrease nurse-specific terminology and increase usability, then administered to all nursing and allied health students prior to (n = 243) and after (n = 294) a palliative care simulation and a communication simulation. Results: Three hundred and thirty-four students (167 students each year in 2018 and 2019) from five disciplines (dietetics, exercise physiology, pharmacy, social work, and nursing) participated. Ratings by these mixed-profession groups emphasized the perceived importance of feedback, support, and fidelity, as has been reported previously for nursing-only groups. Conclusions: Further validation of the modified SDS tool for non-nursing application is warranted to provide simulation designers an evaluation tool to further improve simulation activities.
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2021 |
Brickley B, Williams LT, Morgan M, Ross A, Trigger K, Ball L, 'Putting patients first: development of a patient advocate and general practitioner-informed model of patient-centred care', BMC Health Services Research, 21 (2021) [C1]
Background: Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GP... [more]
Background: Patients, providers and health care organisations benefit from an increased understanding and implementation of patient-centred care (PCC) by general practitioners (GPs). This study aimed to evaluate and advance a theoretical model of PCC developed in consultation with practising GPs and patient advocates. Methods: Qualitative description in a social constructivist/interpretivist paradigm. Participants were purposively sampled from six primary care organisations in south east Queensland/northern New South Wales, Australia. Participants engaged in focus group discussions where they expressed their perceptions, views and feelings of an existing PCC model. Data was analysed thematically using a constant-comparison approach. Results: Three focus groups with 15 patient advocates and three focus groups with 12 GPs were conducted before thematic saturation was obtained. Three themes emerged: i) the model represents the ideal, ii) considering the system and collaborating in care and iii) optimising the general practice environment. The themes related to participants¿ impression of the model and new components of PCC perceived to be experienced in the ¿real world¿. The data was synthesised to produce an advanced model of PCC named, ¿Putting Patients First: A Map for PCC¿. Conclusions: Our revised PCC model represents an enhanced understanding of PCC in the ¿real world¿ and can be used to inform patients, providers and health organisations striving for PCC. Qualitative testing advanced and supported the credibility of the model and expanded its application beyond the doctor-patient encounter. Future work could incorporate our map for PCC in tool/tool kits designed to support GPs and general practice with PCC.
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2021 |
Williams LT, 'Advances in assessing dietary intake: Lessons from technology and nutritional epidemiology', NUTRITION & DIETETICS, 78 117-120 (2021)
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2021 |
Hart M, Sibbritt D, Williams LT, Nunn KP, Wilcken B, 'Progressing our understanding of the impacts of nutrition on the brain and behaviour in anorexia nervosa: a tyrosine case study example', JOURNAL OF EATING DISORDERS, 9 (2021)
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2021 |
Markwell KE, Ross LJ, Mitchell LJ, Williams LT, 'A self-determination theory analysis of reflective debrief themes about dietetic student placement experiences in hospital: implications for education', Journal of Human Nutrition and Dietetics, 34 115-123 (2021) [C1]
Background: Healthcare placements in dietetics education contribute significantly to student learning. Exploring students¿ self-conceptualisation of placement experiences may prov... [more]
Background: Healthcare placements in dietetics education contribute significantly to student learning. Exploring students¿ self-conceptualisation of placement experiences may provide insights to better support learning. Self-determination theory (SDT) has been used to seek insight into clinical and educational settings but has not yet been applied to dietetic placement learning. The present study investigated dietetics students¿ reflections of key influences on placement learning experiences and their alignment with an SDT framework. Methods: A post-placement two-stage critical incident debrief was conducted with seven successive cohorts (168 students) of dietetic undergraduate students on final placement. In debriefs, students¿ anonymous themes were collected and discussed, inductively analysed, and then mapped against an SDT framework of psychological and motivational constructs. Results: Nine key themes were identified that impacted upon placement experiences. Four themes related to framework constructs: (1) Supervisor (and Peer) Autonomy Support; (2) Perceived Competence; (3) Relatedness; and (4) Autonomy and Intrinsic Motivation. Non-SDT themes were also present, including: (5) Learning Environment and Experience; as well as themes about professional behaviours and identity: (6) Teamwork and Interactions; (7) Managing Emotions and Self-Care; (8) Dietetic Communications and Behaviours; and (9) Developing a Professional Identity. Conclusions: Embedding a structured debrief in the curriculum and using a psychological motivational SDT framework to analyse themes arising can provide valuable information about the learning needs of students on placement with potential for wider application in dietetic learning and teaching and workforce employability. The current findings may have application in university curricula before and after professional placement.
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2021 |
Somerville M, Ball L, Chua D, Johnson T, Williams S, Williams LT, 'How do healthcare providers support people with prediabetes to eat well? An in-depth, mixed-methods case study of provider practices', Australian Journal of General Practice, 50 497-504 (2021) [C1]
Background and objective Guidelines recommend people with prediabetes receive diet and lifestyle support to avoid type 2 diabetes, yet it is unclear whether this care is provided ... [more]
Background and objective Guidelines recommend people with prediabetes receive diet and lifestyle support to avoid type 2 diabetes, yet it is unclear whether this care is provided in practice. The aim of this article is to explore the perspectives and nutrition care practices of healthcare providers (HCPs) for patients with prediabetes. Methods This was a mixed-methods case study of an urban practice comprising a retrospective chart review and semi-structured interviews. Charts of adult patients with prediabetes were reviewed and informed a protocol used to interview HCPs. Interviews were thematically analysed. Results Charts of 47 patients, representing 1096 consultations, were reviewed. The majority (74.5%) of patients had ¿diet¿ noted in their chart, yet this accounted for only 8.1% of consultations. Only 19.1% of patients were referred to a dietitian. Interviews provided HCP explanations of the quantitative findings. Discussion HCPs value nutrition care, yet are limited by the healthcare system to provide comprehensive care to people with prediabetes.
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2021 |
Vincze L, Barnes K, Somerville M, Littlewood R, Atkins H, Rogany A, Williams LT, 'Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review', International Journal for Equity in Health, 20 (2021) [C1]
Background: Indigenous populations throughout the world experience poorer health outcomes than non-indigenous people. The reasons for the health disparities are complex and due in... [more]
Background: Indigenous populations throughout the world experience poorer health outcomes than non-indigenous people. The reasons for the health disparities are complex and due in part to historical treatment of Indigenous groups through colonisation. Evidence-based interventions aimed at improving health in this population need to be culturally safe. However, the extent to which cultural adaptation strategies are incorporated into the design and implementation of nutrition interventions designed for Indigenous peoples is unknown. The aim of this scoping review was to explore the cultural adaptation strategies used in the delivery of nutrition interventions for Indigenous populations worldwide. Methods: Five health and medical databases were searched to January 2020. Interventions that included a nutrition component aimed at improving health outcomes among Indigenous populations that described strategies to enhance cultural relevance were included. The level of each cultural adaptation was categorised as evidential, visual, linguistic, constituent involving and/or socio-cultural with further classification related to cultural sensitivity (surface or deep). Results: Of the 1745 unique records screened, 98 articles describing 66 unique interventions met the inclusion criteria, and were included in the synthesis. The majority of articles reported on interventions conducted in the USA, Canada and Australia, were conducted in the previous 10 years (n¿= 36) and focused on type 2 diabetes prevention (n¿= 19) or management (n¿= 7). Of the 66 interventions, the majority included more than one strategy to culturally tailor the intervention, combining surface and deep level adaptation approaches (n¿= 51), however, less than half involved Indigenous constituents at a deep level (n¿= 31). Visual adaptation strategies were the most commonly reported (n¿= 57). Conclusion: This paper is the first to characterise cultural adaptation strategies used in health interventions with a nutrition component for Indigenous peoples. While the majority used multiple cultural adaptation strategies, few focused on involving Indigenous constituents at a deep level. Future research should evaluate the effectiveness of cultural adaptation strategies for specific health outcomes. This could be used to inform co-design planning and implementation, ensuring more culturally appropriate methods are employed.
