Ms Bree Hobden

Research Associate

School of Medicine and Public Health (Health Behaviour Sciences)

Career Summary

Biography

Ms Breanne Hobden completed her Bachelor of Psychology with Honours (Class 1) from the University of Newcastle in 2012. Breanne began working as a full-time research assistant with the Priority Research Centre for Health Behaviour at the University of Newcastle in 2013. During this time she worked on an array of projects examining health outcomes for people with chronic diseases. In 2015 Breanne began her PhD in mental health. Her thesis focused (submitted April 2018) on understanding and improving health care services for those with comorbid alcohol misuse and depression. Funded by an Ian Scott Mental Health Scholarship from Australian Rotary Health, Breanne accomplished much throughout her candidature. These achievements include presenting her research at the Society for Mental Health Research Conference; competing as a finalist in the University of Newcastle’s Three Minute Thesis competition; publishing 5 peer-reviewed publications for her thesis; and being awarded the Adam J Berry Junior Scientist award from the Australian Academy of Science to study at the National Institute Alcohol Abuse and Addiction in the US during 2016. 

Breanne now works as a full time Research Associate with the Health Behaviour Research Collaborative. Her current role has enabled her to take responsibility for managing a large multi-site cancer trial. The trial will establish, and then attempt to reduce, the evidence practice gap in relation to psychosocial cancer care using a step wedge design across six treatment centres in NSW. This trial has required her to form positive working collaborations with medical and radiation treatment units. Breanne was also involved in the development and testing of a new measure designed to assess patients’ experiences of care across their cancer pathway. This involved overseeing recruitment and data collection across four treatment centres, as well as the hiring, training and supervision of multiple research staff to establishing the characteristics, acceptability and feasibility of this measure. In addition, Breanne has been involved in projects examining the health and well-being of elderly people receiving aged care services; perceptions of advanced care planning among oncology nurses; and the well-being of social housing tenants. 


Qualifications

  • Bachelor of Psychology (Honours), University of Newcastle

Keywords

  • Alcohol misuse
  • Cancer care
  • Depression
  • Mental health

Fields of Research

Code Description Percentage
111799 Public Health and Health Services not elsewhere classified 100

Professional Experience

UON Appointment

Title Organisation / Department
Research Associate University of Newcastle
School of Medicine and Public Health
Australia
Research Associate Priority Research Centre (PRC) for Healthy Lungs | The University of Newcastle
School of Medicine and Public Health
Australia
Research Associate University of Newcastle
School of Medicine and Public Health
Australia

Awards

Award

Year Award
2016 Adam J Berry Memorial Fund
Australian Academy of Science
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Publications

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


Journal article (15 outputs)

Year Citation Altmetrics Link
2018 Freund M, Hobden B, Deeming S, Noble N, Bryant J, Sanson-Fisher RW, 'Reducing alcohol-related harm in Australia: a simple data-based tool to assist prioritization of research and health care delivery in primary care.', Fam Pract, (2018)
DOI 10.1093/fampra/cmy103
Co-authors Rob Sanson-Fisher, Natasha Noble, Megan Freund
2018 Bryant J, Hobden B, Forshaw K, Oldmeadow C, Walsh J, Sanson-Fisher R, 'How accurately do general practitioners detect concurrent tobacco use and risky alcohol consumption? A cross-sectional study in Australian general practice.', Aust J Prim Health, (2018)
DOI 10.1071/PY17122
Co-authors Rob Sanson-Fisher, Jamie Bryant, Kristy Fakes, Christopher Oldmeadow
2018 Sanson-Fisher R, Hobden B, Waller A, Dodd N, Boyd L, 'Methodological quality of teaching communication skills to undergraduate medical students: a mapping review', BMC MEDICAL EDUCATION, 18 (2018) [C1]
DOI 10.1186/s12909-018-1265-4
Co-authors Rob Sanson-Fisher, Natalie Dodd, Amy Waller
2018 Hobden B, Bryant J, Carey M, Baker AL, Farrell M, Oldmeadow C, et al., 'Finding the optimal treatment model: A systematic review of treatment for co-occurring alcohol misuse and depression', Australian and New Zealand Journal of Psychiatry, 52 737-750 (2018) [C1]

© The Royal Australian and New Zealand College of Psychiatrists 2018. Objectives: Alcohol misuse and depression are commonly co-occurring conditions. To date, no review has examin... [more]

