2024 |
Desson Z, Sharman JE, Searles A, Schutte AE, Delles C, Olsen MH, et al., 'Improving the accuracy of blood pressure measuring devices in Australia: a modelled return on investment study.', J Hum Hypertens, 38 177-186 (2024) [C1]
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Nova |
2023 |
Kable A, Fraser S, Fullerton A, Hullick C, Palazzi K, Oldmeadow C, et al., 'Evaluation of the Effect of a Safe Medication Strategy on Potentially Inappropriate Medications, Polypharmacy and Anticholinergic Burden for People with Dementia: An Intervention Study.', Healthcare (Basel), 11 (2023) [C1]
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Nova |
2023 |
Ramanathan S, Lynch E, Bernhardt J, Nilsson M, Cadilhac DA, Carey L, et al., 'Impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery.', Health research policy and systems, 21 30 (2023) [C1]
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Nova |
2023 |
van Vliet P, Carey LM, Turton A, Kwakkel G, Palazzi K, Oldmeadow C, et al., 'Task-specific training versus usual care to improve upper limb function after stroke: the "Task-AT Home" randomised controlled trial protocol', FRONTIERS IN NEUROLOGY, 14 (2023)
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2023 |
Deeming S, Hure A, Attia J, Nilsson M, Searles A, 'Prioritising and incentivising productivity within indicator-based approaches to Research Impact Assessment: a commentary.', Health Res Policy Syst, 21 136 (2023) [C1]
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Nova |
2022 |
Ramanathan SA, Ling R, Tattersall A, Ingold N, De Silva MS, Close S, Searles A, 'Impact assessment of the medical practice assisting (MPA) program in general practice in the hunter New England and central coast regions of Australia.', Hum Resour Health, 20 81 (2022) [C1]
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Nova |
2022 |
Guillaumier A, Spratt N, Pollack M, Baker A, Magin P, Turner A, et al., 'Evaluation of an online intervention for improving stroke survivors' health-related quality of life: A randomised controlled trial', PLOS MEDICINE, 19 (2022) [C1]
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Nova |
2022 |
Dunlop AJ, White B, Roberts J, Cretikos M, Attalla D, Ling R, et al., 'Treatment of opioid dependence with depot buprenorphine (CAM2038) in custodial settings', ADDICTION, 117 382-391 (2022) [C1]
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Nova |
2022 |
Cunningham FC, Potts BA, Ramanathan SA, Bailie J, Bainbridge RG, Searles A, et al., 'Network evaluation of an innovation platform in continuous quality improvement in Australian Indigenous primary healthcare.', Health Res Policy Syst, 20 119 (2022) [C1]
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Nova |
2022 |
Gould GS, Ryan NM, Kumar R, Stevenson LC, Carson-Chahhoud K, Oldmeadow C, et al., 'SISTAQUIT: training health care providers to help pregnant Aboriginal and Torres Strait Islander women quit smoking. A cluster randomised controlled trial', MEDICAL JOURNAL OF AUSTRALIA, 217 36-42 (2022)
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2022 |
Szewczyk Z, Reeves P, Kingsland M, Doherty E, Elliott E, Wolfenden L, et al., 'Cost, cost-consequence and cost-effectiveness evaluation of a practice change intervention to increase routine provision of antenatal care addressing maternal alcohol consumption.', Implement Sci, 17 14 (2022) [C1]
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Nova |
2022 |
Koorts H, Bauman A, Edwards N, Bellew W, Brown WJ, Duncan MJ, et al., 'Tensions and Paradoxes of Scaling Up: A Critical Reflection on Physical Activity Promotion.', International journal of environmental research and public health, 19 14284 (2022) [C1]
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Nova |
2022 |
Ling R, Giles M, Searles A, 'Budget impact analysis of a multifaceted nurse-led intervention to reduce indwelling urinary catheter use in New South Wales Hospitals.', BMC Health Serv Res, 22 1000 (2022) [C1]
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Nova |
2022 |
da Silva PV, Kamper SJ, Robson E, Davidson SRE, Gleadhill C, Donald B, et al., '"Myths and Facts" Education Is Comparable to "Facts Only" for Recall of Back Pain Information but May Improve Fear-Avoidance Beliefs: An Embedded Randomized Trial', JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 52 586-594 (2022) [C1]
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Nova |
2022 |
Murphy VE, Jensen ME, Holliday EG, Giles WB, Barrett HL, Callaway LK, et al., 'Effect of asthma management with exhaled nitric oxide
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Nova |
2022 |
Attia JR, Holliday E, Weaver N, Peel R, Fleming KC, Hure A, et al., 'The effect of zinc supplementation on glucose homeostasis: a randomised double-blind placebo-controlled trial', ACTA DIABETOLOGICA, 59 965-975 (2022) [C1]
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Nova |
2022 |
Gaviola MA, Searles A, Dilworth S, Higgins I, Holliday E, Inder KJ, 'Estimating the cost of an individualised music intervention for aged care residents with dementia', Nursing Older People, 34 (2022) [C1]
Background Individualised music listening has been shown to reduce agitation and improve mood in people with dementia. However, there is a paucity of research describing the cost ... [more]
Background Individualised music listening has been shown to reduce agitation and improve mood in people with dementia. However, there is a paucity of research describing the cost of implementing such interventions in residential care settings for older people. Aim To determine the cost of implementing an individualised music intervention for older people with dementia in residential aged care in Australia. Method A simple cost analysis was undertaken to determine the cost of delivering the individualised music intervention to 32 older people with dementia at two residential aged care facilities in New South Wales. The analysis took into consideration the operating, training and delivery costs, as well as the costs of purchasing the music equipment and downloads. Results The cost of delivering the individualised music intervention was found to be AU$6,623.76 per year ¿ or AU$3.98 per resident per week, at 2017 values. At 2022 values, this equates to an annual cost of AU$7,130.07 (£4,031.85) for 32 residents and a weekly cost of AU$4.28 (£2.42) per resident per week. Conclusion The cost of implementing the individualised music intervention was relatively low compared with the overall cost of residential aged care for older people with dementia.
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Nova |
2022 |
Deeming S, Edmunds K, Knight A, Searles A, Shakeshaft AP, Doran CM, 'A Benefit-Cost Analysis of BackTrack, a Multi-Component, Community-Based Intervention for High-Risk Young People in a Rural Australian Setting', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022) [C1]
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Nova |
2022 |
Thomas S, Williamson K, Ling R, Dolja-Gore X, Islam FM, Higgins H, et al., 'Tailoring childhood immunisation services in a socioeconomically disadvantaged community in New South Wales, Australia: a cost analysis.', Aust J Prim Health, 28 490-497 (2022) [C1]
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2022 |
Piper D, Jorm C, Iedema R, Goodwin N, Searles A, McFayden L, 'Relational aspects of building capacity in economic evaluation in an Australian Primary Health Network using an embedded researcher approach', BMC HEALTH SERVICES RESEARCH, 22 (2022) [C1]
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Nova |
2022 |
Ling R, White B, Roberts J, Cretikos M, Howard M, Haber PS, et al., 'Depot buprenorphine as an opioid agonist therapy in New South Wales correctional centres: a costing model', BMC HEALTH SERVICES RESEARCH, 22 (2022) [C1]
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Nova |
2021 |
Ling R, Giles M, Searles A, 'Administration of indwelling urinary catheters in four Australian Hospitals: cost-effectiveness analysis of a multifaceted nurse-led intervention', BMC HEALTH SERVICES RESEARCH, 21 (2021) [C1]
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Nova |
2021 |
Sutherland R, Brown A, Nathan N, Yoong S, Janssen L, Chooi A, et al., 'A multicomponent mHealth-based intervention (SWAP IT) to decrease the consumption of discretionary foods packed in school lunchboxes: Type I effectiveness-implementation hybrid cluster randomized controlled trial', Journal of Medical Internet Research, 23 (2021) [C1]
Background: There is significant opportunity to improve the nutritional quality of foods packed in children's school lunchboxes. Interventions that are effective and scalable... [more]
Background: There is significant opportunity to improve the nutritional quality of foods packed in children's school lunchboxes. Interventions that are effective and scalable targeting the school and home environment are therefore warranted. Objective: This study aimed to assess the effectiveness of a multicomponent, mobile health-based intervention, SWAP IT, in reducing the energy contribution of discretionary (ie, less healthy) foods and drinks packed for children to consume at school. Methods: A type I effectiveness-implementation hybrid cluster randomized controlled trial was conducted in 32 primary schools located across 3 local health districts in New South Wales, Australia, to compare the effects of a 6-month intervention targeting foods packed in children's lunchboxes with those of a usual care control. Primary schools were eligible if they were not participating in other nutrition studies and used the required school communication app. The Behaviour Change Wheel was used to co-design the multicomponent SWAP IT intervention, which consisted of the following: school lunchbox nutrition guidelines, curriculum lessons, information pushed to parents digitally via an existing school communication app, and additional parent resources to address common barriers to packing healthy lunchboxes. The primary outcome, mean energy (kilojoules) content of discretionary lunchbox foods and drinks packed in lunchboxes, was measured via observation using a validated school food checklist at baseline (May 2019) and at 6-month follow-up (October 2019). Additional secondary outcomes included mean lunchbox energy from discretionary foods consumed, mean total lunchbox energy packed and consumed, mean energy content of core lunchbox foods packed and consumed, and percentage of lunchbox energy from discretionary and core foods, all of which were also measured via observation using a validated school food checklist. Measures of school engagement, consumption of discretionary foods outside of school hours, and lunchbox cost were also collected at baseline and at 6-month follow-up. Data were analyzed via hierarchical linear regression models, with controlling for clustering, socioeconomic status, and remoteness. Results: A total of 3022 (3022/7212, 41.90%) students consented to participate in the evaluation (mean age 7.8 years; 1487/3022, 49.22% girls). There were significant reductions between the intervention and control groups in the primary trial outcome, mean energy (kilojoules) content of discretionary foods packed in lunchboxes (-117.26 kJ; 95% CI -195.59 to -39.83; P=.003). Relative to the control, the intervention also significantly reduced secondary outcomes regarding the mean total lunchbox energy (kilojoules) packed (-88.38 kJ; 95% CI -172.84 to -3.92; P=.04) and consumed (-117.17 kJ; 95% CI -233.72 to -0.62; P=.05). There was no significant difference between groups in measures of student engagement, consumption of discretionary foods outside of school hours, or cost of foods packed in children's lunchboxes. Conclusions: The SWAP IT intervention was effective in reducing the energy content of foods packed for and consumed by primary school-aged children at school. Dissemination of the SWAP IT program at a population level has the potential to influence a significant proportion of primary school-aged children, impacting weight status and associated health care costs.
