Dr Gary Crowfoot
School of Nursing and Midwifery
- Phone:(02) 4042 1619
Dr Gary Crowfoot is a registered nurse and an early career researcher working in stroke prevention and rehabilitation. He holds the position of Lecturer within the School of Nursing and Midwifery. He is also a research fellow within the NHMRC Centre for Research Excellence in Stroke Recovery and Rehabilitation and The University of Newcastle Priority Research Centre for Stroke and Brain Injury.
Dr Crowfoot was awarded his PhD in Nursing in 2016. His thesis focused on a deep narrative exploration of the experiences and help seeking behaviours of people with transient ischaemic attack (TIA) or minor stroke. Since then, he has been heavily involved in projects related to exploring exercise after stroke, lifestyle and activity modification after TIA, patient and carer experiences of sitting behaviours after stroke, and people’s expectations and experiences for risk-reduction education after TIA.
His current research interests are diverse including:
- People’s experiences post TIA, minor stroke, and stroke
- Stroke Prevention
- Stroke rehabilitation
- How stroke survivors and clinicians define their condition
- The effect of interrupting prolonged sitting on stroke risk reduction
- Qualitative inquiries into the human experience
Dr Crowfoot has always had a passion for working to help support and understand the experiences of stroke survivors, promote primary and secondary stroke prevention, and what drives help-seeking behaviour in response to the onset of stroke symptoms. He hopes that his work can lead to beneficial and improved programs to enable timely, individualised, and effective community stroke prevention programs.
- Doctor of Philosophy in Nursing, University of Newcastle
- Bachelor of Nursing, University of Newcastle
- Bachelor of Nursing (Honours), University of Newcastle
- Minor Stroke
- Qualitative methods
- Stroke Prevention
- Transient Ischaemic Attack (TIA)
Fields of Research
|111002||Clinical Nursing: Primary (Preventative)||30|
|111099||Nursing not elsewhere classified||70|
|Title||Organisation / Department|
|Lecturer||University of Newcastle
School of Nursing and Midwifery
|Dates||Title||Organisation / Department|
|1/8/2012 -||Registered Nurse||Hunter New England Health
Emergency Department, Belmont District Hospital
NURS6900: Introduction to Research In Health Care
School of Nursing and Midwifery
|Course Coordinator||28/1/2020 - 12/6/2020|
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (11 outputs)
English C, Weerasekara I, Carlos A, Chastin S, Crowfoot G, Fitzsimons C, et al., 'Investigating the rigour of research findings in experimental studies assessing the effects of breaking up prolonged sitting extended scoping review', Brazilian Journal of Physical Therapy, (2020)
© 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the wi... [more]
© 2020 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia Objectives: Sedentary behaviour research is a relatively new field, much of which has emerged since the widespread acceptance of clinical trial registration. The aim of this study was to investigate the trial registration and related issues in studies investigating the effect of frequent activity interruptions to prolonged sitting-time. Methods: Secondary analysis of a scoping review including systematic searches of databases and trial registries. We included experimental studies investigating the effects of frequent activity interruptions to prolonged sitting-time. Results: We identified 32 trials published in 45 papers. Only 16 (50%) trials were registered, with all 16 trials being completed and published. Of the unregistered trials, we identified three (19%) for which similarities in the sample size and participant demographics across papers was suggestive of duplicate publication. Identification of potential duplicate publications was difficult for the remaining 13 (81%). Results from 53 (76%) of the 70 registered outcomes were published, but 11 (69%) registered trials reported results from additional outcomes not prospectively registered. A total of 46 different outcomes (out of 53 reported outcome measures, similar measures were collated) were reported across all trials, 31 (67%) of which were collected in =2 trials. Conclusions: We found direct evidence of trial registration issues in experimental trials of breaking up sitting-time. The lack of prospective registration of all trials, and the large number of outcomes measured per trial are key considerations for future research in this field. These issues are unlikely to be confined to the field of sedentary behaviour research.