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2021 |
Greenlees NT, Pit SW, Ross LJ, McCormack JJ, Mitchell LJ, Williams LT, 'A novel blended placement model improves dietitian students' work-readiness and wellbeing and has a positive impact on rural communities: a qualitative study', BMC MEDICAL EDUCATION, 21 (2021) [C1]
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2021 |
Mitchell L, Campbell C, Somerville M, Cardell E, Williams LT, 'Enhancing graduate employability through targeting eportfolios to employer expectations: A systematic scoping review', Journal of Teaching and Learning for Graduate Employability, 12 82-98 (2021) [C1]
Electronic portfolios (ePortfolios) are increasingly being used in university degrees to showcase graduate employability. However, evidence on employers' views and use of ePo... [more]
Electronic portfolios (ePortfolios) are increasingly being used in university degrees to showcase graduate employability. However, evidence on employers' views and use of ePortfolios has not been synthesised. This study aimed to systematically review the evidence on employer, industry representative and university educator views on the use of ePortfolios in recruiting graduates, including recommended ePortfolio content. Six databases were searched to identify original research on views and utilisation of ePortfolios published since 2000. Studies were screened in duplicate, and the full texts of 163 articles reviewed. Included studies were synthesised to reveal common themes. The 17 included studies represented a range of industries and most were conducted in the USA (n=10). Awareness of ePortfolios was low, as was use within recruitment. Perceived advantages of ePortfolios in recruitment included showcasing key skills/work; ability to comprehensively assess and differentiate between candidates quickly; and accessibility. The main disadvantages were the time taken to review, excessive information and establishing authenticity. Recommended ePortfolios content included samples of professional work, reflections, videos and photos. Inclusion of typical resume content, work experience, skills, transcripts, certificates, references, supervisor evaluations were important, as was a clear and concise structure.
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2021 |
Heafala A, Mitchell LJ, Williams LT, 'Studying the transition from graduate to health practitioner: The Griffith Dietetics Graduate Outcomes Survey.', Nurs Health Sci, 23 723-732 (2021) [C1]
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2020 |
Rigby RR, Mitchell LJ, Hamilton K, Williams LT, 'The Use of Behavior Change Theories in Dietetics Practice in Primary Health Care: A Systematic Review of Randomized Controlled Trials', JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 120 1172-1197 (2020)
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2020 |
O'Shea MC, Palermo C, Rogers GD, Williams LT, 'Simulation-Based Learning Experiences in Dietetics Programs: A Systematic Review', Journal of Nutrition Education and Behavior, 52 429-438 (2020) [C1]
Objective: Simulation-based learning experiences (SBLEs) are widely used in education for health professionals, but this literature has not yet been synthesized for dietetics. The... [more]
Objective: Simulation-based learning experiences (SBLEs) are widely used in education for health professionals, but this literature has not yet been synthesized for dietetics. The aim of this study was to describe presupervised practice SBLEs using simulated patients within programs credentialing dietitians. Methods: A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 8 databases were searched (MEDLINE by EBSCO HOST, CINAHL Plus with Full Text, Web of Science, PsycINFO, Scopus, ERIC ProQuest, Embase, and ProQuest Education) for studies published up to November 2, 2018 with the terms ¿dietitian,¿ ¿standardized patient,¿ ¿student,¿ and their synonyms. Results: Fourteen out of 740 studies were identified. Most focused on development/assessment of communication and counseling skills. Learning outcomes were measured in 12 studies with 8 different tools. Conclusions and Implications: The dietetics profession needs robust and consistent reporting methods to enable the development of a high-quality body of evidence on SBLEs. The quality and quantity of SBLE research need to improve to ensure that simulations are pedagogically sound and are accompanied by measures of quality and impact on learning.
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2020 |
Williams LT, Wood C, Plath D, 'Parents Experiences of Family Therapy for Adolescent Anorexia Nervosa', Australian Social Work, 73 408-419 (2020) [C1]
This study examined parents¿ experiences of family-based interventions for the treatment of adolescents with anorexia nervosa (AN). Nine parents whose child¿s weight had reached t... [more]
This study examined parents¿ experiences of family-based interventions for the treatment of adolescents with anorexia nervosa (AN). Nine parents whose child¿s weight had reached the healthy weight range post-treatment were interviewed about their experiences of parenting a child with AN in either manualised family-based therapy (FBT) (n = 6) or non-manualised family systematic interventions (n = 3). The interviews were analysed using interpretative phenomenological analysis. Findings draw attention to the impact of AN on the whole family, the gatekeeping role of health professionals in accessing support and treatment, the value of externalisation, the prime importance of the therapeutic alliance between parents and clinicians, and the importance of tailoring treatment to the unique circumstances, values, and culture of each family. IMPLICATIONS Practitioners should be alert to the feelings of shock, guilt, and responsibility felt by parents of a child with anorexia nervosa and recognise the challenges faced by parents in accessing treatment and responding to their child¿s behaviour, alongside the demands of family, work, and other social roles. The quality of the parent¿practitioner therapeutic relationship influences parental perceptions of support and of the effectiveness of treatment. Regardless of the treatment model, parents respond well to therapists who express empathy, pay attention to building trust, respect, and activate the family¿s unique circumstances and values, offer support, explain the nature and purpose of the treatment, and provide feedback. From the parent perspective, practitioners are more effective if they clarify parents¿ value and belief systems and use these to engage parents with the treatment process.
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Nova |
2020 |
Burch E, Williams LT, Thalib L, Ball L, 'Short-term improvements in diet quality in people newly diagnosed with type 2 diabetes are associated with smoking status, physical activity and body mass index: the 3D case series study', NUTRITION & DIABETES, 10 (2020)
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2020 |
Brickley B, Sladdin I, Williams LT, Morgan M, Ross A, Trigger K, Ball L, 'A new model of patient-centred care for general practitioners: results of an integrative review', Family practice, 37 154-172 (2020) [C1]
BACKGROUND: GPs providing patient-centred care (PCC) is embedded in international health care policies due to its positive impact on patients and potential to lower health care co... [more]
BACKGROUND: GPs providing patient-centred care (PCC) is embedded in international health care policies due to its positive impact on patients and potential to lower health care costs. However, what is currently known about GP-delivered PCC is unknown. OBJECTIVE: To synthesize literature investigating GP-delivered PCC and address 'what is currently known about GP-delivered PCC?' METHOD: A systematic literature search was conducted between June and July 2018. Eligible articles were empirical, full-text studies published in English between January 2003 and July 2018, related to at least three of the four dimensions of PCC described by Hudon et al. (2011), and related to preventative, acute, and/or chronic care by GPs. Following screening, full-text articles were independently assessed for inclusion by two investigators. Data were extracted and quality assessed by two researchers. Findings on PCC were analysed thematically (meta-synthesis). RESULTS: Thirty medium- to high-quality studies met the inclusions criteria. Included studies utilized varied designs, with the most frequent being quantitative, cross-sectional. A theoretical model of PCC was synthesized from included studies and contained four major components: (i) understanding the whole person, (ii) finding common ground, (iii) experiencing time and (iv) aiming for positive outcomes. Harms of PCC were rarely reported. CONCLUSIONS: Four overarching theoretical components of PCC relate to elements of the consultation and experience of time. These components can be used to inform the development of toolkits to support GPs and general practice organizations in pursuit of PCC as well as tools to measure patient-centredness.