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Nova |
2021 |
Sutherland R, Campbell E, McLaughlin M, Nathan N, Wolfenden L, Lubans DR, et al., 'Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 24-month implementation and cost outcomes from a cluster randomised controlled trial', International Journal of Behavioral Nutrition and Physical Activity, 18 (2021) [C1]
Background: Physical Activity 4 Everyone (PA4E1) is an evidence-based program effective at increasing adolescent physical activity (PA) and improving weight status. This study aim... [more]
Background: Physical Activity 4 Everyone (PA4E1) is an evidence-based program effective at increasing adolescent physical activity (PA) and improving weight status. This study aimed to determine a) the effectiveness of an adapted implementation intervention to scale-up PA4E1 at 24-month follow-up, b) fidelity and reach, and c) the cost and cost-effectiveness of the implementation support intervention. Methods: A cluster randomised controlled trial using a type III hybrid implementation-effectiveness design in 49 lower socio-economic secondary schools, randomised to a program (n = 24) or control group (n = 25). An adapted implementation intervention consisting of seven strategies was developed to support schools to implement PA4E1 over 24-months. The primary outcome was the proportion of schools implementing at least four of the 7 PA practices, assessed via computer assisted telephone interviews (CATI) with Head Physical Education Teachers. Secondary outcomes included the mean number of PA practices implemented, fidelity and reach, cost and cost-effectiveness. Logistic regression models assessed program effects. Results: At baseline, no schools implemented four of the 7 PA practices. At 24-months, significantly more schools in the program group (16/23, 69.6%) implemented at least four of the 7 PA practices than the control group (0/25, 0%) (p < 0.001). At 24-months, program schools were implementing an average of 3.6 more practices than control schools (4.1 (1.7) vs. 0.5 (0.8), respectively) (P < 0.001). Fidelity and reach of the implementation intervention were high (> 75%). The total cost of the program was $415,112 AUD (2018) ($17,296 per school; $117.30 per student). Conclusions: The adapted implementation intervention provides policy makers and researchers with an effective and potentially cost-effective model for scaling-up the delivery of PA4E1 in secondary schools. Further assessment of sustainability is warranted. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12617000681358 prospectively registered 12th May 2017.
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Nova |
2021 |
Jorm C, Iedema R, Piper D, Goodwin N, Searles A, ' Slow science for 21st century healthcare: reinventing health service research that serves fast-paced, high-complexity care organisations', Journal of Health Organization and Management, 35 701-716 (2021) [C1]
Purpose: The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of ¿slow science¿ as a critical y... [more]
Purpose: The purpose of this paper is to argue for an improved conceptualisation of health service research, using Stengers' (2018) metaphor of ¿slow science¿ as a critical yardstick. Design/methodology/approach: The paper is structured in three parts. It first reviews the field of health services research and the approaches that dominate it. It then considers the healthcare research approaches whose principles and methodologies are more aligned with ¿slow science¿ before presenting a description of a ¿slow science¿ project in which the authors are currently engaged. Findings: Current approaches to health service research struggle to offer adequate resources for resolving frontline complexity, principally because they set more store by knowledge generalisation, disciplinary continuity and integrity and the consolidation of expertise, than by engaging with frontline complexity on its terms, negotiating issues with frontline staff and patients on their terms and framing findings and solutions in ways that key in to the in situ dynamics and complexities that define health service delivery. Originality/value: There is a need to engage in a paradigm shift that engages health services as co-researchers, prioritising practical change and local involvement over knowledge production. Economics is a research field where the products are of natural appeal to powerful health service managers. A ¿slow science¿ approach adopted by the embedded Economist Program with its emphasis on pre-implementation, knowledge mobilisation and parallel site capacity development sets out how research can be flexibly produced to improve health services.
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Nova |
2021 |
Kable A, Hullick C, Palazzi K, Oldmeadow C, Searles A, Ling R, et al., 'Evaluation of a safe medication strategy intervention for people with dementia with an unplanned admission: Results from the Safe Medication Strategy Dementia Study', Australasian Journal on Ageing, 40 356-365 (2021) [C1]
Objective: To evaluate whether a safe medication strategy compared with usual care, provided to people with dementia during an unplanned admission, reduces readmissions to hospita... [more]
Objective: To evaluate whether a safe medication strategy compared with usual care, provided to people with dementia during an unplanned admission, reduces readmissions to hospital and re-presentation to emergency departments within three months. Methods: A prospective, controlled pre-/post-trial conducted at two regional hospitals in New South Wales, Australia. Results: No treatment effect was seen for time to first re-presentation or readmission within three months (P¿=.3). Compliance with six strategies applicable for all participants in the intervention phase was 58%. There was no treatment effect for secondary outcomes including dose administration aid use, home medicines review (HMR) requests by general practitioners and completed HMRs; however, they were significantly higher at the intervention site in both phases. Conclusion: A bundle of care to improve medication safety in people with dementia did not reduce re-presentations or readmissions within three months.
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Nova |
2021 |
Hure AJ, Ramanathan S, Deeming S, Figtree GA, Jennings G, Webster J, et al., 'Translation and Impact of Funded Australian Cardiovascular Research: A Review With Perspective.', Heart Lung Circ, 30 1442-1448 (2021) [C1]
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Nova |
2021 |
Edmunds K, Wall L, Brown S, Searles A, Shakeshaft AP, Doran CM, 'Exploring community-based options for reducing youth Crime', International Journal of Environmental Research and Public Health, 18 (2021) [C1]
BackTrack is a multi-component, community-based intervention designed to build capacity amongst 14¿17-year-old high risk young people. The aim of the current study seeks to explor... [more]
BackTrack is a multi-component, community-based intervention designed to build capacity amongst 14¿17-year-old high risk young people. The aim of the current study seeks to explore community value and preferences for reducing youth crime and improving community safety using BackTrack in a rural setting in Armidale, New South Wales, Australia. The study design used discrete choice experiments (DCEs), designed in accordance with the 10-item checklist outlined by the International Society for Pharmacoeconomics and Outcomes Research. The DCE was pilot tested on 43 participants to test feasibility and comprehension. A revised version of the survey was subsequently completed by 282 people over a 12-day period between 30 May 2016 and 10 June 2016, representing a survey response rate of 35%. Ninety per cent of respondents were residents of Armidale, the local rural town where BackTrack was implemented. The DCE generated results that consistently demonstrated a preference for social programs to address youth crime and community safety in the Armidale area. Respondents chose BackTrack over Greater Police Presence 75% of the time with an annual benefit of Australian dollars (AUD) 150 per household, equivalent to a community benefit of AUD 2.04 million. This study estimates a strong community preference for BackTrack relative to more policing (a community willing to pay equivalent to AUD 2.04 million) highlighting the clear value of including community preferences when evaluating community-based programs for high-risk young people.
