17 results on '"Fryer, Caroline E."'
Search Results
2. Australian physiotherapists' knowledge and views on the relationship between climate change, health, and physiotherapy
- Author
-
Chi, Linya, primary, Boucaut, Rose, additional, Li, L. S. Katrina, additional, Fryer, Caroline E., additional, and Kumar, Saravana, additional
- Published
- 2024
- Full Text
- View/download PDF
3. Physiotherapy and planetary health: a scoping review.
- Author
-
Li, L. S. Katrina, Fryer, Caroline E., Chi, Linya, and Boucaut, Rose
- Abstract
AbstractIntroductionObjectivesMethodsResultsConclusionPlanetary health is deteriorating rapidly and climate change is one of the core boundaries for planetary health. Climate change is associated with worsening human health and physiotherapists are involved in managing its downstream effects on patients. Meanwhile, health care is a significant contributor to global carbon emissions.Identify and map the existing literature that explores the relationship between physiotherapy and planetary health.Four databases and grey literature were systematically searched. Material was eligible if it explored physiotherapy theory or practice related to a change in the environment. Two independent reviewers screened article title and abstracts, then assessed the full-text for eligibility for inclusion. Characteristics and nature of the literature were extracted and synthesised descriptively.Thirty-four of 4510 outputs met the inclusion criteria. Twenty were journal publications and fourteen were available on websites. A common theme related to the concept of physiotherapy as an environmentally friendly healthcare practice (
n = 8) which may be through promoting interventions that are environmentally friendly (n = 7) and encouraging sustainable practice as a profession (n = 6).There is a strong global call for the physiotherapy profession to advocate for environmentally sustainable practice at individual and organisational realms. More empirical research on the relationship between physiotherapy and planetary health is now needed to strengthen knowledge of accessible and effective interventions to address this health crisis. [ABSTRACT FROM AUTHOR]- Published
- 2024
- Full Text
- View/download PDF
4. Self-Management Programs for Quality of Life in People With Stroke
- Author
-
Fryer, Caroline E., Luker, Julie A., McDonnell, Michelle N., and Hillier, Susan L.
- Published
- 2016
- Full Text
- View/download PDF
5. Pain and pain management experiences following spinal cord injury – a mixed methods study of Australian community-dwelling adults.
- Author
-
Karran, Emma L., Fryer, Caroline E., Middleton, James W., and Moseley, G. Lorimer
- Subjects
- *
CHRONIC pain , *SPINAL cord injuries , *RESEARCH methodology , *INTERVIEWING , *SURVEYS , *T-test (Statistics) , *PEARSON correlation (Statistics) , *SELF-efficacy , *INDEPENDENT living , *QUALITY of life , *AUSTRALIANS , *RESEARCH funding , *DESCRIPTIVE statistics , *SCALE analysis (Psychology) , *DATA analysis software , *STATISTICAL correlation , *THEMATIC analysis , *PAIN management , *HEALTH self-care , *ADULTS - Abstract
There is a high prevalence of persistent pain following SCI yet insights into its impact and the quality of pain care are limited. We aimed to explore, in-depth, the problem of persistent pain in Australian community-dwelling adults with a spinal cord injury (SCI). Our objectives were to investigate (i) how individuals experience persistent pain, (ii) how they experience pain care and (iii) the concordance between clinical practice guidelines for managing pain and reported care practices. We conducted a mixed-methods convergent parallel study. Adults with SCI and persistent pain completed a survey (n = 43); a subset of participants completed interviews (n = 10). We analysed the data from each method separately and then integrated the findings. Results indicated that the life impact of persistent pain is variable but it can be more disabling than physical impairments and compound a sense of isolation and despair. Community-based management was reported to predominantly have a pharmacological focus, with occurrences of opioid misuse apparent in the data. Access to expert, comprehensive and individualised care was frequently reported as inadequate. While some people with SCI and persistent pain can effectively self-manage their pain, for others the impact on quality of life is profound and complex care needs are commonly unmet. Persistent pain is a common consequence of SCI and profoundly impacts quality of life. Complex pain care needs are commonly unmet. Individuals require regular, comprehensive, biopsychosocial assessment. The effectiveness of pain management strategies must be monitored on an ongoing basis. Opportunities for personal self-management support must be available long-term. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