Geldens N, Crowfoot G, Sweetapple A, Vyslysel G, Mason G, English C, Janssen H, 'Patient readiness for risk-reduction education and lifestyle change following transient ischemic attack', DISABILITY AND REHABILITATION, (2019)
Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C, 'What is the effect of interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors? A scoping review', PLoS ONE, 14 1-24 (2019) [C1]
Hanna E, Janssen H, Crowfoot G, Mason G, Vyslysel G, Sweetapple A, et al., 'Participation, Fear of Falling, and Upper Limb Impairment are Associated with High Sitting Time in People with Stroke.', Occupational therapy in health care, 33 181-196 (2019) [C1]
English C, Janssen H, Crowfoot G, Bourne J, Callister R, Dunn A, et al., 'Frequent, short bouts of light-intensity exercises while standing decreases systolic blood pressure: Breaking Up Sitting Time after Stroke (BUST-Stroke) trial', International Journal of Stroke, 13 932-940 (2018) [C1]
© 2018 World Stroke Organization. Background: Stroke survivors sit for long periods each day. Uninterrupted sitting is associated with increased risk of cardiovascular disease. Br... [more]
© 2018 World Stroke Organization. Background: Stroke survivors sit for long periods each day. Uninterrupted sitting is associated with increased risk of cardiovascular disease. Breaking up uninterrupted sitting with frequent, short bouts of light-intensity physical activity has an immediate positive effect on blood pressure and plasma clotting factors in healthy, overweight, and type 2 diabetic populations. Aim: We examined the effect of frequent, short bouts of light-intensity physical activity on blood pressure and plasma fibrinogen in stroke survivors. Methods: Prespecified secondary analyses from a three-armed randomized, within-participant, crossover trial. Participants were 19 stroke survivors (nine female, aged 68 years old, 90% able to walk independently). The experimental conditions were sitting for 8 h uninterrupted, sitting with 3 min bouts of light-intensity exercise while standing every 30 min, or sitting with 3 min of walking every 30 min. Blood pressure was measured every 30 min over 8 h and plasma fibrinogen at the beginning, middle, and end of each day. Intention-to-treat analyses were performed using linear mixed models including fixed effects for condition, period, and order, and a random intercept for participant to account for repeated measures and missing data. Results: Sitting with 3 min bouts of light-intensity exercise while standing every 30 min decreased systolic blood pressure by 3.5 mmHg (95% CI 1.7¿5.4) compared with sitting for 8 h uninterrupted. For participants not taking antihypertensive medications, sitting with 3 min of walking every 30 min decreased systolic blood pressure by 5.0 mmHg (95% CI -7.9 to 2.0) and sitting with 3 min bouts light-intensity exercise while standing every 30 min decreased systolic blood pressure by 4.2 mmHg (95% CI -7.2 to -1.3) compared with sitting for 8 h uninterrupted. There was no effect of condition on diastolic blood pressure (p = 0.45) or plasma fibrinogen levels (p = 0.91). Conclusion: Frequent, short bouts of light-intensity physical activity decreases systolic blood pressure in stroke survivors. However, before translation into clinical practice, the optimal duration and timing of physical activity bouts needs to be determined. Clinical trial registration: Australian and New Zealand Clinical Trials Registry http://www.anzctr.org.au ANZTR12615001189516.