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Nova |
2021 |
Gibson L, Clinton-McHarg T, Wilczynska M, Latter J, Bartlem K, Henderson C, et al., 'Preventive care practices to address health behaviours among people living with mental health conditions: A survey of Community Managed Organisations', Preventive Medicine Reports, 23 (2021) [C1]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases a... [more]
People living with mental health conditions have a reduced life expectancy of approximately 10 years compared to the general population, largely due to physical chronic diseases and higher rates of tobacco smoking, poor nutrition, harmful alcohol consumption, physical inactivity and poor sleep behaviours. Community managed organisations (CMOs) may play a valuable role in providing preventive care to people with mental health conditions (consumers) to address these health behaviours. This paper reports the findings of a cross-sectional survey undertaken between November 2018 and February 2019 with leaders of CMOs (n = 76) that support people with mental health conditions in the state of New South Wales, Australia to: 1) measure the provision of preventive care (screening, support, and connections to specialist services) for five health behaviours; 2) identify the presence of key organisational features (e.g., data collection, staff training); and 3) explore if these organisational features were associated with the provision of preventive care. Preventive care provision to a majority of consumers (50% or more) was least frequently reported for tobacco smoking and most frequently reported for physical activity. Staff training and guidelines regarding the provision of preventive care were associated with the provision of such care. The results demonstrate that CMOs are already engaged in providing preventive care to some extent, with certain behaviours and preventive care elements addressed more frequently than others. Further research with additional CMO stakeholders, including staff and consumers, is needed to gain a deeper understanding of factors that may underlie CMOs capacity to routinely provide preventive care.
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Nova |
2021 |
Jensen ME, Robijn AL, Gibson PG, Oldmeadow C, Clifton V, Giles W, et al., 'Longitudinal Analysis of Lung Function in Pregnant Women with and without Asthma', Journal of Allergy and Clinical Immunology: In Practice, 9 1578-1585.e3 (2021) [C1]
Background: Spirometry is commonly used to assess and monitor lung function. It may also be a useful tool to monitor maternal health during pregnancy. However, large studies exami... [more]
Background: Spirometry is commonly used to assess and monitor lung function. It may also be a useful tool to monitor maternal health during pregnancy. However, large studies examining lung function across gestation are limited. Also, whether spirometry values follow the same pattern during pregnancy in women with and without asthma is unknown. Objective: To investigate the effect of advancing gestation, and its interaction with asthma, on lung function in a large well-defined cohort of pregnant women. Methods: Data were obtained from prospective cohorts involving women with (n = 770) and without (n = 259) asthma (2004-2017), recruited between 12 and 22 weeks' gestation. Lung function (forced vital capacity [FVC], FEV1, FEV1:FVC%) was assessed periodically during pregnancy using spirometry. Multilevel mixed-effect regression models were used to assess changes in lung function over gestation. Results: Asthma had a significant effect on baseline lung function (FEV1%, -9%; FVC%, -3%; FEV1:FVC%, -4%). FVC% decreased with advancing gestation (-0.07%/wk; 95% CI, -0.10 to -0.04]), as did FEV1%, but only among those without asthma (women without asthma: -0.14%/wk, 95% CI, -0.22 to -0.06%; compared with women with asthma: 0.02%/wk, 95% CI, -0.01 to 0.06). FEV1:FVC% remained relatively stable for women without asthma (0.03%/wk; 95% CI, -0.08 to 0.02), but increased for women with asthma (0.06%/wk; 95% CI, 0.04 to 0.16). Conclusions: Data suggest that advancing gestation negatively affects FVC% and FEV1%. This is consistent with extrapulmonary restriction from advancing pregnancy. Yet, the presence of asthma altered the trajectories of FEV1% and FEV1:FVC%. Optimal asthma management during pregnancy might have opposed the negative effects of gestation on lung function.
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Nova |
2021 |
Searles A, Piper D, Jorm C, Reeves P, Gleeson M, Karnon J, et al., 'Embedding an economist in regional and rural health services to add value and reduce waste by improving local-level decision-making: protocol for the 'embedded Economist' program and evaluation', BMC HEALTH SERVICES RESEARCH, 21 (2021)
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2021 |
Kelly PJ, Beck AK, Deane FP, Larance B, Baker AL, Hides L, et al., 'Feasibility of a Mobile Health App for Routine Outcome Monitoring and Feedback in SMART Recovery Mutual Support Groups: Stage 1 Mixed Methods Pilot Study', JOURNAL OF MEDICAL INTERNET RESEARCH, 23 (2021) [C1]
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Nova |
2021 |
Ramanathan SA, Larkins S, Carlisle K, Turner N, Bailie RS, Thompson S, et al., 'What was the impact of a participatory research project in Australian Indigenous primary healthcare services Applying a comprehensive framework for assessing translational health research to Lessons for the Best', BMJ Open, 11 (2021) [C1]
Objectives To (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from... [more]
Objectives To (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from LFTB and (3) assess the feasibility and outcomes from a retrospective application of FAIT. Setting Three Indigenous primary healthcare (PHC) centres in the Northern Territory, Australia; project coordinating centre distributed between Townsville, Darwin and Cairns and the broader LFTB learning community across Australia. Participants LFTB research team and one representative from each PHC centre. Primary and secondary outcome measures Impact reported as (1) quantitative metrics within domains of benefit using a modified Payback Framework, (2) a cost-consequence analysis given a return on investment was not appropriate and (3) a narrative incorporating qualitative evidence of impact. Data were gathered through in-depth stakeholder interviews and a review of project documentation, outputs and relevant websites. Results LFTB contributed to knowledge advancement in Indigenous PHC service delivery; enhanced existing capacity of health centre staff, researchers and health service users; enhanced supportive networks for quality improvement; and used a strengths-based approach highly valued by health centres. LFTB also leveraged between A1.4 and A1.6 million for the subsequent Leveraging Effective Ambulatory Practice (LEAP) Project to apply LFTB learnings to resource development and creation of a learning community to empower striving PHC centres. Conclusion Retrospective application of FAIT to LFTB, although not ideal, was feasible. Prospective application would have allowed Indigenous community perspectives to be included. Greater appreciation of the full benefit of LFTB including a measure of return on investment will be possible when LEAP is complete. Future assessments of impact need to account for the limitations of fully capturing impact when intermediate/final impacts have not yet been realised and captured.