© The Royal Australian and New Zealand College of Psychiatrists 2018. Objectives: Alcohol misuse and depression are commonly co-occurring conditions. To date, no review has examined the most efficacious treatment model for psychosocial treatment of co-occurring alcohol misuse and depression. This systematic review determined the: (i) methodological quality of publications examining psychosocial treatment of co-occurring alcohol misuse and depression using a sequential, parallel or integrated treatment model; and (ii) effectiveness of each dual treatment model compared to single treatment for those with co-occurring alcohol misuse and depression. Methods: PubMed, Medline and PsycInfo databases were searched for studies which were included if they involved treatment for alcohol misuse and depression and could be classified into one of the three treatment models. Included studies were assessed using the Cochrane¿s Effective Practice and Organisation of Care risk of bias criteria. Relevant study characteristics and outcomes were extracted and are presented in a narrative review format. Results: Seven studies met inclusion criteria. None were categorised as low risk on the risk of bias criteria. No studies examined a sequential model of treatment, three examined a parallel model and four examined an integrated model of dual-focussed treatment. The studies examining the parallel model and two out of four studies examining the effectiveness of an integrated model demonstrated greater improvement for alcohol or depression outcomes compared to control conditions. Conclusion: Evidence for the psychosocial treatment of co-occurring alcohol misuse and depression is limited to a handful of studies. The evidence has several methodological limitations, which impact the interpretation of the findings. Therefore, while international guidelines recommend integrated dual-focussed treatment for co-occurring conditions, there is little evidence supporting the superiority of this treatment format for co-occurring alcohol misuse and depression. High-quality research demonstrating improvements in patient outcomes is required to ensure recommendations for clinical practice are based on strong empirical evidence.

DOI 10.1177/0004867418758922
Co-authors Jamie Bryant, Rob Sanson-Fisher, Christopher Oldmeadow, Mariko Carey, Amanda Baker
2018 Hobden B, Bryant J, Sanson-Fisher R, Oldmeadow C, Carey M, 'Co-occurring depression and alcohol misuse is under-identified in general practice: A cross-sectional study', Journal of Health Psychology, 23 1085-1095 (2018) [C1]

© 2016, The Author(s). Depression and alcohol misuse are common co-occurring conditions. This study aimed to determine the accuracy of general practitioner identification of depre... [more]

© 2016, The Author(s). Depression and alcohol misuse are common co-occurring conditions. This study aimed to determine the accuracy of general practitioner identification of depression and alcohol misuse. Participants from 12 Australian general practices reported demographic and health risk behaviour data. General practitioners were asked to indicate the presence or absence of six health risk factors for individual patients. Accuracy of general practitioner identification was low at 21 per cent. Those with severe alcohol misuse, no chronic diseases and lower education levels were more likely to be identified. Routine screening prior to patient appointments may be a simple and efficient way to increase identification rates.

DOI 10.1177/1359105316643855
Citations Scopus - 2Web of Science - 1
Co-authors Jamie Bryant, Rob Sanson-Fisher, Christopher Oldmeadow, Mariko Carey
2017 Hobden B, Schwandt ML, Carey M, Lee MR, Farokhnia M, Bouhlal S, et al., 'The Validity of the Montgomery¿Asberg Depression Rating Scale in an Inpatient Sample with Alcohol Dependence', Alcoholism: Clinical and Experimental Research, 41 1220-1227 (2017) [C1]
DOI 10.1111/acer.13400
Citations Scopus - 1Web of Science - 1
Co-authors Christopher Oldmeadow, Mariko Carey
2017 Hobden B, Bryant J, Carey M, Sanson-Fisher R, Oldmeadow C, 'Computer tablet or telephone? A randomised controlled trial exploring two methods of collecting data from drug and alcohol outpatients', Addictive Behaviors, 71 111-117 (2017) [C1]

© 2017 Objective Both computerised and telephone surveys have potential advantages for research data collection. The current study aimed to determine the: (i) feasibility, (ii) ac... [more]

© 2017 Objective Both computerised and telephone surveys have potential advantages for research data collection. The current study aimed to determine the: (i) feasibility, (ii) acceptability, and (iii) cost per completed survey of computer tablet versus telephone data collection for clients attending an outpatient drug and alcohol treatment clinic. Design Two-arm randomised controlled trial. Method Clients attending a drug and alcohol outpatient clinic in New South Wales, Australia, were randomised to complete a baseline survey via computer tablet in the clinic or via telephone interview within two weeks of their appointment. All participants completed a three-month follow-up survey via telephone. Results Consent and completion rates for the baseline survey were significantly higher in the computer tablet condition. The time taken to complete the computer tablet survey was lower (11¿min) than the telephone condition (17¿min). There were no differences in the proportion of consenters or completed follow-up surveys between the two conditions at the 3-month follow-up. Acceptability was high across both modes of data collection. The cost of the computer tablet condition was $67.52 greater per completed survey than the telephone condition. Conclusion There is a trade-off between computer tablet and telephone data collection. While both data collection methods were acceptable to participants, the computer tablet condition resulted in higher consent and completion rates at baseline, therefore yielding greater external validity, and was quicker for participants to complete. Telephone data collection was however, more cost-effective. Researchers should carefully consider the mode of data collection that suits individual study needs.