6. Pain and pain management experiences following spinal cord injury – a mixed methods study of Australian community-dwelling adults
- Author
-
Karran, Emma L., primary, Fryer, Caroline E., additional, Middleton, James W., additional, and Moseley, G. Lorimer, additional
- Published
- 2022
- Full Text
- View/download PDF
7. A qualitative evaluation of scalpel skill teaching of podiatry students
- Author
-
Causby, Ryan S, primary, McDonnell, Michelle N, additional, Reed, Lloyd, additional, Fryer, Caroline E, additional, and Hillier, Susan L, additional
- Published
- 2017
- Full Text
- View/download PDF
8. Self management programmes for quality of life in people with stroke
- Author
-
Fryer, Caroline E, primary, Luker, Julie A, additional, McDonnell, Michelle N, additional, and Hillier, Susan L, additional
- Published
- 2016
- Full Text
- View/download PDF
9. A qualitative study using the Theoretical Domains Framework to investigate why patients were or were not assessed for rehabilitation after stroke
- Author
-
Lynch, Elizabeth A, primary, Luker, Julie A, additional, Cadilhac, Dominique A, additional, Fryer, Caroline E, additional, and Hillier, Susan L, additional
- Published
- 2016
- Full Text
- View/download PDF
10. A qualitative study using the Theoretical Domains Framework to investigate why patients were or were not assessed for rehabilitation after stroke.
- Author
-
Lynch, Elizabeth A., Luker, Julie A., Cadilhac, Dominique A., Fryer, Caroline E., and Hillier, Susan L.
- Subjects
CONCEPTUAL structures ,FOCUS groups ,RESEARCH methodology ,MEDICAL needs assessment ,MEDICAL referrals ,QUALITATIVE research ,PROFESSIONAL practice ,THEMATIC analysis ,DATA analysis software ,STROKE rehabilitation - Abstract
Objective: To explore the factors perceived to affect rehabilitation assessment and referral practices for patients with stroke. Design: Qualitative study using data from focus groups analysed thematically and then mapped to the Theoretical Domains Framework. Setting: Eight acute stroke units in two states of Australia. Subjects: Health professionals working in acute stroke units. Interventions: Health professionals at all sites had participated in interventions to improve rehabilitation assessment and referral practices, which included provision of copies of an evidence-based decision-making rehabilitation Assessment Tool and pathway. Results: Eight focus groups were conducted (32 total participants). Reported rehabilitation assessment and referral practices varied markedly between units. Continence and mood were not routinely assessed (4 units), and people with stroke symptoms were not consistently referred to rehabilitation (4 units). Key factors influencing practice were identified and included whether health professionals perceived that use of the Assessment Tool would improve rehabilitation assessment practices (theoretical domain 'social and professional role'); beliefs about outcomes from changing practice such as increased equity for patients or conversely that changing rehabilitation referral patterns would not affect access to rehabilitation ('belief about consequences'); the influence of the unit's relationships with other groups including rehabilitation teams ('social influences' domain) and understanding within the acute stroke unit team of the purpose of changing assessment practices ('knowledge' domain). Conclusion: This study has identified that health professionals' perceived roles, beliefs about consequences from changing practice and relationships with rehabilitation service providers were perceived to influence rehabilitation assessment and referral practices on Australian acute stroke units. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
11. Self-management programs for quality of life in people with stroke
- Author
-
Fryer, Caroline E, primary, Luker, Julie A, additional, McDonnell, Michelle N, additional, and Hillier, Susan L, additional
- Published
- 2013
- Full Text
- View/download PDF
12. Pain and pain management experiences following spinal cord injury - a mixed methods study of Australian community-dwelling adults
- Author
-
Emma L. Karran, Caroline E. Fryer, James W. Middleton, G. Lorimer Moseley, Karran, Emma L, Fryer, Caroline E, Middleton, James W, and Moseley, G Lorimer
- Subjects