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Nova |
2021 |
Robson E, Kamper SJ, Hall A, Lee H, Davidson S, da Silva PV, et al., 'Effectiveness of a Healthy Lifestyle Program (HeLP) for low back pain: statistical analysis plan for a randomised controlled trial', TRIALS, 22 (2021)
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2021 |
Reeves P, Edmunds K, Szewczyk Z, Grady A, Yoong SL, Wolfenden L, et al., 'Economic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelines', IMPLEMENTATION SCIENCE, 16 (2021) [C1]
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Nova |
2021 |
Hobden B, Carey M, Sanson-Fisher R, Searles A, Oldmeadow C, Boyes A, 'Resource allocation for depression management in general practice: A simple data-based filter model', PLOS ONE, 16 (2021) [C1]
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Nova |
2020 |
Kelly P, Deane F, Baker A, Byrne G, Degan T, Osborne B, et al., 'Study protocol the Continuing Care Project: a randomised controlled trial of a continuing care telephone intervention following residential substance dependence treatment (vol 20, 107, 2020)', BMC PUBLIC HEALTH, 20 (2020)
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2020 |
Bruce R, Murdoch W, Kable A, Palazzi K, Hullick C, Pond D, et al., 'Evaluation of Carer Strain and Carer Coping with Medications for People with Dementia after Discharge: Results from the SMS Dementia Study', HEALTHCARE, 8 (2020) [C1]
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Nova |
2020 |
Kelly P, Deane F, Byrne G, Degan T, Osborne B, Townsend C, et al., 'Study protocol the Continuing Care Project: a randomised controlled trial of a continuing care telephone intervention following residential substance dependence treatment', BMC PUBLIC HEALTH, 20 (2020)
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2020 |
Carey M, Sanson-Fisher R, Zwar N, Mazza D, Meadows G, Piterman L, et al., 'Improving depression outcomes among Australian primary care patients: protocol for a cluster randomised controlled trial', BMJ OPEN, 10 (2020)
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2020 |
Fehily C, Ling R, Searles A, Bartlem K, Wiggers J, Hodder R, et al., 'An economic evaluation of a specialist preventive care clinician in a community mental health service: A randomised controlled trial', BMC Health Services Research, 20 (2020) [C1]
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Nova |
2020 |
Sutherland R, Campbell E, McLaughlin M, Nathan N, Wolfenden L, Lubans DR, et al., 'Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial.', Int J Behav Nutr Phys Act, 17 100 (2020) [C1]
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Nova |
2020 |
Kelly PJ, Beck AK, Baker AL, Deane FP, Hides L, Manning V, et al., 'Feasibility of a Mobile Health App for Routine Outcome Monitoring and Feedback in Mutual Support Groups Coordinated by SMART Recovery Australia: Protocol for a Pilot Study', JMIR RESEARCH PROTOCOLS, 9 (2020)
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2020 |
Rush A, Catchpoole DR, Ling R, Searles A, Watson PH, Byrne JA, 'Improving Academic Biobank Value and Sustainability Through an Outputs Focus', Value in Health, 23 1072-1078 (2020) [C1]
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Nova |
2020 |
Reeves P, Szewczyk Z, Kingsland M, Doherty E, Elliott E, Dunlop A, et al., 'Protocol for an economic evaluation and budget impact assessment of a randomised, stepped-wedge controlled trial for practice change support to increase routine provision of antenatal care for maternal alcohol consumption', Implementation Science Communications, 1 (2020)
Background: Antenatal clinical practice guidelines recommend routine assessment of women¿s alcohol consumption during pregnancy. The delivery of advice and referral when necessary... [more]
Background: Antenatal clinical practice guidelines recommend routine assessment of women¿s alcohol consumption during pregnancy. The delivery of advice and referral when necessary are also recommended. However, evidence suggests there are barriers to the uptake of best-care guidelines. Effective, cost-effective and affordable implementation strategies are needed to ensure the intended benefits of guidelines are realised through addressing identified barriers. This paper describes the protocol for evaluating the efficiency and affordability of a practice change intervention compared to the usual practice in an implementation trial. Methods: The effectiveness of the intervention will be evaluated in a stepped-wedge randomised controlled implementation trial, conducted in an Australian setting. An economic evaluation will be conducted alongside the trial to assess intervention efficiency. A budget impact assessment will be conducted to assess affordability. The prospective trial-based economic evaluation will identify, measure and value key resource and outcome impacts arising from the multi-strategy practice change intervention compared with usual practice. The evaluation will comprise (i) cost-consequence analyses, where a scorecard approach will be used to show the costs and benefits given the multiple primary outcomes included in the trial, and (ii) cost-effectiveness analyses, where the primary outcome will be incremental cost per percent increase in participants reporting receipt of antenatal care for maternal alcohol consumption consistent with the guideline recommendations. Intervention affordability will be evaluated using budget impact assessment and will estimate the financial implications of adoption and diffusion of this implementation strategy from the perspective of relevant fundholders. Results will be extrapolated to estimate the cost and cost-effectiveness of rolling out the model of care. Discussion: Uptake of clinical guidelines requires practice change support. It is hypothesized that the implementation strategy, if found to be effective, will also be cost-effective, affordable and scalable. This protocol describes the economic evaluation that will address these hypotheses. Trial registration: Australian and New Zealand Clinical Trials Registry, ACTRN12617000882325 . Registered on 16 June 2017
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2019 |
Dodd R, Ramanathan S, Angell B, Peiris D, Joshi R, Searles A, Webster J, 'Strengthening and measuring research impact in global health: Lessons from applying the FAIT framework', Health Research Policy and Systems, 17 1-12 (2019) [C1]
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Nova |
2019 |
Reeves P, Edmunds K, Searles A, Wiggers J, 'Economic evaluations of public health implementation-interventions: a systematic review and guideline for practice', Public Health, 169 101-113 (2019) [C1]
Objectives: Implementation interventions applied in public health are about using proven strategies to influence the uptake of evidence-based prevention and health promotion initi... [more]
Objectives: Implementation interventions applied in public health are about using proven strategies to influence the uptake of evidence-based prevention and health promotion initiatives. The decision to invest in implementation has an opportunity cost, which can be overlooked. The purpose of this study was to assess the extent to which economic evaluations have been applied to implementation interventions in public health. Study design: We conducted a systematic review of empirical studies examining the costs and consequences, cost-effectiveness or cost-benefit of strategies directed towards enhancing the implementation of public health interventions and policies in developed countries. Methods: The following databases were searched for English language publications reporting both effect measures and costs, from 1990 to current: MEDLINE, Embase, PsycINFO, CINAHL, EconLit, EPPI-Centre database of health promotion research, Cost-Effectiveness Analysis Registry, NHS Economic Evaluation Database, Informit and Scopus. Results: The search strategy returned 3229 records after duplicate removal, from which we included 14 economic evaluations. All the included evaluations were conducted and published after 2000. Twelve of the 14 evaluations were based on controlled trials and two reported hypothetical modelled scenarios. The methodologic rigour and compliance with reporting guidelines for economic evaluations was highly varied and not related to the publication date. Conclusions: Our findings offer the first insight into the application and methodologic rigour of economic evaluations of implementation strategies supporting public health policies and interventions. To usefully inform public health policy and investment decisions, there needs to be greater application of economic evaluation to understand the cost-effectiveness of alternative implementation efforts. This review highlights the great paucity and mixed quality of the evidence on this topic and offers guidance by way of a checklist to improve the quality and reporting of future evaluations.
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Nova |
2019 |
Hure A, Palazzi K, Peel R, Geraghty D, Collard P, De Malmanche T, et al., 'Identifying low value pathology test ordering in hospitalised patients: a retrospective cohort study across two hospitals', Pathology, 51 621-627 (2019) [C1]
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Nova |
2019 |
Sutherland R, Campbell E, Nathan N, Wolfenden L, Lubans DR, Morgan PJ, et al., 'A cluster randomised trial of an intervention to increase the implementation of physical activity practices in secondary schools: study protocol for scaling up the Physical Activity 4 Everyone (PA4E1) program', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Islam FM, Thomas S, Reeves P, Massey PD, Searles A, 'Q fever vaccination: Time to kick the cost bucket?', AUSTRALIAN JOURNAL OF RURAL HEALTH, 27 577-578 (2019)
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2019 |
Kable A, Fullerton A, Fraser S, Palazzi K, Hullick C, Oldmeadow C, et al., 'Comparison of Potentially Inappropriate Medications for People with Dementia at Admission and Discharge during An Unplanned Admission to Hospital: Results from the SMS Dementia Study.', Healthcare, 7 (2019) [C1]
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Nova |
2019 |
Ling R, Searles A, Hewitt J, Considine R, Turner C, Thomas S, et al., 'Cost analysis of an integrated aged care program for residential aged care facilities', Australian Health Review, 43 261-267 (2019) [C1]
Objective: To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Car... [more]
Objective: To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Care Emergency (ACE) program, includes telephone clinical support aimed to reduce avoidable emergency department (ED) presentations by RACF residents. Methods: This costing of the ACE intervention examines the perspective of service providers: RACFs, Hunter Medicare Local, the Ambulance Service of New South Wales, and EDs in the Hunter New England Local Health District. ACE was implemented in 69 RACFs in the Hunter region of NSW, Australia. Analysis used 14 weeks of ACE and ED service data (June-September 2014). The main outcome measure was the net cost and saving from ACE compared with usual care. It is based on the opportunity cost of implementing ACE and the opportunity savings of ED presentations avoided. Results: Our analysis estimated that 981 avoided ED presentations could be attributed to ACE annually. Compared with usual care, ACE saved an estimated A$921 214. Conclusions: The ACE service supported a reduction in avoidable ED presentations and ambulance transfers among RACF residents. It generated a cost saving to health service providers, allowing reallocation of healthcare resources. What is known about the topic?: Residents from RACFs are at risk of further deterioration when admitted to hospital, with high rates of delirium, falls, and medication errors. For this cohort, some conditions can be managed in the RACF without hospital transfer. By addressing avoidable presentations to EDs there is an opportunity to improve ED efficiency as well as providing care that is consistent with the resident's goals of care. RACFs generate some avoidable ED presentations for residents who may be more appropriately treated in situ. What does this paper add?: Telephone triaging with nursing support and training is a means by which ED presentations from RACFs can be reduced. One of the consequences of this intervention is 'cost avoided', largely through savings on ambulance costs. What are the implications for practitioners?: Unnecessary transfer from RACFs to ED can be avoided through a multicomponent program that includes telephone support with cost-saving implications for EDs and ambulance services.