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2020 |
Somerville M, Burch E, Ball L, Williams LT, ''I could have made those changes years earlier': experiences and characteristics associated with receiving a prediabetes diagnosis among individuals recently diagnosed with type 2 diabetes', FAMILY PRACTICE, 37 382-389 (2020) [C1]
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2020 |
Williams L, Jenkinson B, Lee N, Gao Y, Allen J, Morrow J, Kildea S, 'Does introducing a dedicated early labour area improve birth outcomes? A pre-post intervention study', Women and Birth, 33 259-264 (2020)
Problem: Women increasingly present to hospital in early labour, but admission before active labour contributes to overuse of interventions, poorer clinical and psychological outc... [more]
Problem: Women increasingly present to hospital in early labour, but admission before active labour contributes to overuse of interventions, poorer clinical and psychological outcomes, and higher healthcare costs. Background: Innovative models of early labour care have so far not improved birth outcomes. Aim: To examine if reconfiguring the early labour service in a large Australian maternity service improved (1) the birth outcomes of women who presented in early labour and (2) alleviated bed blockages by decreasing length of stay in the Pregnancy Assessment and Observation Unit. Methods: Pre-post intervention design, using routinely collected clinical data before and after the implementation of the reconfigured early labour service. Findings: There were 527 women in pre-intervention cohort and 747 in the post-intervention cohort. The two groups were similar in age, body mass index, marital status, education level and gestation at birth. Post intervention, epidural use did not change significantly, but rates of amniotomy (35.7% vs. 49.9%, p = <0.001), meconium-stained liquor (20.1% vs 26.1%, p = 0.04), and neonatal nursery admission (2.7% vs. 5.8% p = 0.01) increased. The proportion of women staying in the Assessment unit more than two hours decreased, but not significantly. Conclusion: Changing the location and model of early labour care did not influence epidural use, nor improve women's birth outcomes. For women in early labour, admission to any location within the hospital may be as problematic as admission to birth suite specifically.
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2019 |
Williams LT, Barnes K, Ball L, Ross LJ, Sladdin I, Mitchell LJ, 'How Effective Are Dietitians in Weight Management? A Systematic Review and Meta-Analysis of Randomized Controlled Trials', HEALTHCARE, 7 (2019)
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2019 |
Williams LT, Collins CE, Morgan PJ, Hollis JL, 'Maintaining the outcomes of a successful weight gain prevention intervention in mid-age women: Two year results from the 40-something randomized control trial', Nutrients, 11 1-15 (2019) [C1]
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Nova |
2019 |
Roberts S, Williams LT, Sladdin I, Neil H, Hopper Z, Jenkins J, et al., 'Improving Nutrition Care, Delivery, and Intakes Among Hospitalised Patients: A Mixed Methods, Integrated Knowledge Translation Study', NUTRIENTS, 11 (2019)
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2019 |
Roberts S, Grealish L, Williams LT, Hopper Z, Jenkins J, Spencer A, Marshall AP, 'Development and Process Evaluation of a Complex Intervention for Improving Nutrition among Hospitalised Patients: A Mixed Methods Study', HEALTHCARE, 7 (2019)
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2019 |
'Abstracts of the AAAPC Annual Research Conference, Adelaide 2019', Australian Journal of Primary Health, 25 iii-iii (2019)
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2019 |
Somerville M, Ball L, Sierra-Silvestre E, Williams LT, 'Understanding the knowledge, attitudes and practices of providing and receiving nutrition care for prediabetes: an integrative review', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 25 289-302 (2019)
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2019 |
Marshall AP, Takefala T, Williams LT, Spencer A, Grealish L, Roberts S, 'Health practitioner practices and their influence on nutritional intake of hospitalised patients', INTERNATIONAL JOURNAL OF NURSING SCIENCES, 6 162-168 (2019)
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2019 |
Ross L, Barnes KA, Ball LE, Mitchell L, Sladdin I, Lee P, Williams LT, 'Effectiveness of dietetic consultation for lowering blood lipid levels in the management of cardiovascular disease risk: A systematic review and meta-analysis of randomised controlled trials', NUTRITION & DIETETICS, 76 199-210 (2019)
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2019 |
O'Connor R, Slater K, Ball L, Jones A, Mitchell L, Rollo ME, Williams LT, 'The tension between efficiency and effectiveness: a study of dietetic practice in primary care', Journal of Human Nutrition and Dietetics, 32 259-266 (2019) [C1]
Background: Primary healthcare dietitians have a vital role to play in the prevention and management of chronic disease. Working in primary care requires efficient and effective m... [more]
Background: Primary healthcare dietitians have a vital role to play in the prevention and management of chronic disease. Working in primary care requires efficient and effective management of practice to ensure client and practitioner needs are met. The present study aimed to explore the way in which primary care dietitians in Australia view the constructs of efficiency and effectiveness within the context of their practice. Methods: The study used an exploratory qualitative design within a pragmatist framework. Individual semi-structured telephone interviews were conducted with Australian primary care dietitians. All interviews were audio-recorded, transcribed verbatim and analysed using an inductive thematic approach. Results: Twenty dietitians (17 females) working as private practitioners in primary care from three Australian states participated in the present study. Three themes emerged from the data. The first theme revealed that seeking efficiency and especially effectiveness were important to primary care dietitians and that there was a tension between the two. The second theme identified that efficiency and effectiveness are influenced by personal and structural factors. The final theme explored how dietitians are actively seeking ways to be more efficient and effective, including supportive networks, as well as the utilisation of technology. Conclusions: Achieving a balance between efficiency and effectiveness in primary care dietetics is challenging to practitioners, who may require further training and support to enhance productivity, time management and resource utilisation. Structured issues exist for the workface. Further studies are required to quantify these findings and to explore whether it is possible to optimise efficiency and effectiveness and achieve sustainability of the dietetic workforce in primary care.
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Nova |
2019 |
Burch E, Williams LT, Makepeace H, Alston-Knox C, Ball L, 'How Does Diet Change with A Diagnosis of Diabetes? Protocol of the 3D Longitudinal Study', NUTRIENTS, 11 (2019)
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2018 |
Yang WY, Burrows T, MacDonald-Wicks L, Williams LT, Collins CE, Chee WSS, 'Parent-child feeding practices in a developing country: Findings from the Family Diet Study', Appetite, 125 90-97 (2018) [C1]
Background and aims: Given the increasing prevalence of childhood obesity in Malaysia, examination of family environmental factors is warranted. Reviews from developed countries r... [more]
Background and aims: Given the increasing prevalence of childhood obesity in Malaysia, examination of family environmental factors is warranted. Reviews from developed countries report inconsistent findings on the relationship between parental-child feeding practices and child weight-related health outcomes. The current study aimed to examine parent-child feeding practices by familial-child characteristics in Malaysia. Materials and method: The Family Diet Study was conducted with urban Malay families and included a child aged 8¿12 years and their main carer(s). Seven domains of parent-child feeding practices were assessed using the child feeding questionnaire and familial demographics, including socio-economic status, child anthropometry and dietary intake were collected. Inferential statistics were used to explore the relationships between variables. Results: Of the 315 families enrolled, 236 completed all measures, with the majority of parent-reporters being mothers (n = 182). One-third of the children were classified as overweight/obese. Three domains of parent-child feeding practices had median scores of 4.0 out of 5.0 [concern about child overweight (CCO) (Interquartile range (IQR): 3.3, 4.7); pressure-to-eat (PTE) (IQR: 3.3, 4.5) and food monitoring (IQR: 3.0, 5.0)]. The domain of ¿perceived child overweight¿ was positively associated with child age (r = 0.45, p < 0.001). Children who were overweight (F = 37.4; p < 0.001) and under-reported energy intake (F = 13.1; p = 0.001) had higher median scores for the parental perception of risk of child being overweight. Median scores for the CCO and PTE domains were significantly higher in low-income families (F = 7.87; F = 9.75; p < 0.05, respectively). Conclusion: Malay parents in this present study are concerned about their child's weight, particularly for those overweight. Family size, household income, and child weight status significantly influence parent-child feeding practices. Further research examining the cultural context of family environmental factors related to childhood obesity is warranted within Malaysia.