English C, Janssen H, Crowfoot G, Callister R, Dunn A, Mackie P, et al., 'Breaking up sitting time after stroke (BUST-stroke)', International Journal of Stroke, 13 921-931 (2018) [C1]
© 2018 World Stroke Organization. Objectives: People with stroke sit for long periods each day, which may compromise blood glucose control and increase risk of recurrent stroke. S... [more]
© 2018 World Stroke Organization. Objectives: People with stroke sit for long periods each day, which may compromise blood glucose control and increase risk of recurrent stroke. Studies in other populations have found regular activity breaks have a significant immediate (within-day) positive effect on glucose metabolism. We examined the effects of breaking up uninterrupted sitting with frequent, short bouts of light-intensity physical activity in people with stroke on post-prandial plasma glucose and insulin. Methods: Randomized within-participant crossover trial. We included people between 3 months and 10 years post-stroke, ambulant with minimal assistance and not taking diabetic medication other than metformin. The three experimental conditions (completed in random order) were: sitting for 8 h uninterrupted, sitting with 3 min bouts of light-intensity exercise while standing every 30 min, or sitting with 3 min of walking every 30 min. Meals were standardized and bloods were collected half- to one-hourly via an intravenous cannula. Results: A total of 19 participants (9 female, mean [SD] age 68.2 [10.2]) completed the trial. The majority (n = 12, 63%) had mild stroke symptoms (National Institutes of Stroke Scale score 0¿13). There was no significant effect of experimental condition on glucose (mean [SD] positive incremental area [+iAUC] mmol·L·h-1 under the curve during sitting 42.3 [29.5], standing 47.4 [23.1], walking 44.6 [26.5], p = 0.563) or insulin (mean + iAUC pmol·L·h-1 sitting 14,161 [7,560], standing 14,043 [8,312], walking 14,008 [8,269], p = 0.987). Conclusion: Frequent, short bouts of light-intensity physical activity did not have a significant effect on post-prandial plasma glucose and insulin in this sample of people with stroke. Further studies are needed to identify strategies that improve inactivity-related glucose metabolism after stroke.
Crowfoot G, van der Riet P, Maguire J, 'Real-life experiences of people with transient ischaemic attack or minor stroke: A qualitative literature review', Journal of Clinical Nursing, 27 1381-1398 (2018) [C1]
© 2018 John Wiley & Sons Ltd Aims and objectives: To explore and present findings of qualitative studies exploring real-life experiences of people with transient ischaemic a... [more]
© 2018 John Wiley & Sons Ltd Aims and objectives: To explore and present findings of qualitative studies exploring real-life experiences of people with transient ischaemic attack or minor stroke. Background: Transient ischaemic attack and minor stroke significantly increase the risk of stroke. Primarily, literature has examined healthcare pathways, patient outcomes and models of care through quantitative methodologies. Several studies have explored patient experiences using qualitative approaches. However, these findings have not been systematically collated or critically appraised to better understand the experiences of this population. Design: A literature review of the qualitative evidence. Method: A systematic literature search was conducted in CINAHL, MEDLINE, EMBASE and PsycINFO between January 2005¿October 2016 to identify qualitative studies that explored real-life experiences of people with transient ischaemic attack or minor stroke. The relevant EQUATOR guidelines were followed. Findings of relevant studies were critically appraised and collated using a thematic approach. Results: The search retrieved 709 articles. Twelve articles were included after critical review. Three themes emerged including recognition, awareness and action; the vulnerable self; and social and personal life change. Participants experienced ongoing vulnerability and change in their personal and social lives. Specifically, people believed that their condition did not reflect their physical appearance and led to their needs being unmet by health professionals. Conclusions: This is the first review of the literature to collate the thoughts, perspectives and experiences of people living with transient ischaemic attack or minor stroke. They reveal a complex, life-altering experience characterised by vulnerability, instability and change. Education that assists clinicians to connect with these experiences may alleviate the patient-reported disconnection with health professionals. Relevance to clinical practice: Physical and psychosocial dysfunctions were consistently reported to be overlooked or undetected by clinicians. Educating clinicians might enable them to better understand patient experiences, improve therapeutic interactions and meet the needs of this population.