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2019 |
Sutherland R, Brown A, Nathan N, Janssen L, Reynolds R, Walton A, et al., 'Protocol for an effectiveness- implementation hybrid trial to assess the effectiveness and cost-effectiveness of an m-health intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the 'SWAP IT' trial', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Nathan N, Wiggers J, Bauman AE, Rissel C, Searles A, Reeves P, et al., 'A cluster randomised controlled trial of an intervention to increase the implementation of school physical activity policies and guidelines: study protocol for the physically active children in education (PACE) study', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
McDonald VM, Fingleton J, Agusti A, Hiles SA, Clark VL, Holland AE, et al., 'Treatable traits: a new paradigm for 21st century management of chronic airway diseases: Treatable Traits Down Under International Workshop report.', The European respiratory journal, 53 (2019) [C1]
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Nova |
2019 |
Peel R, Hure A, Wiggers J, McEvoy M, Holliday E, Searles A, et al., 'Zinc in Preventing the Progression of pre-Diabetes (ZIPPeD Study) - study protocol for a randomised placebo-controlled trial in Australia', TRIALS, 20 (2019)
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2019 |
Guillaumier A, McCrabb S, Spratt NJ, Pollack M, Baker AL, Magin P, et al., 'An online intervention for improving stroke survivors' health-related quality of life: study protocol for a randomised controlled trial', TRIALS, 20 (2019)
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2019 |
English C, Patterson A, MacDonald-Wicks L, Attia J, Callister R, Hillier S, et al., 'ENAbLE: Secondary prevention of stroke. A physical activity and diet trial protocol', International Journal of Stroke, 14 12-12 (2019)
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2018 |
Major GAC, Ling R, Searles A, Niddrie F, Kelly A, Holliday E, et al., 'The Costs of Confronting Osteoporosis: Cost Study of an Australian Fracture Liaison Service', Journal of Bone and Mineral Research Plus, 3 56-63 (2018) [C1]
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Nova |
2018 |
Ramanathan S, Reeves P, Deeming S, Bernhardt J, Nilsson M, Cadilhac DA, et al., 'Implementing a protocol for a research impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery', HEALTH RESEARCH POLICY AND SYSTEMS, 16 (2018)
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2018 |
Deeming S, Reeves P, Ramanathan S, Attia J, Nilsson M, Searles A, 'Measuring research impact in medical research institutes: a qualitative study of the attitudes and opinions of Australian medical research institutes towards research impact assessment frameworks.', Health research policy and systems, 16 28 (2018) [C1]
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Nova |
2018 |
Ling R, Rush A, Carter C, Carpenter J, Watson PH, Byrne JA, Searles A, 'An Australian Biobank Certification Scheme: A Study of Economic Costs to Participating Biobanks', Biopreservation and Biobanking, 16 53-58 (2018) [C1]
Biobanks face increasing demands for research materials of consistent quality, which can be used in collaborative studies. Several countries and some international agencies have m... [more]
Biobanks face increasing demands for research materials of consistent quality, which can be used in collaborative studies. Several countries and some international agencies have made formal efforts to standardize biobank operations and outputs. These include the establishment of best practice guidelines for collection management, and certification programs. Such guidelines and programs increase biobanks' opportunities for participation in high impact research and funding. However, they also impose economic and time costs, which may burden biobanks. This study aimed to estimate the costs of gaining certification and maintaining certification (i.e., committing extra resources to continue standards) for three cancer biobanks participating in a biobank certification program in New South Wales, Australia. To gather cost data for a range of cancer biobanks, we recruited three with different full time equivalent (FTE) staff levels (1.0-3.0), recognizing FTE staff level as an indicator of resources and operating scale. In extended interviews with staff, we gathered biobanks' expected costs in obtaining and annually maintaining certification. The biobank with the highest staff level reported the lowest expected costs in gaining certification, due to the strong prealignment of its present operations with certification requirements. The other biobanks expected higher costs as their operations required greater adjustments. Overall, relative costs of gaining certification were between 2% and 6% of current total annual wage costs. To the authors' knowledge, this is the first such costing study of a biobank certification program. Supplementary Data include the interview schedule that other biobanks may use to estimate their own economic certification costs.
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2018 |
Rush A, Ling R, Carpenter JE, Carter C, Searles A, Byrne JA, 'Research governance review of a negligible-risk research project: Too much of a good thing?', Research Ethics, 14 1-12 (2018) [C1]
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Nova |
2018 |
Tzelepis F, Wiggers J, Paul CL, Byaruhanga J, Byrnes E, Bowman J, et al., 'A randomised trial of real-time video counselling for smoking cessation in regional and remote locations: study protocol', CONTEMPORARY CLINICAL TRIALS, 74 70-75 (2018)
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2018 |
Major GAC, Ling R, Searles A, Niddrie F, Kelly A, Holliday E, et al., 'The Costs of Confronting Osteoporosis: Cost Study of an Australian Fracture Liaison Service', Journal of Bone and Mineral Research Plus, (2018)
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2018 |
Sanson-Fisher RW, Noble NE, Searles AM, Deeming S, Smits RE, Oldmeadow CJ, Bryant J, 'A simple filter model to guide the allocation of healthcare resources for improving the treatment of depression among cancer patients', BMC CANCER, 18 (2018) [C1]
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Nova |
2018 |
Porsbjerg C, Sverrild A, Baines KJ, Searles A, Maltby S, Foster PS, et al., 'Advancing the management of obstructive airways diseases through translational research', CLINICAL AND EXPERIMENTAL ALLERGY, 48 493-501 (2018) [C1]
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Nova |
2018 |
Kingsland M, Doherty E, Anderson AE, Crooks K, Tully B, Tremain D, et al., 'A practice change intervention to improve antenatal care addressing alcohol consumption by women during pregnancy: research protocol for a randomised stepped-wedge cluster trial', IMPLEMENTATION SCIENCE, 13 (2018)
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Nova |
2018 |
Edmunds K, Ling R, Shakeshaft A, Doran C, Searles A, 'Systematic review of economic evaluations of interventions for high risk young people', BMC Health Services Research, 18 (2018) [C1]
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Nova |
2018 |
Lahiry S, Levi C, Kim J, Cadilhac DA, Searles A, 'Economic Evaluation of a Pre-Hospital Protocol for Patients with Suspected Acute Stroke.', Frontiers in Public Health, 6 1-9 (2018) [C1]
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Nova |
2017 |
Ramanathan S, Reeves P, Deeming S, Bailie RS, Bailie J, Bainbridge R, et al., 'Encouraging translation and assessing impact of the Centre for Research Excellence in Integrated Quality Improvement: rationale and protocol for a research impact assessment', BMJ OPEN, 7 (2017)
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2017 |
Kepreotes E, Whitehead B, Attia J, Oldmeadow C, Collison A, Searles A, et al., 'High-flow warm humidified oxygen versus standard low-flow nasal cannula oxygen for moderate bronchiolitis (HFWHO RCT): an open, phase 4, randomised controlled trial', The Lancet, 389 930-939 (2017) [C1]
Background Bronchiolitis is the most common lung infection in infants and treatment focuses on management of respiratory distress and hypoxia. High-flow warm humidified oxygen (HF... [more]
Background Bronchiolitis is the most common lung infection in infants and treatment focuses on management of respiratory distress and hypoxia. High-flow warm humidified oxygen (HFWHO) is increasingly used, but has not been rigorously studied in randomised trials. We aimed to examine whether HFWHO provided enhanced respiratory support, thereby shortening time to weaning off oxygen. Methods In this open, phase 4, randomised controlled trial, we recruited children aged less than 24 months with moderate bronchiolitis attending the emergency department of the John Hunter Hospital or the medical unit of the John Hunter Children's Hospital in New South Wales, Australia. Patients were randomly allocated (1:1) via opaque sealed envelopes to HFWHO (maximum flow of 1 L/kg per min to a limit of 20 L/min using 1:1 air¿oxygen ratio, resulting in a maximum FiO2 of 0·6) or standard therapy (cold wall oxygen 100% via infant nasal cannulae at low flow to a maximum of 2 L/min) using a block size of four and stratifying for gestational age at birth. The primary outcome was time from randomisation to last use of oxygen therapy. All randomised children were included in the primary and secondary safety analyses. This trial is registered with the Australian New Zealand Clinical Trials Registry, number ACTRN12612000685819. Findings From July 16, 2012, to May 1, 2015, we randomly assigned 202 children to either HFWHO (101 children) or standard therapy (101 children). Median time to weaning was 24 h (95% CI 18¿28) for standard therapy and 20 h (95% CI 17¿34) for HFWHO (hazard ratio [HR] for difference in survival distributions 0·9 [95% CI 0·7¿1·2]; log rank p=0·61). Fewer children experienced treatment failure on HFWHO (14 [14%]) compared with standard therapy (33 [33%]; p=0·0016); of these children, those on HFWHO were supported for longer than were those on standard therapy before treatment failure (HR 0·3; 95% CI 0·2¿0·6; p<0·0001). 20 (61%) of 33 children who experienced treatment failure on standard therapy were rescued with HFWHO. 12 (12%) of children on standard therapy required transfer to the intensive care unit compared with 14 (14%) of those on HFWHO (difference -1%; 95% CI -7 to 16; p=0·41). Four adverse events occurred (oxygen desaturation and condensation inhalation in the HFWHO group, and two incidences of oxygen tubing disconnection in the standard therapy group); none resulted in withdrawal from the trial. No oxygen-related serious adverse events occurred. Secondary effectiveness outcomes are reported in the Results section. Interpretation HFWHO did not significantly reduce time on oxygen compared with standard therapy, suggesting that early use of HFWHO does not modify the underlying disease process in moderately severe bronchiolitis. HFWHO might have a role as a rescue therapy to reduce the proportion of children requiring high-cost intensive care. Funding Hunter Children's Research Foundation, John Hunter Hospital Charitable Trust, and the University of Newcastle Priority Research Centre GrowUpWell.
