Ms Lucy Kocanda

Ms Lucy Kocanda

Research student

Career Summary

Biography

Lucy is a PhD candidate (Medicine) in the School of Medicine and Public Health, and Priority Research Centre in Physical Activity and Nutrition (PRC-PAN). Lucy was awarded her Bachelor of Nutrition and Dietetics with Honours Class I from the University of Newcastle in 2017 and is an Accredited Practising Dietitian (APD). Lucy's PhD research focuses on cardiovascular disease prevention in rural communities. She is based in Tamworth at the University of Newcastle Department of Rural Health.


Keywords

  • Cardiovascular Disease
  • Nutrition Translation
  • Nutrition and Dietetics
  • Rural Health
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Publications

For publications that are currently unpublished or in-press, details are shown in italics.


Journal article (5 outputs)

Year Citation Altmetrics Link
2021 Hollis JL, Kocanda L, Seward K, Collins C, Tully B, Hunter M, et al., 'The impact of Healthy Conversation Skills training on health professionals' barriers to having behaviour change conversations: a pre-post survey using the Theoretical Domains Framework.', BMC Health Serv Res, 21 880 (2021)
DOI 10.1186/s12913-021-06893-4
Co-authors Clare Collins, Tracy Schumacher, Maralyn Foureur, Jenna Hollis, Lesley Wicks
2021 Kocanda L, Schumacher TL, Kerr J, May J, Rollo ME, Neubeck L, Brown LJ, 'Current nutrition practice in cardiac rehabilitation programs', Journal of Cardiopulmonary Rehabilitation and Prevention, (2021)

Purpose: This study sought to determine current practice regarding nutrition care within cardiac rehabilitation (CR) programs, including perceived barriers and facilitators to pro... [more]

Purpose: This study sought to determine current practice regarding nutrition care within cardiac rehabilitation (CR) programs, including perceived barriers and facilitators to providing nutrition care in this setting. Methods: A cross-sectional survey was conducted in October and November 2019. Potential participants were program coordinators, identified through the Australian Cardiovascular Health and Rehabilitation Association program directory and invited to participate via e-mail. Results: Forty-nine respondents (response rate: 13%) are included in this analysis. Programs provided group (n = 42, 86%) and/or individual (n = 25, 51%) nutrition education, and most were supported by a dietitian (63%). However, the availability of dietitians and nutrition care provided at CR was variable. For example, individual education was consistently provided at 13 programs and usually by health professionals other than dietitians. Eight programs (16%) used a formal behavior change framework for nutrition care. Generally, respondents were positive about the role of nutrition; CR coordinators perceived nutrition as a valuable component of the program, and that they had good nutrition knowledge. An identified barrier was the financial resources available to support the provision of nutrition care. Conclusions: To ensure that patients receive the benefits of evidence-based nutrition care, program staff may require additional support, particularly regarding the use of evidence-based behavior change techniques. Key facilitators that may be leveraged to achieve this include the high value and priority that CR program coordinators place on nutrition care.

DOI 10.1097/HCR.0000000000000588
Co-authors Tracy Schumacher, Jennifer May, Megan Rollo, Leanne Brown
2021 Kocanda L, Brain K, Frawley J, Schumacher TL, May J, Rollo ME, Brown LJ, 'The Effectiveness of Randomized Controlled Trials to Improve Dietary Intake in the Context of Cardiovascular Disease Prevention and Management in Rural Communities: A Systematic Review', Journal of the Academy of Nutrition and Dietetics, (2021)

Background: Dietary intake is an important modifiable risk factor for cardiovascular disease. However, to our knowledge, there are no systematic reviews of nutrition interventions... [more]

Background: Dietary intake is an important modifiable risk factor for cardiovascular disease. However, to our knowledge, there are no systematic reviews of nutrition interventions in the context of cardiovascular disease prevention and management within rural communities. This is important to investigate, given the unique geographic, social, and contextual factors associated with rurality. Objective: Our primary objective was to systematically assess evidence on the effectiveness of randomized controlled trials to improve dietary intake in the context of cardiovascular disease prevention and management in rural communities. Methods: Nine electronic databases were searched from inception to June 2020, including MEDLINE, The Cochrane Library, Embase, Emcare, PsycINFO, Scopus, Rural and Remote Health, CINAHL, and AMED. Randomized controlled trials that reported results of interventions with adult, rural populations and measured change in dietary intake compared to usual care, alternative intervention, or no intervention controls were included. Included randomized controlled trials were also assessed according to the TIDieR (Template for Intervention Description and Reporting) checklist and RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework. Results: Thirteen articles reporting results of randomized controlled trials were identified. Included articles reported a range of nutrition interventions and measured 18 dietary intake outcomes. Most studies (n = 10) demonstrated effectiveness in altering at least 1 dietary intake outcome, including fruit and/or vegetable (n = 9), fiber (n = 2), Dietary Risk Assessment score (n = 2), energy, dairy, carotene, vitamin C and sodium (all n = 1). However, there was wide variation in the reporting of intervention components (according to the TIDieR checklist) and impact (according to RE-AIM framework), resulting in difficulty interpreting the ┬┐real-world┬┐ implications of these results. Conclusions: Through this systematic review, we found limited evidence of improvement in dietary intakes due to nutrition interventions in the context of cardiovascular disease prevention and management in rural communities. Fruit and/or vegetable intakes were the most frequently reported dietary intake outcomes, and most likely to be improved across the included studies. Included studies were generally not well reported, which may hinder replication by clinicians and consolidation of the evidence base by other researchers. Given the substantial burden of cardiovascular disease experienced by those living in rural areas of developed countries, additional high-quality nutrition research that acknowledges the complexities of rural health is required.

