| IHO001 |
Implementation of a guideline-based clinical pathway of care to improve health outcomes following whiplash injury: RCT |
A partnership project with NHMRC, MAIC and MAA
To compare risk-stratification and specialist physiotherapy care to usual care for acute whiplash.
|
Michele Sterling |
Rebbeck T., Ritchie C., Cameron I., Mitchell G. |
Improve injury treatment |
Study complete |
| IHO002 |
Trauma focussed CBT and exercise for chronic WAD: an RCT |
TF_CBT/exercise vs Supported counselling/exercise for chronic WAD and PTSD
Primary trial results submitted
Qualitative interviews with patient participants are ongoing.
The secondary trial analysis will commence.
|
Michele Sterling |
Armfield N., Scotti Requira S., Kenardy J., Andersen T., Ravn S. |
Improve injury treatment |
Study complete |
| IHO005 |
Development of a core outcome set for clinical trials in whiplash-associated disorders (WAD) |
Stage 1: complete.
Stage 2: Further systematic reviews are completed.
Stage 3: Recommendations for final Core Outcome Set.
|
Michele Sterling |
Chen K., Andersen T., Carroll L., Connelly L., Côté P., Curatolo M., Elliott J., Grant G., Jull G., Kasch H., MacDermid J., Malmström E.M., Maujean A., McLean S.A., Nielsen M., Rebbeck T., Söderlund A., Sterling J., Treleaven J., Walton D.M., Westergren H. |
Improve injury treatment |
Study complete |
| IHO007 |
A low-intensity internet-based program for the prevention of chronic pain-related disability in individuals with whiplash-associated disorders (WAD): a pilot study of i-WADPrevent |
After discussions with SIRA and MAIC in late 2018, this will be incorporated into an online resource to train physiotherapists in the delivery of psychological interventions in addition to supporting resource modules for patients. |
Michele Sterling |
Ritchie C., Armfield N., Rebbeck T. |
Improve injury treatment |
Study complete |
| IHO008 |
Investigation of physiological processes underlying WAD pain and disability Project 1 |
Application of large scale genetic data analysis to investigation of genetic basis of systemic inflammation in chronic neck, back and widespread pain, including modelling of genetic causal relationships. |
Scott Farrell |
Sterling M., Klyne D., Mustafa S., Lundberg M., Campos A.I., Wang G., Renteria M.E., Thanh Ngo T., Cuellar-Partida G. |
To develop interventions |
Study complete - Work Published |
| IHO009 |
Investigation of physiological processes underlying WAD pain and disability Project 2 |
We previously demonstrated small nerve fibre pathology in people with chronic whiplash. To understand mechanisms underpinning this nervous system change, we will compare inflammatory cytokine gene expression in tissue of people with chronic WAD vs controls. |
Scott Farrell |
Sterling M., Cabot P., Sweet M., Das Gupta K. |
To develop interventions |
Manuscript revision underway |
| IHO010 |
Investigation of physiological processes underlying WAD pain and disability Project 3 |
MRI investigation of cervical facet joints after radiofrequency neurotomy |
Scott Farrell |
Sterling M., Gray P., Durbridge G., Cowin G. |
To develop interventions |
Data analysis completed |
| IHO011 |
Co-design, development, and feasibility of a digitally-enabled, personalised brief intervention for chronic pain and co-occurring prescription opioid misuse |
To co-design, develop, and test the feasibility of a digitally-enabled brief intervention for chronic pain and opioid misuse – Opioid Medication Assistance (OMED Assist) – which includes personalised assessment feedback and risk-targeted CBT skills training. Phase 1 engages consumers, clinicians, and digital health specialists in co-design and development of OMED Assist. Phase 2 is a feasibility study. |
Rachel Elphinston |
Sterling M., Connor J., Fatehi F., Pager S., Vaezipour A., Gray P. |
To develop interventions |
Data collection commenced |
| IHO014 |
Data linkage study – ED data (Logan, Redlands, Ipswich, PAH, Beaudesert) to MODDS database, PBS prospectively and retrospectively |
To describe patterns, predictors and costs of opioid use after minor RTC injury. |
Jane Nikles |
Sterling M., Ritchie C., Elphinston R., Perez S., Warren J., Cameron I., Armfield N. |
To develop interventions |
Study discontinued |
| IHO015 |
Understanding opioid use and prescription after minor RTC injury |
Qualitative studies re opioid use.