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Nova |
2017 |
Yoong SL, Grady A, Wiggers J, Flood V, Rissel C, Finch M, et al., 'A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol', BMJ OPEN, 7 (2017)
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Nova |
2017 |
Reeves P, Deeming S, Ramanathan S, Wiggers J, Wolfenden L, Searles A, 'Measurement of the translation and impact from a childhood obesity trial programme: rationale and protocol for a research impact assessment', HEALTH RESEARCH POLICY AND SYSTEMS, 15 (2017)
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2017 |
Kinchin I, Doran CM, McCalman J, Jacups S, Tsey K, Lines K, et al., 'Delivering an empowerment intervention to a remote Indigenous child safety workforce: Its economic cost from an agency perspective', Evaluation and Program Planning, 64 85-89 (2017) [C1]
Background The Family Wellbeing (FWB) program applies culturally appropriate community led empowerment training to enhance the personal development of Aboriginal and Torres Strait... [more]
Background The Family Wellbeing (FWB) program applies culturally appropriate community led empowerment training to enhance the personal development of Aboriginal and Torres Strait Islander people in life skills. This study sought to estimate the economic cost required to deliver the FWB program to a child safety workforce in remote Australian communities. Method This study was designed as a retrospective cost description taken from the perspective of a non-government child safety agency. The target population were child protection residential care workers aged 24 or older, who worked in safe houses in five remote Indigenous communities and a regional office during the study year (2013). Resource utilization included direct costs (personnel and administrative) and indirect or opportunity costs of participants, regarded as absence from work. Results The total cost of delivering the FWB program for 66 participants was $182,588 ($2766 per participant), with 45% ($82,995) of costs classified as indirect (i.e., opportunity cost of participants time). Training cost could be further mitigated (~30%) if offered on-site, in the community. The costs for offering the FWB program to a remotely located workforce were high, but not substantial when compared to the recruitment cost required to substitute a worker in remote settings. Conclusion An investment of $2766 per participant created an opportunity to improve social and emotional wellbeing of remotely located workforce. This cost study provided policy relevant information by identifying the resources required to transfer the FWB program to other remote locations. It also can be used to support future comparative cost and outcome analyses and add to the evidence base around the cost-effectiveness of empowerment programs.
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Nova |
2017 |
Parker V, Giles M, Graham L, Suthers B, Watts W, O'Brien AP, Searles A, 'Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study', BMC Health Services Research, 17 1-9 (2017)
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2017 |
Deeming S, Searles A, Reeves P, Nilsson M, 'Measuring research impact in Australia's medical research institutes: a scoping literature review of the objectives for and an assessment of the capabilities of research impact assessment frameworks', HEALTH RESEARCH POLICY AND SYSTEMS, 15 (2017) [C1]
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Nova |
2016 |
Bryant J, Sanson-Fisher R, Fradgley E, Hobden B, Zucca A, Henskens F, et al., 'A consumer register: an acceptable and cost-effective alternative for accessing patient populations', BMC Medical Research Methodology, 16 1-10 (2016) [C1]
Background: Population-based registries are increasingly used to recruit patient samples for research, however, they have several limitations including low consent and participati... [more]
Background: Population-based registries are increasingly used to recruit patient samples for research, however, they have several limitations including low consent and participation rates, and potential selection bias. To improve access to samples for research, the utility of a new model of recruitment termed the 'Consumer Register', that allows for direct patient recruitment from hospitals, was examined. This paper reports: (i) consent rates onto the register; (ii) preferred methods and frequency of contact; and (iii) the feasibility of establishing the register, including: (a) cost per person recruited to the register; (b) the differential cost and consent rates of volunteer versus paid data collectors; and (c) participant completion rates. Methods: A cross-sectional survey was conducted in five outpatient clinics in Australia. Patients were approached by volunteers or paid data collectors and asked to complete a touch-screen electronic survey. Consenting individuals were asked to indicate their willingness and preferences for enrolment onto a research register. Descriptive statistics were used to examine patient preferences and linear regression used to model the success of volunteer versus paid data collectors. The opportunity and financial costs of establishing the register were calculated. Results: A total of 1947 patients (80.6 %) consented to complete the survey, of which, 1486 (76.3 %) completed the questionnaire. Of the completers, the majority (69.4 %, or 1032 participants) were willing to be listed on the register and preferred to be contacted by email (50.3 %). Almost 39 % of completers were willing to be contacted three or more times in a 12 month period. The annual opportunity cost of resources consumed by the register was valued at $37,187, giving an opportunity cost per person recruited to the register of $36. After amortising fixed costs, the annual financial outlay was $23,004 or $22 per person recruited to the register. Use of volunteer data collectors contributed to an annual saving of $14,183, however paid data collectors achieved significantly higher consent rates. Successful enrolment onto the register was completed for 42 % of the sample. Conclusions: A Consumer Register is a promising and feasible alternative to population-based registries, with the majority of participants willing to be contacted multiple times via low-resource methods such as email. There is an effectiveness/cost trade off in the use of paid versus volunteer data collectors.
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Nova |
2016 |
Stewart Williams J, Ling R, Searles AM, Doran CM, Byles J, 'Identification of higher hospital costs and more frequent admissions among mid-aged Australian women who self-report diabetes mellitus', Maturitas, 90 58-63 (2016) [C1]
Objective To ascertain whether the hospital costs for mid-aged Australian women who self-reported diabetes mellitus (DM) and who had one or more hospital admission during an eight... [more]
Objective To ascertain whether the hospital costs for mid-aged Australian women who self-reported diabetes mellitus (DM) and who had one or more hospital admission during an eight and a half year period were higher than the hospital costs for other similarly aged non-DM women. Methods The sample comprised 2,392 mid-aged women, resident in New South Wales (NSW) Australia and participating in the Australian Longitudinal Study on Women's Health (ALSWH), who had any NSW hospital admissions during the eight and a half year period 1 July 2000 to 31 December 2008. Analyses were conducted on linked data from ALSWH surveys and the NSW Admitted Patient Data Collection (APDC). Hospital costs were compared for the DM and non-DM cohorts of women. A generalized linear model measured the association between hospital costs and self-reported DM. Results Eight and a half year hospital costs were 41% higher for women who self-reported DM in the ALSWH surveys (p < 0.0001). On average, women who self-reported DM had significantly (p < 0.0001) more hospital admissions (5.3) than women with no reported DM (3.4). The average hospital stay per admission was not significantly different between the two groups of women. Conclusions Self-reported DM status in mid-aged Australian women is a predictor of higher hospital costs. This simple measure can be a useful indicator for public policy makers planning early-stage interventions that target people in the population at risk of DM.