DOI 10.1016/j.jand.2021.05.025
Co-authors Leanne Brown, Megan Rollo, Tracy Schumacher, Katherine Brain, Jennifer May
2021 Kocanda L, Fisher K, Brown LJ, May J, Rollo ME, Collins CE, et al., 'Informing telehealth service delivery for cardiovascular disease management: Exploring the perceptions of rural health professionals', Australian Health Review, 45 241-246 (2021)

Objective: To explore the perceptions of rural health professionals who use telehealth services for cardiovascular health care, including the potential role of telehealth in enhan... [more]

Objective: To explore the perceptions of rural health professionals who use telehealth services for cardiovascular health care, including the potential role of telehealth in enhancing services for this patient group. Methods: Semi-structured interviews were conducted with ten rural health professionals across a range of disciplines, including medicine, nursing and allied health. All study participants were based in the same rural region in New South Wales, Australia. Results: Participant responses emphasised the importance of including rural communities in ongoing dialogue to enhance telehealth services for cardiovascular care. Divergent expectations about the purpose of telehealth and unresolved technology issues were identified as factors to be addressed. Rural health professionals highlighted the importance of all stakeholders coming together to overcome barriers and enhance telehealth services in a collaborative manner. Conclusion: This study contributes to an evolving understanding of how health professionals based in regional Australia experience telehealth services. Future telehealth research should proceed in collaboration with rural communities, supported by policy that actively facilitates the meaningful inclusion of rural stakeholders in telehealth dialogue. What is known about the topic?: Telehealth is frequently discussed as a potential solution to overcome aspects of rural health, such as poor outcomes and limited access to services compared with metropolitan areas. In the context of telehealth and cardiovascular disease (CVD), research that focuses on rural communities is limited, particularly regarding the experiences of these communities with telehealth. What does this paper add?: This paper offers insight into how telehealth is experienced by rural health professionals. The paper highlights divergent expectations of telehealth's purpose and unresolved technological issues as barriers to telehealth service delivery. It suggests telehealth services may be enhanced by collaborative approaches that engage multiple stakeholder groups. What are the implications for practitioners?: The use and development of telehealth in rural communities requires a collaborative approach that considers the views of rural stakeholders in their specific contexts. To improve telehealth services for people living with CVD in rural communities, it is important that rural stakeholders have opportunities to engage with non-rural clinicians, telehealth developers and policy makers.

DOI 10.1071/AH19231
Co-authors Megan Rollo, Tracy Schumacher, Andrew Boyle, Jennifer May, Karin Fisher, Leanne Brown, Clare Collins
2018 Kocanda L, Brown L, Schumacher T, Rae K, Chojenta C, 'Breastfeeding duration and reasons for cessation in an Australian longitudinal cohort', Nutrition & Dietetics, 75 50-50 (2018)
Co-authors Catherine Chojenta, Leanne Brown, Kym Rae
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Conference (5 outputs)

Year Citation Altmetrics Link
2020 Kocanda L, Brown L, Rollo M, Kerr J, Schumacher T, May J, 'Nutrition care at cardiac rehabilitation programs in Australia. Is it evidence based?', Nutrition care at cardiac rehabilitation programs in Australia. Is it evidence based?, Melbourne, Virtual Conference (2020)
DOI 10.1111/1747-0080.12627
Co-authors Megan Rollo, Tracy Schumacher, Jennifer May, Leanne Brown
2020 Kocanda L, Schumacher T, Kerr J, May J, Rollo M, Brown L, 'Providing nutrition care at cardiac rehabilitation. A survey of current practice and attitudes in Australia', Virtual Conference (2020)
Co-authors Leanne Brown, Jennifer May, Tracy Schumacher, Megan Rollo
2019 Kocanda L, Kerr J, Brown L, May J, Schumacher T, Rollo M, Rutherford J, 'Nutrition education in cardiac rehabilitation: Time for change', Sydney, NSW (2019)
Co-authors Leanne Brown, Tracy Schumacher, Megan Rollo, Jennifer May
2018 Kocanda L, Brown L, May J, Rollo M, Collins C, Schumacher T, 'Can opportunistic CVD risk screening increase interest in own health for a rural population?', Tamworth, NSW (2018)
Co-authors Leanne Brown, Megan Rollo, Jennifer May, Tracy Schumacher, Clare Collins
2018 Brown LJ, Kocanda L, Schumacher T, Rae K, Chojenta CL, 'Breastfeeding duration and reasons for cessation in an Australia longitudinal cohort', Sydney (2018)
Co-authors Catherine Chojenta, Kym Rae, Leanne Brown
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Ms Lucy Kocanda

Contact Details

Email lucy.kocanda@uon.edu.au
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