To understand the perceptions of opioid use and alternatives for pain relief
|
Michele Sterling |
Liimatainen J, Nikles J, Ritchie C, Elphinston R., Johnston A., Keijzers G. |
Improve injury treatment |
Manuscript in preparation |
| IHO016 |
Relationships and co-development of pain, disability and PTSD |
Network analysis of available data (previous cohorts) Analysis of AURORA data (n=5,000) and NSW FISH data |
Rachel Elphinston |
Sterling M., Cameron I. |
To develop interventions |
Project commenced |
| IHO017 |
A feasibility trial of stratified Cognitive Functional Therapy for high-risk neck and back injuries following a road traffic crash |
CFT: psychologically informed physiotherapy that focuses on fear and fear of movement. |
Michele Sterling |
O’Sullivan P., (Curtin), Nicholas M., (U Sydney), Smith A., (Curtin), Kent P., (Curtin), Caneiro J.P., (Curtin), Schutze R. (Curtin). |
Improve injury treatment |
Manuscript submitted |
| IHO018 |
My Injury Pilot |
E-health support intervention for risk-stratified management in primary care. Development, feasibility, acceptability, Co-design (consumers, providers).
Three phases. Phase 1 Two systematic reviews are underway -1) the use of MHealth in the management of musculoskeletal pain and 2) The use of SMS messaging for a musculoskeletal condition.
Phase 2. Qualitative studies with end-users to inform further development of the e-health system. Ethics to be submitted.
Phase 3 – pilot testing – to be planned.
|
Michele Sterling |
Mescuoto K, Armfield N., Ritchie C., Elphinston R., van Driel M. |
To develop interventions |
Project commenced |
| IHO019 |
Association between Injury Representations and persistent pain and mental health trajectories after traumatic extremity injuries: A common-sense approach |
To investigate recovery after traumatic extremity injuries |
Michele Sterling |
Sterling M., Armfield N., Giummarra M., O’Leary S. (Actual LEAD is Prue Butler - PhD student) |
Improve injury treatment |
Manuscript submitted |
| IHO020 |
The burden of minor road traffic injury |
Pooling of data from national and international longitudinal cohort studies will be undertaken to derive case-based disability weights for minor MVC injury (AIS <2) using self-reported data collected directly from affected individuals via multi-attribute utility instruments |
Nigel Armfield |
Sterling M, Gabbe B, Lamb S, McLean S, Carstensen T. |
To develop interventions |
Manuscript in preparation |
| IHO022 |
Systemic small fibre pathology in chronic whiplash |
Following our finding of small fibre pathology in the skin in whiplash, we will determine if small fibre pathology is a systemic phenomenon using corneal confocal microscopy in chronic whiplash patients. |
Scott Farrell |
Sterling M, Edwards K. |
To develop interventions |
Data collection commenced |
| IHO023 |
Genetics of brain changes in chronic pain |
Changes in brain morphology occur in whiplash and may contribute to development and maintenance of chronic pain. Using statistical genetics in UK Biobank data (n = ~200,000), we have determined that shared genetic factors contribute to reductions in size of brain regions and risk of chronic neck pain and other forms of pain |
Scott Farrell |
M Sterling, A Campos, PF Kho, RMJ de Zoete, ME Rentería, T Thanh Ngo, G Cuellar-Partida |
To develop interventions |
Study complete - Work Published |
| IHO024 |
Large-scale investigation of blood markers in chronic pain |
We will determine presence of inflammation in the UK Biobank data (n = ~500,000) in people with chronic neck, back and other musculoskeletal pain conditions, including influence of relevant medical, psychological, and social factors. |
Scott Farrell |
Sterling M, Cabot P, Armfield N, Elphinston R, Xie Y, Gray P, Minhas G, Collyer M |
To develop interventions |
Manuscript published |
| IHO025 |
Does Vitamin D play a role in chronic pain? |
Using data from the UK biobank, this study aims to determine the association of 25 (OH)D with chronic pain at the neck/shoulder, back, hip and knee and chronic widespread pain, accounting for potentially confounding sociodemographic characteristics, lifestyle and behaviour factors, and health status. |
Michele Sterling |
Dr Yanfei Xie, Dr Nigel Armfield, Dr Scott Farrell, Prof Sam Mclean, Dr Matthew Mauck |
To develop interventions |
Study complete - Work Published |
| IHO026 |
Developmental trajectories of markers of nociplastic pain and disability following whiplash injury |
This study will investigate the development and co-development of nociplastic pain (pain thresholds, temporal summation, conditioned pain modulation) after a whiplash injury. |
