Ms Lucy Kocanda
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.
- Cardiovascular Disease
- Nutrition Translation
- Nutrition and Dietetics
- Rural Health
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (4 outputs)
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)
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.
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.
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Conference (5 outputs)
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)
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)
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)
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