Butler S, Crowfoot G, Quain D, Davey A, Magin P, Maguire J, 'Opening the door to funny turns: A constructivist thematic analysis of patient narratives after TIA', Public Health Research, 7 62-72 (2017)
Crowfoot GM, van der Riet PJ, Maguire JM, 'Living within stories: Exploring the experiences of people with transient ischemic attack', Nursing and Health Sciences, 18 52-57 (2016) [C1]
© 2016 John Wiley & Sons Australia, Ltd. A transient ischemic attack (TIA) significantly increases a person's risk of ischemic stroke. However, little is known about th... [more]
© 2016 John Wiley & Sons Australia, Ltd. A transient ischemic attack (TIA) significantly increases a person's risk of ischemic stroke. However, little is known about the experiences of these people or what influences their decision to access care. This article explores the stories of three people who experienced a TIA. All participants were interviewed after receiving a diagnosis of TIA by a specialist neurologist. By utilizing a framework of narrative inquiry, several storylines were revealed across temporal, social, and geographical landscapes. The main storylines include: bodily disruption, time stasis, altered temporal perceptions, the roles of others, and help-seeking behavior. The primary author also reflects upon his own origin and explores how this inquiry has influenced his perceptions, career, and nursing practice. This inquiry may assist healthcare workers to gain insight into the experiences of people with TIA and suggests how involvement of significant others is beneficial when educating people at risk of TIA.
Ingles M, Crowfoot G, Smelaya TV, Kuzovlev AN, Salnikova LE, Bhikoo R, et al., 'Sepsis 2016 Paris', Critical Care, 20 (2016)
|Show 8 more journal articles|
Conference (13 outputs)
Mackie P, Weerasekara I, Crowfoot G, Janssen H, Holliday E, Dunstan D, English C, 'Interrupting prolonged sitting with frequent bouts of physical activity or standing on first or recurrent stroke risk factors: Scoping review', INTERNATIONAL JOURNAL OF STROKE (2019)
Hanna E, Janssen H, Crowfoot G, Mason G, Vyslysel G, Sweetapple A, et al., 'Participation, Fear of Falling, and Upper Limb Impairment are Associated with High Sitting Time in People with Stroke', OCCUPATIONAL THERAPY IN HEALTH CARE (2019)
Mackie P, Crowfoot G, Janssen H, Dunstan D, Bernhardt J, Walker R, et al., 'Breaking Up Sitting Time After Stroke - Reducing blood pressure through sitting less (BUST-BP-Dose): A trial protocol', INTERNATIONAL JOURNAL OF STROKE (2018)
Crowfoot GM, Van Der Riet P, Maguire J, 'From symptom onset to doorway: Capturing the stories of patients with Transient Ischaemic Attack', International Journal of Stroke, Queensland (2013) [E3]
|Show 10 more conferences|
Grants and Funding
|Number of grants||3|
Click on a grant title below to expand the full details for that specific grant.
20182 grants / $158,737
Funding body: The Nancy and Vic Allen Stroke Prevention Fund
|Funding body||The Nancy and Vic Allen Stroke Prevention Fund|
|Project Team||Doctor Heidi Janssen, Conjoint Professor Chris Levi, Ms Gillian Mason, Doctor Gary Crowfoot, Professor Coralie English, Professor John Attia|
|Scheme||Stroke Prevention Grant|
|Type Of Funding||C3112 - Aust Not for profit|
Funding body: National Heart Foundation of Australia
|Funding body||National Heart Foundation of Australia|
|Project Team||Professor Coralie English, Professor David Dunstan, Professor Neil Spratt, Doctor Gary Crowfoot|
|Type Of Funding||Aust Competitive - Non Commonwealth|
20171 grants / $9,896
Funding body: NSW Ministry of Health
|Funding body||NSW Ministry of Health|
|Project Team||Doctor Lin Kooi Ong, Doctor Gary Crowfoot, Doctor Heidi Janssen, Doctor Dianne Marsden, Doctor Jodie Marquez, Professor Coralie English, Professor Rohan Walker|
|Scheme||Medical Research Support Program (MRSP)|
|Type Of Funding||C2220 - Aust StateTerritoryLocal - Other|