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Nova |
2018 |
Davis D, Davey R, Williams LT, Foureur M, Nohr E, Knight-Agarwal C, et al., 'Optimizing Gestational Weight Gain With the Eating4Two Smartphone App: Protocol for a Randomized Controlled Trial (Preprint) (2018)
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2018 |
Davis D, Davey R, Williams LT, Foureur M, Nohr E, Knight-Agarwal C, et al., 'Optimizing Gestational Weight Gain With the Eating4Two Smartphone App: Protocol for a Randomized Controlled Trial', JMIR RESEARCH PROTOCOLS, 7 (2018)
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2018 |
Chapple L-A, Chapman M, Shalit N, Udy A, Deane A, Williams L, 'Barriers to Nutrition Intervention for Patients With a Traumatic Brain Injury: Views and Attitudes of Medical and Nursing Practitioners in the Acute Care Setting', JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 42 318-326 (2018)
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2018 |
Ball LE, Sladdin IK, Mitchell LJ, Barnes KA, Ross LJ, Williams LT, 'Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials', JOURNAL OF HUMAN NUTRITION AND DIETETICS, 31 47-57 (2018)
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2018 |
Jones A, Mitchell LJ, O'Connor R, Rollo ME, Slater K, Williams LT, Ball L, 'Investigating the Perceptions of Primary Care Dietitians on the Potential for Information Technology in the Workplace: Qualitative Study', JOURNAL OF MEDICAL INTERNET RESEARCH, 20 (2018) [C1]
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Nova |
2018 |
Burch E, Ball L, Somerville M, Williams LT, 'Dietary intake by food group of individuals with type 2 diabetes mellitus: A systematic review', DIABETES RESEARCH AND CLINICAL PRACTICE, 137 160-172 (2018)
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2018 |
Nikbakht E, Khalesi S, Singh I, Williams LT, West NP, Colson N, 'Effect of probiotics and synbiotics on blood glucose: a systematic review and meta-analysis of controlled trials', EUROPEAN JOURNAL OF NUTRITION, 57 95-106 (2018)
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2017 |
Mitchell LJ, Ball LE, Ross LJ, Barnes KA, Williams LT, 'Effectiveness of Dietetic Consultations in Primary Health Care: A Systematic Review of Randomized Controlled Trials', JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 117 1941-1962 (2017)
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2017 |
Chapple LS, Deane AM, Lange K, Kranz AJ, Williams LT, Chapman MJ, 'Weekend days are not required to accurately measure oral intake in hospitalised patients', JOURNAL OF HUMAN NUTRITION AND DIETETICS, 30 378-384 (2017)
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2017 |
Ross LJ, Mitchell LJ, Williams LT, 'Is it possible to enhance the confidence of student dietitians prior to professional placements? A design-based research model', JOURNAL OF HUMAN NUTRITION AND DIETETICS, 30 588-595 (2017)
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2017 |
Cox AJ, Watts AM, Zhang P, Williams LT, Cripps AW, West NP, 'Effects of short-term supplementation with bovine lactoferrin and/or immunoglobulins on body mass and metabolic measures: a randomised controlled trial', INTERNATIONAL JOURNAL OF FOOD SCIENCES AND NUTRITION, 68 219-226 (2017)
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2017 |
Brimelow RE, West NP, Williams LT, Cripps AW, Cox AJ, 'A role for whey-derived lactoferrin and immunoglobulins in the attenuation of obesity-related inflammation and disease', CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION, 57 1593-1602 (2017)
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2017 |
Chapple L-AS, Deane AM, Williams LT, Strickland R, Schultz C, Lange K, et al., 'Longitudinal changes in anthropometrics and impact on self-reported physical function after traumatic brain injury', CRITICAL CARE AND RESUSCITATION, 19 29-36 (2017)
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2017 |
Jones A, Mitchell LJ, O'Connor R, Rollo ME, Slater K, Williams LT, Ball L, 'Potential for Information Technology in the Workplace: Investigating the Perceptions of Primary Care Dietitians (Preprint) (2017)
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2017 |
Ball L, Barnes K, Leveritt M, Mitchell L, Williams LT, Ball D, Patterson E, 'Developing research priorities in Australian primary health care: a focus on nutrition and physical activity', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 23 554-559 (2017)
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2017 |
Volker N, Williams LT, Davey RC, Cochrane T, Clancy T, 'Implementation of cardiovascular disease prevention in primary health care: enhancing understanding using normalisation process theory', BMC FAMILY PRACTICE, 18 (2017)
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2017 |
Yang WY, Burrows T, MacDonald-Wicks L, Williams LT, Collins CE, Chee WSS, Colyvas K, 'Body Weight Status and Dietary Intakes of Urban Malay Primary School Children: Evidence from the Family Diet Study', CHILDREN-BASEL, 4 (2017) [C1]
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Nova |
2017 |
Lawlis T, Bakonyi S, Williams LT, 'Food allergy in schools: The importance of government involvement', Nutrition and Dietetics, 74 82-87 (2017)
Aim: Children have the highest rates of food-related allergic reactions. While 85% of children outgrow allergies including cow's milk and eggs by five years of age, allergies... [more]
Aim: Children have the highest rates of food-related allergic reactions. While 85% of children outgrow allergies including cow's milk and eggs by five years of age, allergies to peanuts and seafood continue into adulthood. The school setting poses a high-risk environment for allergen exposure. The aim of the present study was to examine the availability, drivers and communication of school food allergy awareness and management policies/guidelines in one Australian education jurisdiction. Methods: A cross-sectional study comprising an online survey of principals on school allergy awareness (n = 100) was conducted in public, catholic and independent primary and high schools in an Australian education jurisdiction between August 2011 and November 2012. Results: Sixty-three per cent (17/27) of schools responding to the survey reported using food allergy management guidelines. An average of 13 students per school were reported to have a food allergy with 93% of schools reported having students with at least one food allergy. Parents, not government policy, were identified as primary drivers of food allergy guideline implementation and a third of schools provided anaphylaxis training annually. Communication of food allergy management was limited with only 42 school websites either providing access to policies/guidelines or providing a food allergy statement. Conclusions: Detailed awareness and management guidelines are integral for schools to adequately manage food-induced allergic reactions, including anaphylaxis, in the school environment. To enable this, national government support through legislation and policy is needed to ensure a consistent, up-to-date and policed approach to food allergy management in the Australian education sector.