DOI 10.1016/j.addbeh.2017.03.009
Co-authors Rob Sanson-Fisher, Christopher Oldmeadow, Mariko Carey, Jamie Bryant
2017 Grady A, Carey M, Bryant J, Sanson-Fisher R, Hobden B, 'A systematic review of patient-practitioner communication interventions involving treatment decisions', Patient Education and Counseling, 100 199-211 (2017) [C1]

© 2016 Elsevier Ireland Ltd Objectives To examine the: 1) methodological quality of interventions examining strategies to improve patient-practitioner communication involving trea... [more]

© 2016 Elsevier Ireland Ltd Objectives To examine the: 1) methodological quality of interventions examining strategies to improve patient-practitioner communication involving treatment decisions; 2) effectiveness of strategies to improve patient-practitioner communication involving treatment decisions; and 3) types of treatment decisions (emergency/non-emergency) in the included studies. Methods Medline, PsychINFO, CINAHL, and Embase were searched to identify intervention studies. To be included, studies were required to examine patient-practitioner communication related to decision making about treatment. Study methodological quality was assessed using Cochrane's Effective Practice and Organisation of Care risk of bias criteria. Study design, sample characteristics, intervention details, and outcomes were extracted. Results Eleven studies met the inclusion criteria. No studies were rated low risk on all nine risk of bias criteria. Two of the three interventions aimed at changing patient behaviour, two of the five practitioner directed, and one of the three patient-practitioner directed interventions demonstrated an effect on decision-making outcomes. No studies examined emergency treatment decisions. Conclusions Existing studies have a high risk of bias and are poorly reported. There is some evidence to suggest patient-directed interventions may be effective in improving decision-making outcomes. Practice implications It is imperative that an evidence-base is developed to inform clinical practice.

DOI 10.1016/j.pec.2016.09.010
Citations Scopus - 2Web of Science - 2
Co-authors Mariko Carey, Rob Sanson-Fisher, Jamie Bryant
2017 Hobden B, Bryant J, Sanson-Fisher R, Oldmeadow C, Carey M, 'Do rates of depression vary by level of alcohol misuse in Australian general practice?', Australian Journal of Primary Health, 23 263-267 (2017) [C1]

© 2017 La Trobe University. Limited data exist regarding co-occurring alcohol misuse and depression among general practice patients. This study examined the prevalence of depressi... [more]

© 2017 La Trobe University. Limited data exist regarding co-occurring alcohol misuse and depression among general practice patients. This study examined the prevalence of depression by level of alcohol misuse, and the sociodemographic factors associated with depression and increased alcohol misuse severity. A cross-sectional survey was administered to 3559 Australian general practice patients. Patients completed their demographic details, the Patient Health Questionnaire (9-item) and the Alcohol Use Disorder Identification Test (Consumption items). The prevalence of alcohol misuse and depression was 6.7%, and depression prevalence varied significantly according to level of alcohol misuse (P<0.001). Age, gender, Aboriginality and number of chronic diseases were associated with depression and higher levels of alcohol misuse. These findings may assist General Practitioners in identifying those at risk of experiencing co-morbid depression and alcohol use, and aid in effective treatment and referral.

DOI 10.1071/PY16076
Citations Scopus - 1Web of Science - 1
Co-authors Mariko Carey, Christopher Oldmeadow, Rob Sanson-Fisher, Jamie Bryant
2017 Hobden B, Carey M, Bryant J, Sanson-Fisher R, Oldmeadow C, 'Clinician identification of elevated symptoms of depression among individuals seeking treatment for substance misuse.', Drug and alcohol dependence, 181 71-76 (2017) [C1]
DOI 10.1016/j.drugalcdep.2017.09.013
Co-authors Rob Sanson-Fisher, Christopher Oldmeadow, Jamie Bryant, Mariko Carey
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]

© 2016 The Author(s). Background: Population-based registries are increasingly used to recruit patient samples for research, however, they have several limitations including low c... [more]

© 2016 The Author(s). 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.