best practice care ,mixed methods ,pain management ,persistent pain ,Rehabilitation ,spinal cord injury - Abstract
Refereed/Peer-reviewed Purpose: There is a high prevalence of persistent pain following SCI yet insights into its impact and the quality of pain care are limited. We aimed to explore, in-depth, the problem of persistent pain in Australian community-dwelling adults with a spinal cord injury (SCI). Our objectives were to investigate (i) how individuals experience persistent pain, (ii) how they experience pain care and (iii) the concordance between clinical practice guidelines for managing pain and reported care practices. Methods: We conducted a mixed-methods convergent parallel study. Adults with SCI and persistent pain completed a survey (n = 43); a subset of participants completed interviews (n = 10). We analysed the data from each method separately and then integrated the findings. Results: Results indicated that the life impact of persistent pain is variable but it can be more disabling than physical impairments and compound a sense of isolation and despair. Community-based management was reported to predominantly have a pharmacological focus, with occurrences of opioid misuse apparent in the data. Access to expert, comprehensive and individualised care was frequently reported as inadequate. Conclusion: While some people with SCI and persistent pain can effectively self-manage their pain, for others the impact on quality of life is profound and complex care needs are commonly unmet. IMPLICATIONS FOR REHABILITATION: Persistent pain is a common consequence of SCI and profoundly impacts quality of life. Complex pain care needs are commonly unmet. Individuals require regular, comprehensive, biopsychosocial assessment. The effectiveness of pain management strategies must be monitored on an ongoing basis. Opportunities for personal self-management support must be available long-term.
- Published
- 2022
13. Exploring the Social Determinants of Health Outcomes for Adults with Low Back Pain or Spinal Cord Injury and Persistent Pain: A Mixed Methods Study
- Author
-
Emma L. Karran, Caroline E. Fryer, James W. Middleton, G. Lorimer Moseley, Karran, Emma L, Fryer, Caroline E, Middleton, James W, and Moseley, G Lorimer
- Subjects
Adult ,mixed methods ,Social Determinants of Health ,spinal cord injury ,Anesthesiology and Pain Medicine ,Neurology ,social determinants of health ,qualitative ,Quality of Life ,Humans ,pain ,Disabled Persons ,Neurology (clinical) ,Low Back Pain ,low back pain ,Spinal Cord Injuries - Abstract
Refereed/Peer-reviewed Developing a greater understanding of the social and environmental factors that are related to differential outcomes for individuals who experience persistent pain and disability is important for achieving health equity. In this study, we aimed to develop insights into the role of the social determinants of health (SDH) in care experiences and health status for socio-economically disadvantaged adults who experience persistent low back pain or persistent pain following spinal cord injury. Our objectives were to investigate 1) relationships between the SDH and health outcomes, 2) care experiences, and 3) perceived barriers and facilitators to optimal pain care. We conducted a mixed-methods convergent parallel study involving an online survey and semistructured interviews. We analyzed the data from each method separately and integrated the findings. One hundred sixty-four adults completed the survey and 17 adults completed the semistructured interviews. We found large or moderate-sized correlations between greater selfreported social isolation and poorer health outcomes. Experiencing a higher number of adverse SDH was moderately correlated with lower quality of life and was significantly correlated with all other outcomes. We generated 5 themes from the qualitative analysis: active strategies are important for well-being; low agency; facilitators of optimal care; barriers to optimal care; and health inequities, and derived meta-inferences that highlight the complex inter-relationships between the SDH and health outcomes in this cohort. The findings of our study can importantly inform endeavors to improve equity of pain care for adults with low back pain or spinal cord injury and persistent pain. Perspective: This study illustrates the complex interplay between adverse social determinants of health and poorer health status for adults with persistent pain and provides evidence to support the important role of social isolation. Developing an understanding of the life-contexts of those seeking care is a vital step towards addressing health inequities.