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2016 |
Chapple L-AS, Deane AM, Heyland DK, Lange K, Kranz AJ, Williams LT, Chapman MJ, 'Energy and protein deficits throughout hospitalization in patients admitted with a traumatic brain injury', CLINICAL NUTRITION, 35 1315-1322 (2016)
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2016 |
Williams L, 'Research in dietetic practice and education: Insights from the sociological perspective', NUTRITION & DIETETICS, 73 217-219 (2016)
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2016 |
Volker N, Williams LT, Davey RC, Cochrane T, 'Community-based lifestyle modification workforce: an underutilised asset for cardiovascular disease prevention', AUSTRALIAN JOURNAL OF PRIMARY HEALTH, 22 327-331 (2016)
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Nova |
2016 |
Knight-Agarwal CR, Williams LT, Davis D, Davey R, Cochrane T, Zhang H, Rickwood P, 'Association of BMI and interpregnancy BMI change with birth outcomes in an Australian obstetric population: a retrospective cohort study', BMJ OPEN, 6 (2016)
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2016 |
Yang WY, Burrows T, MacDonald-Wicks L, Williams LT, Collins CE, Chee WSS, 'The Family Diet Study: a cross-sectional study into the associations between diet, food habits and body weight status in Malay families', Journal of Human Nutrition and Dietetics, 29 441-448 (2016) [C1]
© 2016 The British Dietetic Association Ltd. Background: Childhood obesity is becoming more common as Malaysia experiences rapid nutrition transition. Current evidence related to ... [more]
© 2016 The British Dietetic Association Ltd. Background: Childhood obesity is becoming more common as Malaysia experiences rapid nutrition transition. Current evidence related to parental influences on child dietary intake and body weight status is limited. The present study aimed to report, among Malay families, the prevalence of energy mis-reporting and dietary relationships within family dyads. Methods: The cross-sectional Family Diet Study (n = 236) was conducted at five primary schools in central of Peninsular Malaysia. Each family consisted of a Malay child, aged 8¿12 years, and their main caregiver(s). Information on socio-demographics, dietary intake and anthropometry were collected. Correlations and regression analyses were used to assess dietary relationships within family dyads. Results: Approximately 29.6% of the children and 75.0% parents were categorised as being overweight or obese. Intakes of nutrients and food groups were below the national recommended targets for majority of children and adults. A large proportion of energy intake mis-reporters were identified: mothers (55.5%), fathers (40.2%) and children (40.2%). Children's body mass index (BMI) was positively associated with parental BMI (fathers, r = 0.37; mothers, r = 0.34; P < 0.01). For dietary intakes, moderate-to-strong (0.35¿0.72) and weak-to-moderate (0.16¿0.35) correlations were found between mother¿father and child¿parent dyads, respectively. Multiple regression revealed that maternal percentage energy from fat (ß = 0.09, P < 0.01) explained 81% of the variation in children's fat intake. Conclusions: Clear parental dietary relationships, especially child¿mother dyads, were found. Despite a significant proportion of families with members who were overweight or obese, the majority reported dietary intakes below recommended levels, distorted by energy mis-reporting. The findings of the present study can inform interventions targeting parent¿child relationships to improve family dietary patterns in Malaysia.
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Nova |
2016 |
Williams L, Magin P, Sultana J, Haracz K, 'The role of occupational therapists in the provision of dietary interventions for people with severe mental illness: Results from a national survey', British Journal of Occupational Therapy, 79 442-449 (2016) [C1]
Introduction: People living with severe mental illness are at least twice as likely to be obese as the general population, partly due to lifestyle risk factors including poor diet... [more]
Introduction: People living with severe mental illness are at least twice as likely to be obese as the general population, partly due to lifestyle risk factors including poor diet quality. This study aims to quantify how Australian mental health occupational therapists address the dietary issues of people with severe mental illness. Method: A 23-item cross-sectional online survey was distributed via email to all members of Occupational Therapy Australia, with those working in mental health (an estimated 305 members) invited to participate. Response frequencies were analysed in SPSS. Open-ended comments were subjected to thematic analysis. Results: Eight-six eligible participants (28.2% of the target population) completed the full survey. Most (81%) felt confident in providing healthy eating advice, with 76% reporting being self-educated about nutrition. Dietitian support for complex advice was seen as beneficial by 88%, but only 30% reported reasonable access to dietitians. Qualitative themes included: Accessing dietitians, information and education, and putting advice into practice. Conclusion: There is potential to enhance the credentialling and continuing education of occupational therapists and improve inter-professional collaboration with dietitians to assist the occupational therapist in achieving better health and reducing the burden of chronic disease for people experiencing severe mental illness.
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Nova |
2016 |
Knight-Agarwal CR, Williams LT, Davis D, Davey R, Shepherd R, Downing A, Lawson K, 'The perspectives of obese women receiving antenatal care: A qualitative study of women's experiences', WOMEN AND BIRTH, 29 189-195 (2016)
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2016 |
Plath D, Williams LT, Wood C, 'Clinicians views on parental involvement in the treatment of adolescent anorexia nervosa', Eating Disorders, 24 393-411 (2016) [C1]
A questionnaire and in-depth interviews with 20 allied health clinicians generated data on key aspects of family-based treatment for adolescent anorexia nervosa that enhance recov... [more]
A questionnaire and in-depth interviews with 20 allied health clinicians generated data on key aspects of family-based treatment for adolescent anorexia nervosa that enhance recovery, processes that engage parents in treatment, and how and why clinicians modify or adapt the manualized Maudsley Family Based Treatment model. Findings indicate that clinicians support key principles in the Maudsley model, but that the approach is not implemented in the full, manualized form. Rather, aspects are integrated with clinicians¿ own clinical judgements based on assessment of the needs and capacities of families, cultural appropriateness, impact on family dynamics, and gains during early treatment.
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Nova |
2015 |
Hollis JL, Williams LT, Morgan PJ, Collins CE, 'The 40-Something Randomised Controlled Trial improved fruit intake and nutrient density of the diet in mid-age women', Nutrition and Dietetics, (2015) [C1]
© 2015 Dietitians Association of Australia. Aim: The 40-Something Randomised Controlled Trial (RCT) aimed to determine if a 12-month health professional-led intervention could imp... [more]
© 2015 Dietitians Association of Australia. Aim: The 40-Something Randomised Controlled Trial (RCT) aimed to determine if a 12-month health professional-led intervention could improve dietary intake and increase physical activity for weight gain prevention in non-obese premenopausal women. Methods: Fifty-four women were randomised to a motivational interviewing intervention (MI) (n = 28; five health professional consultations) or a self-directed intervention (SDI; n = 26; written advice). Weight control behaviours including dietary intake (four-day weighed food record) and physical activity (pedometer steps; minutes spent in light, moderate and vigorous activity; sitting time) were measured at baseline, and at 3 and 12 months. Participants completed a questionnaire containing demographic questions, Short Form 36 and the International Physical Activity Questionnaire at baseline and 12 months. Linear mixed model analyses adjusting for baseline and 3-month behaviour, covariates and interactions were used to test for between-group differences. Results: At 12 months, the MI group had diets significantly more nutrient dense in iron (P = 0.01) and potassium (P = 0.04), and consumed more fruits (P = 0.02) than the SDI women. Women who achieved their weight control goals consumed significantly more daily fruit servings (+0.76 servings/day, P = 0.02) and less meat/meat alternatives (-0.34 servings/day, P < 0.01) than women who did not achieve weight control. The lack of changes in physical activity indicates that more emphasis may need to be placed on promoting physical activity. Conclusions: The findings demonstrated the effectiveness of the 40-Something RCT in improving iron and potassium nutrient density and fruit servings per day in women soon to commence menopause.
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Nova |
2015 |
Bacon R, Williams L, Grealish L, Jamieson M, 'Credible and defensible assessment of entry-level clinical competence: Insights from a modified Delphi study', Focus on Health Professional Education: A Multi-Professional Journal, 16 57-57
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2015 |
Williams LT, Germov J, Fuller S, Freij M, 'A taste of ethical consumption at a slow food festival', Appetite, 91 321-328 (2015) [C1]
This paper examines the motives and experiences of attendees at a Slow Food festival to gain an understanding of how people engage with ethical consumer projects. Slow Food is a g... [more]
This paper examines the motives and experiences of attendees at a Slow Food festival to gain an understanding of how people engage with ethical consumer projects. Slow Food is a global social movement aimed at promoting food that is regionally, ethically, and sustainably produced, and convivially consumed. The movement uses culinary tourist events, such as food festivals and farmers' markets, to promote its philosophy and attract new members. There have been no empirical studies of ethical consumption using a Slow Food event as a case study. This study uses an ethnographic approach and a framework of virtue ethics to explore the views of people attending a major Slow Food festival in the city of Melbourne, Australia. Semi-structured interviews were conducted in situ with 33 participants (19 consumers and 14 stallholders) to discover their rationales for attending the festival, and their perspectives on ethical consumption. Transcripts were coded and thematically analysed, resulting in three themes reflecting varying degrees of public virtues (altruistic motivations) and private virtues (personal wellbeing): the quest for virtuous lifestyles through ethical consumption, the importance of co-production, and the challenges of putting ethical consumer projects like Slow Food into daily practice. The findings reveal the manner in which virtue ethics affects foodways and highlights the contingent and challenging nature of practising ethical eating.