DOI 10.1186/s12874-016-0238-8
Citations Scopus - 1Web of Science - 1
Co-authors Frans Henskens, Andrew Searles, Alison Zucca, Elizabeth Fradgley, Christopher Oldmeadow, Jamie Bryant, Rob Sanson-Fisher
2016 Waller A, Turon H, Mansfield E, Clark K, Hobden B, Sanson-Fisher R, 'Assisting the bereaved: A systematic review of the evidence for grief counselling', Palliative Medicine, 30 132-148 (2016) [C1]

© The Author(s) 2015. Background: Supporting people after bereavement is a priority area for many health services. Investment in bereavement care must be supported by a rigorous e... [more]

© The Author(s) 2015. Background: Supporting people after bereavement is a priority area for many health services. Investment in bereavement care must be supported by a rigorous evidence-base. Aim: To examine the (1) relative proportion of descriptive, measurement and intervention research in grief counselling and (2) quality and effectiveness of intervention studies. Design: Systematic review of studies published in the area of grief counselling. Data sources: MEDLINE, Embase, Cochrane Library and PsycINFO databases were searched for studies published between 2000 and 2013. Eligible papers were categorised into descriptive, measurement, review, commentaries and intervention studies. Intervention studies were assessed against the Cochrane Effective Practice and Organisation of Care methodological criteria, and papers meeting criteria were assessed for quality. The impact of interventions on grief, psychological morbidity and quality of life was examined. Results: A total of 126 data-based papers, including 47 descriptive, 3 measurement and 76 grief counselling intervention studies were included. Only 59% (n = 45) of intervention studies met Effective Practice and Organisation of Care design criteria. Overall, study quality was poor, with the majority of interventions showing a risk of bias in several key areas. The three studies that met all criteria showed mixed effectiveness. Conclusion: Grief counselling interventions require a strong rationale for design, and a systematic approach to development and evaluation. Descriptive research efforts should inform this process, focusing on homogeneity in sample, identification of risk factors for complicated grief and the impact of extraneous factors on intervention effects. Interventions should include comparisons to usual care, as well as replication to confirm positive findings.

DOI 10.1177/0269216315588728
Citations Scopus - 12Web of Science - 10
Co-authors Amy Waller, Elise Mansfield, Rob Sanson-Fisher
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, 16 134 (2016)

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.

Co-authors Frans Henskens, Andrew Searles, Jamie Bryant, Rob Sanson-Fisher, Christopher Oldmeadow, Alison Zucca, Elizabeth Fradgley
2016 Jayakody A, Bryant J, Carey M, Hobden B, Dodd N, Sanson-Fisher R, 'Effectiveness of interventions utilising telephone follow up in reducing hospital readmission within 30 days for individuals with chronic disease: a systematic review', BMC HEALTH SERVICES RESEARCH, 16 (2016) [C1]
DOI 10.1186/s12913-016-1650-9
Citations Scopus - 10Web of Science - 10
Co-authors Mariko Carey, Rob Sanson-Fisher, Natalie Dodd, Jamie Bryant
2015 Bryant J, Sanson-Fisher R, Fradgley E, Regan T, Hobden B, Ackland SP, 'Oncology patients overwhelmingly support tissue banking.', BMC Cancer, 15 413 (2015) [C1]
DOI 10.1186/s12885-015-1416-5
Citations Scopus - 7Web of Science - 7
Co-authors Rob Sanson-Fisher, Jamie Bryant, Elizabeth Fradgley, Stephen Ackland
Show 12 more journal articles

Conference (3 outputs)

Year Citation Altmetrics Link
2016 Lynam J, Hall A, Ayoola A, Sridharan S, Henskens F, Smith A, et al., 'DECISION-MAKING PREFERENCES AND SATISFACTION OF STAGE ONE TESTICULAR CANCER PATIENTS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2016)
Co-authors Nick Zdenkowski, Frans Henskens
2016 Hall A, Lynam J, Ayoola A, Sridharan S, Henskens F, Smith A, et al., 'ASSESSING THE INFORMATION NEEDS OF STAGE ONE TESTICULAR CANCER PATIENTS AND THEIR CARERS', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY, Newcastle, Australia (2016)
Co-authors Frans Henskens, Nick Zdenkowski
2014 Bryant J, Sanson-Fisher R, Fradgley L, Regan T, Hobden B, Ackland S, Turon H, 'ONCOLOGY PATIENTS OVERWHELMINGLY SUPPORT TISSUE BANKING', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2014) [E3]
Citations Web of Science - 1
Co-authors Rob Sanson-Fisher, Stephen Ackland, Jamie Bryant, Elizabeth Fradgley
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Research Supervision

Number of supervisions

Completed0
Current1

Current Supervision

Commenced Level of Study Research Title Program Supervisor Type
2018 PhD Exploring the Challenges that Older People Face in Navigating Access to Health, Community and Welfare Services, Including Community Aged Care Services PhD (Public Health & BehavSci), Faculty of Health and Medicine, The University of Newcastle Co-Supervisor
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Ms Bree Hobden

Position

Research Associate
PRC Health Behaviour Research Group
School of Medicine and Public Health
Faculty of Health and Medicine

Focus area

Health Behaviour Sciences

Contact Details

Email bree.hobden@newcastle.edu.au
Phone (02) 4042 0474
Fax (02) 4042 0044

Office

Room Public Health/HBRG
Building HMRI Building
Location Callaghan
University Drive
Callaghan, NSW 2308
Australia
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