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Nova |
2016 |
Murphy VE, Jensen ME, Mattes J, Hensley MJ, Giles WB, Peek MJ, et al., 'The Breathing for Life Trial: a randomised controlled trial of fractional exhaled nitric oxide (FENO)-based management of asthma during pregnancy and its impact on perinatal outcomes and infant and childhood respiratory health', BMC PREGNANCY AND CHILDBIRTH, 16 (2016)
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Nova |
2016 |
Doran CM, Ling R, Searles A, Hill P, 'Does evidence influence policy? Resource allocation and the Indigenous Burden of Disease study', Australian Health Review, 40 705-715 (2016) [C1]
Objective The Indigenous Burden of Disease (IBoD) report is the most comprehensive assessment of Indigenous disease burden in Australia. The aim of the present study was to invest... [more]
Objective The Indigenous Burden of Disease (IBoD) report is the most comprehensive assessment of Indigenous disease burden in Australia. The aim of the present study was to investigate the potential effect of the IBoD report on Australian Indigenous health policy, service expenditure and research funding. Findings have significance for understanding factors that may influence Indigenous health policy. Methods The potential effect of the IBoD report was considered by: (1) conducting a text search of pertinent documents published by the federal government, Council of Australian Governments and the National Health and Medical Research Council of Australia (NHMRC) and observing the quantity and quality of references to IBoD; (2) examining data on government Indigenous healthcare expenditure for trends consistent with the findings and policy implications of the IBoD report; and (3) examining NHMRC Indigenous grant allocation trends consistent with the findings and policy implications of the IBoD report. Results Of 110 government and NHMRC documents found, IBoD was cited in 27. Immediately after publication of the IBoD report, federal and state governments increased Indigenous health spending (relative to non-Indigenous), notably for community health and public health at the state level. Expenditure on Indigenous hospital separations for chronic diseases also increased. These changes are broadly consistent with the findings of the IBoD report on the significance of chronic disease and the need to address certain risk factors. However, there is no evidence that such changes had a causal connection with the IBoD study. After publication of the IBoD report, changes in NHMRC Indigenous research funding showed little consistency with the findings of the IBoD report. Conclusions The present study found only indirect and inconsistent correlational evidence of the potential influence of the IBoD report on Indigenous health expenditure and research funding. Further assessment of the potential influence of the IBoD report on Indigenous health policy will require more targeted research, including interviews with key informants involved in developing health policy. What is known about the topic? There are currently no publications that consider the potential effed of the IBoD study on Indigenous health expenditure and research funding. What does this paper add? This paper offers the first consideration of the potential effect of the IBoD report. It contains analyses of data from readily available sources, examining national expenditures on Indigenous health and NHMRC Indigenous research, before and after the publication of the IBoD report. What are the implications for practitioners? The paper is relevant to analysts interested in drivers of Indigenous health policy. Although it finds correlations between the release of the IBoD report and some subsequent health spending decisions, other factors should be investigated to better understand the complexity of processes that drive government efforts to improve Indigenous health.
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Nova |
2016 |
Searles A, Doran C, Attia J, Knight D, Wiggers J, Deeming S, et al., 'An approach to measuring and encouraging research translation and research impact', HEALTH RESEARCH POLICY AND SYSTEMS, 14 (2016) [C1]
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Nova |
2016 |
Paul CL, Boyes A, Searles A, Carey M, Turon H, 'The impact of loss of income and medicine costs on the financial burden for cancer patients in Australia', Journal of Community and Supportive Oncology, 14 307-313 (2016) [C1]
Background The cost of medicines may prove prohibitive for some cancer patients, potentially reducing the ability of a health system to fully deliver best practice care. Objective... [more]
Background The cost of medicines may prove prohibitive for some cancer patients, potentially reducing the ability of a health system to fully deliver best practice care. Objective To identify nonuse or nonpurchase of cancer-related medicines due to cost, and to describe the perceived financial burden of such medicines and associated patient characteristics. Methods A cross-sectional pen- And-paper questionnaire was completed by oncology outpatients at 2 hospitals in Australia; 1 in regional New South Wales and 1 in metropolitan Victoria. Results Almost 1 in 10 study participants had used over- The-counter medicines rather than prescribed medicines for cancer and obtained some but not all of the medicines prescribed in relation to their cancer. 63% of the sample reported some level of financial burden associated with obtaining these medicines, with 34% reporting a moderate or heavy financial burden. 11.8% reported using alternatives to prescribed medicines. People reporting reduced income after being diagnosed with cancer had almost 4 times the odds (OR, 3.73; 95% CI, 1.1-12.1) of reporting a heavy or extreme financial burden associated with prescribed medicines for cancer. Limitations Study response rate, narrow survey population, self-reported survey used. Conclusion This study identifies that a number of cancer patients, especially those with a reduced income after their diagnosis, experience financial burden associated with the purchase of medicines and that some go as far as to not use or to not purchase medicines. It seems likely that limiting the cost of medicines for cancer may improve patient ability to fully participate in the intended treatment. Funding Cancer Council NSW, National Health and Medical Research Council, and Hunter Medical Research Institute, Australia.
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Nova |
2016 |
Edmunds K, Searles A, Neville J, Ling R, McCalman J, Mein J, 'Apunipima baby basket program: a retrospective cost study', BMC Pregnancy and Childbirth, 16 (2016) [C1]
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Nova |
2016 |
Doran CM, Ling R, Byrnes J, Crane M, Shakeshaft AP, Searles A, Perez D, 'Benefit Cost Analysis of Three Skin Cancer Public Education Mass-Media Campaigns Implemented in New South Wales, Australia', PLOS ONE, 11 (2016) [C1]
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Nova |
2016 |
Bonevski B, Guillaumier A, Shakeshaft A, Farrell M, Tzelepis F, Walsberger S, et al., 'An organisational change intervention for increasing the delivery of smoking cessation support in addiction treatment centres: study protocol for a randomized controlled trial', TRIALS, 17 (2016)
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Nova |
2016 |
Ling R, Kelly B, Considine R, Tynan R, Searles A, Doran CM, 'The economic impact of psychological distress in the Australian coal mining industry', Journal of Occupational and Environmental Medicine, 58 e171-e176 (2016) [C1]
Objective: The aim of this study was to estimate the economic impact of psychological distress among employees of the Australian Coal Mining Industry. Methods: Sample data were ga... [more]
Objective: The aim of this study was to estimate the economic impact of psychological distress among employees of the Australian Coal Mining Industry. Methods: Sample data were gathered from 1456 coal mining staff across eight sites in two Australian states. Two measures were taken of work time lost over four weeks due to psychological distress: (1) full-day absences; (2) presenteeism. Lost work time was valued using hourly wages. Sample data was modeled to estimate annual monetary losses for the Australian Coal Mining Industry. Results: For the sample, estimated annual value of time lost due to psychological distress was $4.9 million ($AUS2015) ($0.61 million per mine), and for the Australian Coal Mining Industry, $153.8 million ($AUS2015). Conclusion: Psychological distress is a significant cost for the Australian Coal Mining Industry. Relevant intervention programs are potentially cost-effective.