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Nova |
2015 |
Yang WY, Burrows T, MacDonald-Wicks L, Williams LT, Collins CE, Chee WSS, 'Studying the family diet: An investigation into association between diet, lifestyle and weight status in Malaysian families', Malaysian Journal of Nutrition, 21 139-154 (2015) [C1]
Introduction: The contribution of the family environment to childhood obesity in Malaysia is not well known. This paper describes the study, methodology and results of a pilot stu... [more]
Introduction: The contribution of the family environment to childhood obesity in Malaysia is not well known. This paper describes the study, methodology and results of a pilot study to assess the feasibility of conducting a study on diet and lifestyle factors among Malay primary school children and their main caregiver(s) in regard to body weight status. Methods: The Family Diet Study used a crosssectional design and targeted a minimum of 200 Malay families at five national primary schools in the Klang Valley, Malaysia using a multi-stage sampling method. Participants were Malay families with children aged 8 to 12 years and their main caregiver(s). Data on socio-demographic, dietary intake, parental child feeding practices, physical activity and anthropometric measures were collected predominantly at schools with follow-up 24-h dietary recalls collected by phone. Details of recruitment, inclusion criteria, assessments and statistical analyses are also discussed. Results: Eleven families provided data by answering questionnaires, recalling diet intake and participating in anthropometric measures. The results showed overall feasibility of the study protocol but required some modifications prior to implementation of the main study. Mothers were the main parent involved in family food procurement, preparation and mealtime supervision. Snacking was not commonly reported and fruit and vegetables intakes were generally infrequent. Conclusion: The most novel component of this study was the comprehensive collection of data from both children and their main caregiver(s) within the context of the family. Detailed information on dietary and lifestyle aspects will help to elucidate factors associated with obesity aetiology in Malay children.
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Nova |
2015 |
Bacon R, Williams LT, Grealish L, Jamieson M, 'Competency-based assessment for clinical supervisors: design-based research on a web-delivered program.', JMIR Res Protoc, 4 e26 (2015)
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2015 |
Knight-Agarwal C, Davis DL, Williams L, Davey R, Cox R, Clarke A, 'Development and Pilot Testing of the Eating4two Mobile Phone App to Monitor Gestational Weight Gain.', JMIR Mhealth Uhealth, 3 e44 (2015)
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2015 |
Bacon R, Williams L, Grealish L, 'Aged care facilities and primary health-care clinics provide appropriate settings for dietetic students to demonstrate individual case management clinical competence', Nutrition and Dietetics, 72 54-62 (2015)
Aim: The aims of this study were to: (i) determine the ways in which non-hospital placement settings are used for individual case management clinical placements in dietetic educat... [more]
Aim: The aims of this study were to: (i) determine the ways in which non-hospital placement settings are used for individual case management clinical placements in dietetic education and (ii) examine the extent to which students can develop individual case management clinical competencies in non-hospital placement settings. Methods: A sequential mixed methods approach was used. Quantitative data were obtained from an online questionnaire conducted with placement coordinators from all 15 Australian universities with accredited dietetics programs. Qualitative data were obtained from a focus group with eight experienced clinical supervisors who had viewed 11 audiovisual recordings of student/dietitian encounters with clients in non-hospital settings and assessed them against entry-level competencies. Data were analysed using descriptive statistics and content analysis. Results: Placement coordinators from 10 of the 15 accredited universities responded, with most universities (8/10) using hospitals for the majority of their individual case management clinical placements. Seven of the ten universities used non-hospital settings but only for a small proportion of students (=25%) and for short durations (one to two weeks). The experienced clinical supervisors agreed that primary health-care clinics and residential aged care facilities provided appropriate practice settings for student dietitians to demonstrate individual case management clinical competencies. Conclusions: To align with the national health-care agenda and workforce demands, this research supports the expansion of clinical placement settings to also include non-hospital settings. The influence of context on competency development requires adjustments to be made for the nuanced practice differences in these settings.
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2015 |
Bacon R, Williams LT, Grealish L, Jamieson M, 'Student-Assisted Services (SAS): An innovative clinical education model that prepares graduates for the future, contributes to health service delivery, and addresses internship shortages', Journal of the Academy of Nutrition and Dietetics, 115 351-352 (2015)
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2014 |
Williams LT, Hollis JL, Collins CE, Morgan PJ, 'Can a relatively low-intensity intervention by health professionals prevent weight gain in mid-age women? 12-Month outcomes of the 40-Something randomised controlled trial.', Nutrition & diabetes, 4 e116 (2014) [C1]
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Nova |
2014 |
Yang WY, Burrows T, Collins CE, MacDonald-Wicks L, Williams LT, Chee WSS, 'Prevalence of Energy Intake Misreporting in Malay Children Varies Based on Application of Different Cut Points', JOURNAL OF TROPICAL PEDIATRICS, 60 472-475 (2014) [C1]
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Nova |
2014 |
Hollis JL, Williams LT, Young MD, Pollard KT, Collins CE, Morgan PJ, 'Compliance to step count and vegetable serve recommendations mediates weight gain prevention in mid-age, premenopausal women. Findings of the 40-Something RCT.', Appetite, 83 33-41 (2014) [C1]
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Nova |
2014 |
Yang WY, Burrows T, Macdonald-Wicks L, Williams LT, Collins C, Chee WSS, 'Quality of dietary assessment methodology and reporting in epidemiology studies examining relationship between dietary outcome and childhood obesity in developing asian countries: A systematic review', Nutrition and Dietetics, (2014) [C1]
Aim: The dramatic rise in childhood obesity incidence in developing countries is related to nutrition and lifestyle transition. The aim of this review was to evaluate the quality ... [more]
Aim: The dramatic rise in childhood obesity incidence in developing countries is related to nutrition and lifestyle transition. The aim of this review was to evaluate the quality and reporting of dietary assessment methods used in studies examining the relationship between dietary outcome and childhood obesity in developing Asian countries. Methods: A three-step search strategy was conducted in databases between inception and 2011 with an English language restriction. Inclusion criteria were any cross-sectional or cohort studies in children =18 years who resided in developing countries in Asian region that included reporting on dietary intake. Papers were screened with standardised tools for quality and dietary methodology reporting. Results: The search process identified 2080 studies and 15 studies (in 16 articles) met inclusion criteria. The most commonly used dietary assessment method was dietary questionnaires (n = 10), followed by 24-hour diet recall (n = 4), food frequency questionnaire (n = 3) and an unweighed food record (n = 1). For dietary methodology reporting, 12 out of 16 articles were rated as 'poor', 3 rated as 'acceptable' and 1 as 'excellent'. Conclusions: The quality rating was influenced by the dietary assessment tool chosen, and a quality rating of 'poor' was mostly obtained by studies using non-standardised, non-validated study-specific dietary questionnaires. Significant gaps were identified in dietary intake methodological quality and hence, there is an urgent need for valid dietary measures and reporting of dietary intake among overweight children for studies conducted in Asian region. © 2014 Dietitians Association of Australia.