- Published
- 2022
14. A qualitative study using the Theoretical Domains Framework to investigate why patients were or were not assessed for rehabilitation after stroke
- Author
-
Dominique A Cadilhac, Julie Luker, Elizabeth A Lynch, Susan Hillier, Caroline Fryer, Lynch, Elizabeth A, Luker, Julie A, Cadilhac, Dominique A, and Fryer, Caroline E
- Subjects
Health Knowledge, Attitudes, Practice ,030506 rehabilitation ,medicine.medical_specialty ,Referral ,Attitude of Health Personnel ,medicine.medical_treatment ,Decision Making ,qualitative study ,Psychological intervention ,Physical Therapy, Sports Therapy and Rehabilitation ,Rehabilitation Centers ,Risk Assessment ,theoretical domains framework ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Practice Patterns, Physicians' ,Referral and Consultation ,Stroke ,Qualitative Research ,Rehabilitation ,business.industry ,Australia ,Stroke Rehabilitation ,acute stroke unit ,Focus Groups ,medicine.disease ,stroke ,Focus group ,Mood ,Acute Disease ,Needs assessment ,Physical therapy ,assessment for rehabilitation ,0305 other medical science ,business ,Needs Assessment ,030217 neurology & neurosurgery ,Qualitative research - Abstract
Objective: To explore the factors perceived to affect rehabilitation assessment and referral practices for patients with stroke. Design: Qualitative study using data from focus groups analysed thematically and then mapped to the Theoretical Domains Framework. Setting: Eight acute stroke units in two states of Australia. Subjects: Health professionals working in acute stroke units. Interventions: Health professionals at all sites had participated in interventions to improve rehabilitation assessment and referral practices, which included provision of copies of an evidence-based decision-making rehabilitation Assessment Tool and pathway. Results: Eight focus groups were conducted (32 total participants). Reported rehabilitation assessment and referral practices varied markedly between units. Continence and mood were not routinely assessed (4 units), and people with stroke symptoms were not consistently referred to rehabilitation (4 units). Key factors influencing practice were identified and included whether health professionals perceived that use of the Assessment Tool would improve rehabilitation assessment practices (theoretical domain ‘social and professional role’); beliefs about outcomes from changing practice such as increased equity for patients or conversely that changing rehabilitation referral patterns would not affect access to rehabilitation (‘belief about consequences’); the influence of the unit’s relationships with other groups including rehabilitation teams (‘social influences’ domain) and understanding within the acute stroke unit team of the purpose of changing assessment practices (‘knowledge’ domain). Conclusion: This study has identified that health professionals’ perceived roles, beliefs about consequences from changing practice and relationships with rehabilitation service providers were perceived to influence rehabilitation assessment and referral practices on Australian acute stroke units.
- Published
- 2016
15. Self management programmes for quality of life in people with stroke
- Author
-
Caroline Fryer, Susan Hillier, Julie Luker, Michelle N. McDonnell, Fryer, Caroline E, Luker, Julie A, Mcdonnell, Michelle N, and Hillier, Susan L
- Subjects
Medicine General & Introductory Medical Sciences ,Adult ,medicine.medical_specialty ,Activities of daily living ,Health Behavior ,Psychological intervention ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Randomized controlled trial ,law ,medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,Stroke ,Health Services Needs and Demand ,Self-management ,business.industry ,Self-Management ,Stroke Rehabilitation ,medicine.disease ,Self Efficacy ,Clinical trial ,Self Care ,Meta-analysis ,Physical therapy ,Quality of Life ,Independent Living ,business ,030217 neurology & neurosurgery - Abstract
Background: Stroke results from an acute lack of blood supply to the brain and becomes a chronic health condition for millions of survivors around the world. Self management can offer stroke survivors a pathway to promote their recovery. Self management programmes for people with stroke can include specific education about the stroke and likely effects but essentially, also focusses on skills training to encourage people to take an active part in their management. Such skills training can include problem-solving, goal-setting, decision-making, and coping skills. Objectives: To assess the effects of self management interventions on the quality of life of adults with stroke who are living in the community, compared with inactive or active (usual care) control interventions. Search methods: We searched the following databases from inception to April 2016: the Cochrane Stroke Group Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, PsycINFO, SCOPUS, Web