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Nova |
2015 |
McCalman J, Searles A, Bainbridge R, Ham R, Mein J, Neville J, et al., 'Empowering families by engaging and relating Murri way: A grounded theory study of the implementation of the Cape York Baby Basket program', BMC Pregnancy and Childbirth, 15 (2015) [C1]
Background: Evaluating program outcomes without considering how the program was implemented can cause misunderstandings and inefficiencies when initiating program improvements. In... [more]
Background: Evaluating program outcomes without considering how the program was implemented can cause misunderstandings and inefficiencies when initiating program improvements. In conjunction with a program evaluation, reported elsewhere, this paper theorises the process of implementing an Indigenous Australian maternal and child health program. The Baby Basket program was developed in 2009 for the remote Cape York region and aimed to improve the attendance and engagement of Indigenous women at antenatal and postnatal clinics through providing three baskets of maternal and baby goods and associated health education. Methods: Constructivist grounded theory methods were used to generate and analyse data from qualitative interviews and focus groups with Indigenous women who received the baskets, their extended family members, and healthcare workers who delivered them. Data was coded in NVivo with concepts iteratively compared until higher order constructs and their relationships could be modelled to explain the common purpose for participants, the process involved in achieving that purpose, key strategies, conditions and outcomes. Theoretical terms are italicised. Results: Program implementation entailed empowering families through a process of engaging and relating Murri (Queensland Indigenous) way. Key influencing conditions of the social environment were the remoteness of communities, keeping up with demand, families' knowledge, skills and roles and organisational service approaches and capacities. Engaging and relating Murri way occurred through four strategies: connecting through practical support, creating a culturally safe practice, becoming informed and informing others, and linking at the clinic. These strategies resulted in women and families taking responsibility for health through making healthy choices, becoming empowered health consumers and advocating for community changes. Conclusions: The theoretical model was applied to improve and revise Baby Basket program implementation, including increased recognition of the importance of empowering families by extending the home visiting approach up to the child's third birthday. Engaging and relating Murri way was strengthened by formal recognition and training of Indigenous health workers as program leaders. This theoretical model of program implementation was therefore useful for guiding program improvements, and could be applicable to other Indigenous maternal and child health programs.
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Nova |
2015 |
Doran CM, Ling R, Byrnes J, Crane M, Searles A, Perez D, Shakeshaft A, 'Estimating the economic costs of skin cancer in New South Wales, Australia', BMC Public Health, 15 1-10 (2015) [C1]
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Nova |
2015 |
Tzelepis F, Paul CL, Wiggers J, Kypri K, Bonevski B, McElduff P, et al., 'Targeting multiple health risk behaviours among vocational education students using electronic feedback and online and telephone support: Protocol for a cluster randomised trial Health behavior, health promotion and society', BMC Public Health, 15 (2015) [C3]
Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when healt... [more]
Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when health risk behaviours become established. Furthermore, high rates of smoking, risky alcohol consumption, inadequate fruit and vegetable intake and insufficient physical activity have been reported in TAFE students. There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population. The proposed trial will examine the effectiveness of providing TAFE students with electronic feedback regarding health risk behaviours and referral to a suite of existing online and telephone services addressing smoking, risky alcohol consumption, fruit and vegetable intake, and physical activity levels. Methods/Design: A two arm, parallel, cluster randomised trial will be conducted within TAFE campuses in New South Wales (NSW), Australia. TAFE classes will be randomly allocated to an intervention or control condition (50 classes per condition). To be eligible, students must be: enrolled in a course that runs for more than 6 months; aged 16 years or older; and not meet Australian health guideline recommendations for at least one of the following: smoking, alcohol consumption, fruit and/or vegetable intake, or physical activity. Students attending intervention classes, will undertake via a computer tablet a risk assessment for health risk behaviours, and for behaviours not meeting Australian guidelines be provided with electronic feedback about these behaviours and referral to evidence-based online programs and telephone services. Students in control classes will not receive any intervention. Primary outcome measures that will be assessed via online surveys at baseline and 6 months post-recruitment are: 1) daily tobacco smoking; 2) standard drinks of alcohol consumed per week; 3) serves of fruit consumed daily; 4) serves of vegetables consumed daily; and 5) metabolic equivalent minutes of physical activity per week. Discussion: Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease. This trial will be the first to examine a potentially scalable intervention targeting multiple health risk behaviours among students in the vocational training setting.
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Nova |
2014 |
Paul CL, Levi CR, D'Este CA, Parsons MW, Bladin CF, Lindley RI, et al., 'Thrombolysis ImPlementation in Stroke (TIPS): Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care', Implementation Science, 9 (2014) [C3]
Background: Stroke is a leading cause of death and disability internationally. One of the three effective interventions in the acute phase of stroke care is thrombolytic therapy w... [more]
Background: Stroke is a leading cause of death and disability internationally. One of the three effective interventions in the acute phase of stroke care is thrombolytic therapy with tissue plasminogen activator (tPA), if given within 4.5 hours of onset to appropriate cases of ischaemic stroke.Objectives: To test the effectiveness of a multi-component multidisciplinary collaborative approach compared to usual care as a strategy for increasing thrombolysis rates for all stroke patients at intervention hospitals, while maintaining accepted benchmarks for low rates of intracranial haemorrhage and high rates of functional outcomes for both groups at three months.Methods and design: A cluster randomised controlled trial of 20 hospitals across 3 Australian states with 2 groups: multi- component multidisciplinary collaborative intervention as the experimental group and usual care as the control group. The intervention is based on behavioural theory and analysis of the steps, roles and barriers relating to rapid assessment for thrombolysis eligibility; it involves a comprehensive range of strategies addressing individual-level and system-level change at each site. The primary outcome is the difference in tPA rates between the two groups post-intervention. The secondary outcome is the proportion of tPA treated patients in both groups with good functional outcomes (modified Rankin Score (mRS <2) and the proportion with intracranial haemorrhage (mRS =2), compared to international benchmarks.Discussion: TIPS will trial a comprehensive, multi-component and multidisciplinary collaborative approach to improving thrombolysis rates at multiple sites. The trial has the potential to identify methods for optimal care which can be implemented for stroke patients during the acute phase. Study findings will include barriers and solutions to effective thrombolysis implementation and trial outcomes will be published whether significant or not.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12613000939796. © 2014 Paul et al.; licensee BioMed Central Ltd.
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Nova |
2014 |
Nair BKR, Searles AM, Ling RI, Wein J, Ingham K, 'Workplace-based assessment for international medical graduates: At what cost?', Medical Journal of Australia, 200 41-44 (2014) [C1]
Objective: To estimate the cost of resources required to deliver a program to assess international medical graduates (IMGs) in Newcastle, Australia, known as the Workplace Based A... [more]
Objective: To estimate the cost of resources required to deliver a program to assess international medical graduates (IMGs) in Newcastle, Australia, known as the Workplace Based Assessment (WBA) Program. Design and setting: A costing study to identify and evaluate the resources required and the overheads of delivering the program for a cohort of 15 IMGs, based on costs in 2012. Main outcome measures: Labour-related costs. Results: The total cost in 2012 for delivering the program to a typical cohort of 15 candidates was $243 384. This equated to an average of $16226 per IMG. After allowing for the fees paid by IMGs, the WBA Program had a deficit of $153384, or $10226 per candidate, which represents the contribution made by the health system. Conclusion: The cost per candidate to the health system of this intensive WBA program for IMGs is small.
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Nova |
2013 |
Searles A, Doran E, Faunce TA, Henry D, 'The affordability of prescription medicines in Australia: are copayments and safety net thresholds too high?', AUSTRALIAN HEALTH REVIEW, 37 32-40 (2013) [C1]
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Nova |
2011 |
Ramanathan SA, Baratiny G, Stocks NP, Searles AM, Redford RJ, 'General practitioner referral patterns for women with gynaecological symptoms: a randomised incomplete block study design', MEDICAL JOURNAL OF AUSTRALIA, 195 602-606 (2011) [C1]
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2009 |
Searles AM, 'The PBS in a globalised world: Free trade and reference pricing', Australian Health Review, 33 186-191 (2009) [C1]
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Nova |
2008 |
Doran E, Henry DA, Faunce TA, Searles AM, 'Australian pharmaceutical policy and the idea of innovation', Journal of Australian Political Economy, 62 39-61 (2008) [C1]
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Nova |
2007 |
Searles AM, Jefferys S, Doran E, Henry DA, 'Reference pricing, generic drugs and proposed changes to the Pharmaceutical Benefits Scheme', Medical Journal of Australia, 187 236-239 (2007) [C1]
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Nova |
2006 |
Muscatello DJ, Searles A, Macdonald R, Jorm L, 'Communicating population health statistics through graphs: a randomised controlled trial of graph design interventions', BMC MEDICINE, 4 (2006)
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2005 |
Faunce T, Doran E, Henry DA, Drahos P, Searles A, Pekarsky B, Neville W, 'Assessing the impact of the Australian-United States free trade agreement on Australian and global medicines policy', Globalization and Health, 1 (2005) [C1]
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1998 |
Streever WJ, Callaghan-Perry M, Searles A, Stevens T, Svoboda P, 'Public attitudes and values for wetland conservation in New South Wales, Australia', JOURNAL OF ENVIRONMENTAL MANAGEMENT, 54 1-14 (1998)
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