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Nova |
2014 |
Costello LAS, Lithander FE, Gruen RL, Williams LT, 'Nutrition therapy in the optimisation of health outcomes in adult patients with moderate to severe traumatic brain injury: Findings from a scoping review', Injury, 45 1834-1841 (2014)
Introduction: Patients who have sustained traumatic brain injury (TBI) have increased nutritional requirements yet are often unable to eat normally, and adequate nutritional thera... [more]
Introduction: Patients who have sustained traumatic brain injury (TBI) have increased nutritional requirements yet are often unable to eat normally, and adequate nutritional therapy is needed to optimise recovery. The aim of the current scoping review was to describe the existing evidence for improved outcomes with optimal nutrition therapy in adult patients with moderate to severe TBI, and to identify gaps in the literature to inform future research. Methods: Using an exploratory scoping study approach, Medline, Cinahl, Embase, CENTRAL, the Neurotrauma reviews in the Global Evidence Mapping (GEM) Initiative, and Evidence Reviews in Acquired Brain Injury (ERABI) were searched from 2003 to 14 November 2013 using variations of the search terms 'traumatic brain injury' and 'nutrition'. Articles were included if they reported mortality, morbidity, or length of stay outcomes, and were classified according to the nature of nutrition intervention and study design. Results: Twenty relevant articles were identified of which: 12 were original research articles; two were systematic reviews; one a meta-analysis; and five were narrative reviews. Of these, eleven explored timing of feed provision, eight explored route of administration of feeding, nine examined the provision of specific nutrients, and none examined feeding environment. Some explored more than one intervention. Three sets of guidelines which contain feeding recommendations were also identified. Discussion: Inconsistency within nutrition intervention methods and outcome measures means that the present evidence base is inadequate for the construction of best practice guidelines for nutrition and TBI. Further research is necessary to elucidate the optimal nutrition therapy for adults with TBI with respect to the timing, route of administration, nutrient provision and feeding environment. A consensus on the ideal outcome measure and the most appropriate method and timing of its measurement is required as a foundation for this evidence base.
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2014 |
Knight-Agarwal CR, Kaur M, Williams LT, Davey R, Davis D, 'The views and attitudes of health professionals providing antenatal care to women with a high BMI: A qualitative research study', Women and Birth, 27 138-144 (2014)
Background: The prevalence of overweight and obesity is increasing amongst women of child bearing age. The objective of this study was to investigate the views and attitudes of pr... [more]
Background: The prevalence of overweight and obesity is increasing amongst women of child bearing age. The objective of this study was to investigate the views and attitudes of providers of antenatal care for women who have a body mass index (BMI) of 30kg/m2 and over. Methods: A qualitative study using focus groups was undertaken within the department of obstetrics and gynaecology at a large teaching hospital in south-eastern Australia. Three focus group discussions were held. One with hospital midwives (n= 10), one with continuity of care midwives (n= 18) and one with obstetricians (n= 5). Data were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Six dominant themes emerged: (1) obesity puts the health of mothers, babies and health professionals at risk; (2) overweight and obesity has become the norm; (3) weighing women and advising about weight gain is out of fashion; (4) weight is a sensitive topic to discuss; (5) there are significant barriers to weight control in pregnancy; and (6) health professionals and women need to deal with maternal obesity. These themes are drawn together to form a model representing current health care issues for these women. Conclusion: Health professionals, who have a high BMI, can find it difficult to discuss obesity during antenatal visits with obese women. Specialist dietary interventions and evidence based guidelines for working with child-bearing women is seen as a public health priority by health care professionals. © 2013.
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2014 |
Hollis JL, Williams LT, Collins CE, Morgan PJ, 'Does Motivational Interviewing Align with International Scope of Practice, Professional Competency Standards, and Best Practice Guidelines in Dietetics Practice?', JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 114 676-687 (2014) [C2]
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Nova |
2014 |
Volker N, Davey RC, Cochrane T, Williams LT, Clancy T, 'Improving the prevention of cardiovascular disease in primary health care: The model for prevention study protocol', Journal of Medical Internet Research, 16 (2014)
Cardiovascular disease (CVD) is the leading cause of death globally, and accounted for nearly 31% of all deaths in Australia in 2011. The primary health care sector is at the fron... [more]
Cardiovascular disease (CVD) is the leading cause of death globally, and accounted for nearly 31% of all deaths in Australia in 2011. The primary health care sector is at the frontline for addressing CVD, however, an evidence-to-practice gap exists in CVD risk assessment and management. General practice plays a key role in CVD risk assessment and management, but this sector cannot provide ongoing lifestyle change support in isolation. Community-based lifestyle modification services and programs provided outside the general practice setting have a key role in supporting and sustaining health behavior change. Fostering linkages between the health sector and community-based lifestyle services, and creating sustainable systems that support these sectors is important. Objective: The objective of the study Model for Prevention (MoFoP) is to take a case study approach to examine a CVD risk reduction intervention in primary health care, with the aim of identifying the key elements required for an effective and sustainable approach to coordinate CVD risk reduction across the health and community sectors. These elements will be used to consider a new systems-based model for the prevention of CVD that informs future practice. Methods: The MoFoP study will use a mixed methods approach, comprising two complementary research elements: (1) a case study, and (2) a pre/post quasi-experimental design. The case study will consider the organizations and systems involved in a CVD risk reduction intervention as a single case. The pre/post experimental design will be used for HeartLink, the intervention being tested, where a single cohort of patients between 45 and 74 years of age (or between 35 and 74 years of age if Aboriginal or Torres Strait Islander) considered to be at high risk for a CVD event will be recruited through general practice, provided with enhanced usual care and additional health behavior change support. A range of quantitative and qualitative data will be collected. This will include individual health and well being data collected at baseline and again at 12 months for HeartLink participants, and systems related data collected over the period of the intervention to inform the case study. Results: The intervention is currently underway, with results expected in late 2015. Conclusions: Gaining a better understanding of CVD prevention in primary health care requires a research approach that can capture and express its complexity. The MoFoP study aims to identify the key elements for effective CVD prevention across the health and community sectors, and to develop a model to better inform policy and practice in this key health priority area for Australia.