of Science, OTSeeker, OT Search, PEDro, REHABDATA, and DARE. We also searched the following trial registries: ClinicalTrials.gov, Stroke Trials Registry, Current Controlled Trials, World Health Organization, and Australian New Zealand Clinical Trials Registry. Selection criteria: We included randomised controlled trials of adults with stroke living in the community who received self management interventions. These interventions included more than one component of self management or targeted more than a single domain of change, or both. Interventions were compared with either an inactive control (waiting list or usual care) or active control (alternate intervention such as education only). Measured outcomes included changes in quality of life, self efficacy, activity or participation levels, impairments, health service usage, health behaviours (such as medication adherence or lifestyle behaviours), cost, participant satisfaction, or adverse events. Data collection and analysis: Two review authors independently extracted prespecified data from all included studies and assessed trial quality and risk of bias. We performed meta-analyses where possible to pool results. Main results: We included 14 trials with 1863 participants. Evidence from six studies showed that self management programmes improved quality of life in people with stroke (standardised mean difference (SMD) random effects 0.34, 95% confidence interval (CI) 0.05 to 0.62, P = 0.02; moderate quality evidence) and improved self efficacy (SMD, random effects 0.33, 95% CI 0.04 to 0.61, P = 0.03; low quality evidence) compared with usual care. Individual studies reported benefits for health-related behaviours such as reduced use of health services, smoking, and alcohol intake, as well as improved diet and attitude. However, there was no superior effect for such programmes in the domains of locus of control, activities of daily living, medication adherence, participation, or mood. Statistical heterogeneity was mostly low; however, there was much variation in the types and delivery of programmes. Risk of bias was relatively low for complex intervention clinical trials where participants and personnel could not be blinded. Authors' conclusions: The current evidence indicates that self management programmes may benefit people with stroke who are living in the community. The benefits of such programmes lie in improved quality of life and self efficacy. These are all well-recognised goals for people after stroke. There is evidence for many modes of delivery and examples of tailoring content to the target group. Leaders were usually professionals but peers (stroke survivors and carers) were also reported - the commonality is being trained and expert in stroke and its consequences. It would be beneficial for further research to be focused on identifying key features of effective self management programmes and assessing their cost-effectiveness. Refereed/Peer-reviewed
- Published
- 2016
16. Self-management programs for quality of life in people with stroke
- Author
-
Caroline E. Fryer, Julie A. Luker, Michelle N. McDonnell, Susan L. Hillier, Fryer, Caroline E, Luker, Julie A, McDonnell, Michelle N, and Hillier, Susan L
- Subjects
Advanced and Specialized Nursing ,self-management ,Self-Management ,education ,food and beverages ,stroke ,Self Care ,Stroke ,03 medical and health sciences ,0302 clinical medicine ,quality of life ,systematic review ,randomized controlled trials ,Quality of Life ,Humans ,030212 general & internal medicine ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,030217 neurology & neurosurgery - Abstract
Self-management can offer stroke survivors a pathway to promote their recovery. Self-management programs for people with stroke can include specific education about stroke and likely effects but essentially also focus on skills training to encourage people to take an active part in their own management. Such skills training can include problem-solving, goal-setting, decision-making, and coping skills. The objectives of this review1 were to assess the effects of self-management interventions on the quality of life of adults with stroke who are living in the community, compared with inactive or active (usual care) control interventions. Refereed/Peer-reviewed
- Published
- 2016
17. Self-management programs for quality of life in people with stroke
- Author
-
Fryer, Caroline E, Luker, Julie A, McDonnell, Michelle N, and Hillier, Susan L
- Subjects
self-management ,Neurosciences ,chronic health ,stroke - Abstract
This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the effects of self-management interventions on the quality of life of adults with stroke who are living in the community, compared with inactive control or active control interventions. Refereed/Peer-reviewed
- Published
- 2013
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.