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2013 |
Williams LT, Hollis JL, Collins CE, Morgan PJ, 'The 40-Something randomized controlled trial to prevent weight gain in mid-age women', BMC Public Health, 13 (2013) [C1]
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Nova |
2013 |
Crowley ET, Williams LT, Roberts TK, Dunstan RH, Jones PD, 'Does Milk Cause Constipation? A Crossover Dietary Trial', NUTRIENTS, 5 253-266 (2013) [C1]
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Nova |
2013 |
Burrows T, Patterson A, Bacon A, Mitchell L, Wicks L, Baines S, Williams LT, 'Client satisfaction and weight loss outcomes of student centred dietetic outpatient clinics', Obesity Research and Clinical Practice, 7 e421-e430 (2013) [C1]
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Nova |
2013 |
Hart M, Wilcken B, Williams LT, Sibbritt D, Nunn KP, 'Tyrosine supplementation as an adjunct treatment in anorexia nervosa - a noradrenergic repletion hypothesis', Advances in Eating Disorders, 1 161-168 (2013) [C1]
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Nova |
2012 |
Mahony G, Haracz K, Williams LT, 'How mental health occupational therapists address issues of diet with their clients: A qualitative study', Australian Occupational Therapy Journal, 59 294-301 (2012) [C1]
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Nova |
2012 |
Brown LJ, Williams LT, Capra S, 'Developing dietetic positions in rural areas: What are the key lessons?', Rural and Remote Health, 12 1-10 (2012) [C1]
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Nova |
2012 |
Little FH, Brown LJ, Grotowski M, Harris D, 'Nourishing networks: An interprofessional learning model and its application to the Australian rural health workforce', Rural and Remote Health, 12 1-7 (2012) [C1]
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Nova |
2012 |
Crowley ET, Williams LT, Brown LJ, 'How do mothers juggle the special dietary needs of one child while feeding the family? A qualitative exploration', Nutrition and Dietetics, 69 272-277 (2012) [C1]
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Nova |
2012 |
Yang WY, Williams LT, Collins CE, Swee CWS, 'The relationship between dietary patterns and overweight and obesity in children of Asian developing countries: A systematic review', JBI Library of Systematic Reviews, 10 4568-4599 (2012) [C1]
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Nova |
2012 |
Hollis JL, Williams LT, Collins CE, Morgan PJ, 'Effectiveness of interventions using Motivational Interviewing for dietary and physical activity modification in adults: A systematic review', The JBI Database of Systematic Reviews and Implementation Reports, 10 S1-S12 (2012) [C3]
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Nova |
2012 |
Hollis JL, Williams LT, Collins CE, Morgan PJ, 'Effectiveness of Interventions using Motivational Interviewing for dietary and physical activity modification in Adults: A Systematic Review.', JBI Libr Syst Rev, 10 1-12 (2012)
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2011 |
Williams LT, Germov JB, Young AF, 'The effect of social class on mid-age women's weight control practices and weight gain', Appetite, 56 719-725 (2011) [C1]
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Nova |
2011 |
Brown LJ, Mitchell LJ, Williams LT, MacDonald-Wicks LK, Capra S, 'Private practice in rural areas: An untapped opportunity for dietitians', Australian Journal of Rural Health, 19 191-196 (2011) [C1]
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Nova |
2011 |
Germov JB, Williams LT, Freij MH, 'Portrayal of the slow food movement in the Australian print media: Conviviality, localism and romanticism', Journal of Sociology, 47 89-106 (2011) [C1]
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Nova |
2010 |
Brown LJ, Williams LT, Capra S, 'Going rural but not staying long: Recruitment and retention issues for the rural dietetic workforce in Australia', Nutrition & Dietetics, 67 294-302 (2010) [C1]
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Nova |
2008 |
Crowley ET, Williams LT, Roberts TK, Jones PD, Dunstan RH, 'Evidence for a role of cow's milk consumption in chronic functional constipation in children: Systematic review of the literature from 1980 to 2006', Nutrition & Dietetics, 65 29-35 (2008) [C1]
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Nova |
2008 |
Brown LJ, Capra SM, Williams LT, 'A best practice dietetic service for rural patients with cancer undergoing chemotherapy: A pilot of a pseudo-randomised controlled trial', Nutrition and Dietetics, 65 175-180 (2008) [C1]
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Nova |
2007 |
Williams LT, Germov JB, Young AF, 'Preventing weight gain: A population cohort study of the nature and effectiveness of mid-age women's weight control practices', International Journal of Obesity, 31 978-986 (2007) [C1]
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Nova |
2007 |
Williams L, Beck E, Patch C, March K, Shepherd S, Tikelis K, et al., 'DAA appoints advanced APD', FOOD AUSTRALIA, 59 205-205 (2007) |
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2006 |
Williams LT, Young AF, Brown WJ, 'Weight gained in two years by a population of mid-aged women: how much is too much?', International Journal of Obesity, 30 1229-1233 (2006) [C1]
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Nova |
2006 |
Brown WJ, Williams L, Ford JH, Ball K, Dobson AJ, 'Identifying the energy gap: Magnitude and determinants of 5-year weight gain in midage women (vol 13, pg 1431, 2005)', OBESITY, 14 342-342 (2006)
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2006 |
Brown LJ, Capra SM, Williams LT, 'Profile of the Australian dietetic workforce: 1991-2005', Nutrition and Dietetics, 63 166-178 (2006) [C1]
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Nova |
2006 |
Brown G, 'Wound Documentation: Managing Risk', Advances in Skin & Wound Care, 19 166-167 (2006)
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2006 |
Brown WJ, Williams L, Ford JH, Ball K, Dobson AJ, 'Erratum: Identifying the energy gap: Magnitude and determinants of 5-year weight gain in midage women (Obestiy (2005) 13 (1431-1441))', Obesity, 14 342 (2006)
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2005 |
Brown WJ, Williams LT, Ford JH, Ball K, Dobson AJ, 'Identifying the energy gap: Magnitude and determinants of 5-year weight gain in midage women', Obesity Research, 13 1431-1441 (2005) [C1]
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Nova |
2005 |
Smith AN, Williams LT, Lyons MJ, Lewis S, 'Pilot testing a multiprofessional learning module : lessons learned', Focus on Health Professional Education, 6 21-23 (2005) [C1]
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Nova |
2005 |
Smith AN, Williams LT, Lyons MJ, 'A Multiional Learning Module on Ethical Healthcare and Professional Practice', Focus on Health Professional Education, 6 21-23 (2005) [C1]
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2005 |
Germov JB, Williams LT, 'The Social Origins of Obesity', Issues, 72 6-7 (2005) [C2] |
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2000 |
Williams LT, 'Food, morals and meaning (Coveney, J)', Australian Journal of Nutrition and Dietetics, 57 177-178 (2000) [C3] |
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1996 |
Germov J, Williams L, 'The sexual division of dieting: Women's voices', SOCIOLOGICAL REVIEW, 44 630-647 (1996)
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1996 |
Germov J, Williams L, 'The epidemic of dieting women: The need for a sociological approach to food and nutrition', APPETITE, 27 97-108 (1996)
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1987 |
WARWICK PM, WILLIAMS LT, 'DIETARY-INTAKE OF INDIVIDUALS INTERESTED IN EATING A HEALTHY DIET - A VALIDATED STUDY OF INTAKE BEFORE AND AFTER DIETARY ADVICE', HUMAN NUTRITION-APPLIED NUTRITION, 41A 409-425 (1987)
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1987 |
Warwick PM, Williams LT, 'Dietary intake of individuals interested in eating a healthy diet: a validated study of intake before and after dietary advice.', Human nutrition. Applied nutrition, 41 409-425 (1987)
The food intake of 37 adult volunteers (12 M, 25 F) interested in eating a healthy diet was measured on two occasions by the 7-day weighed record method. In week 1 subjects consum... [more]
The food intake of 37 adult volunteers (12 M, 25 F) interested in eating a healthy diet was measured on two occasions by the 7-day weighed record method. In week 1 subjects consumed their habitual diet and in week 2 attempted to follow dietary recommendations (DR). Intakes were compared with recommended dietary allowances (RDA) and with dietary guidelines (DG). Validation of recorded energy intakes against changes in body weight, and sodium, potassium and nitrogen intakes against urine excretions suggested reliable dietary records in both study weeks. Mean dietary intakes in week 1 met the RDA for all nutrients studied except for energy (which was close) and zinc (in females only). Daily energy intake was 2160 kcal (9.04 MJ) in week 1 and 1810 kcal (7.56 MJ) in week 2, and subjects lost weight during week 2. Absolute intakes of vitamins and minerals were similar in both study weeks, thus increasing nutrient density in week 2 and suggesting improved dietary quality. Mean dietary intakes in week 1 conformed more closely to DG than commonly reported and changed in the direction recommended in week 2. Mean daily intakes in week 1 and week 2 respectively were: fibre, 31 and 34 g; sodium 114 and 90 mmol; Na:K ratio, 1.37 and 1.10; alcohol, 3.3 and 2.3 per cent of total energy; fat, 38.7 and 34.2 per cent of food energy or 37.4 and 33.4 per cent of total energy. Intake of fibre increased with respect to energy but sodium intake per unit energy did not decrease. Energy intake was positively related to sodium, fibre and zinc intakes and influenced ease of conformity to DR for these nutrients. It is concluded that our motivated subjects were able to make short-term dietary changes consistent with DR. Whether or not these changes continue in the long term is the subject of a follow-up study.
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