Michele Sterling |
Dr Yanfei Xie, Dr Nigel Armfield, Dr Scott Farrell, Prof David Yarnitsky |
Improve injury treatment |
Manuscript submitted |
| IHO028 |
Diagnostic labels for whiplash associated disorders and their influence on perceptions of recovery |
To investigate whether different labels for whiplash associated disorders influence people’s perceived recovery. |
Yanfei Xie |
Sterling, M. |
Improve injury treatment |
Study complete - Work Published |
| IHO029 |
Chronic pain and health-related quality of life: a population-based study. |
Determining the burden of chronic pain through the UK Biobank data |
Nigel Armfield |
Sterling M, Connelly L, Gabbe B. |
Improve injury treatment |
Project commenced |
| IHO030 |
Involvement in a randomised controlled trial, Whiplash ImPaCT: a qualitative study of participant perceptions and experience. |
Qualitative exploration of participant perceptions of participation in Whiplash ImPaCT, a randomised controlled trial that evaluated the effect of a novel guideline-based clinical pathway of care on health outcomes following a whiplash injury |
Michele Sterling |
Sterling M, Rebbeck T, Bandong, A., Leaver, A. |
Improve injury treatment |
Project commenced |
| IHO031 |
Simulation modelling of injury insurance schemes |
To create validated computational representation of real-world systems and depict relevant simulations |
Michele Sterling |
Thompson J, Collie A. |
Optimising service models |
Project commenced |
| IHO032 |
Early prevention of chronic musculoskeletal pain after injury: a survey of GP attitudes and prescribing behaviours |
In the low SES area of Caboolture/Morayfield, we will survey HHM GPs about treatment of minor MSK injury and attitudes to prescribing pregabalin, especially important since Qscript commenced (pregabalin is a controlled drug). Results will inform research on the prevention of chronic pain after injury. |
Jane Nikles |
Sterling M, Soujudi S, Mitchell G. |
Improve injury treatment |
Data collection commenced |
| IHO033 |
StudyU: A Unique Tool to Self-Manage Chronic Pain. |
1. Conduct survey of people with chronic pain, gauging interest in scientifically testing their responses to different treatments for chronic pain.
2. Build personalised N-of-1 trials using StudyU for interested responders.
3. Conduct feasibility, usability, acceptability evaluation (participants and their clinicians).
4. Create peer-led consumer group, to support other consumers in StudyU use and integrate with HHM’s governance structure post-study.
|
Jane Nikles |
Sterling M, Soujoudi S, Cox D, Bell A, Andrews N. |
To develop interventions |
Data collection commenced |
| IHO034 |
ManoeuVR: Advancing treatment of driving phobia after injury |
To co-design and test a virtual reality intervention for driving anxiety. |
Rachel Elphinston |
Dobbins C, Sterling M |
To develop interventions |
Project commenced |
| IHO035 |
The association of pre-injury health with outcomes following road traffic injury: a systematic review |
The association of pre-injury health with outcomes following road traffic injury: a systematic review |
Michele Sterling |
Huang, I., Armfield, N.
|
To develop interventions |
Manuscript submitted |
| IHO036 |
Differences in clinical outcomes between whiplash-associated disorder (WAD) and non-traumatic neck pain (NTNP): a systematic review |
Differences in clinical outcomes between whiplash-associated disorder (WAD) and non-traumatic neck pain (NTNP): a systematic review |
Michele Sterling |
Chen, J., Farrell, S. |
To develop interventions |
Manuscript published |
| IHO037 |
Development of consensus recommendations for mechanism-based phenotyping of musculoskeletal conditions |
To address the generation of a guideline for mechanism-based phenotyping that include application of the 2021 IASP clinical criteria for nociplastic pain and the 2016 update of the guideline for the classification of neuropathic pain. |
Michele Sterling |
Hodges P, Sluka K, Rice A, Shraim M |
To develop interventions |
Manuscript submitted |
| IHO038 |
Exploring Physiotherapists Perspectives about N-of-1 Clinical Trials and Single-Case Designs |
What are physiotherapists’ perspectives on using SCD studies in healthcare? In particular, what are the perceived barriers to the design, conduct, analysis, interpretation and dissemination of SCD studies. |
Jane Nikles |
Sterling, M., Ross, M, Cordeira Da Costa N, McDonald S, Vuvan V, Vincenzino B. |
To develop interventions |
Data collection commenced |
| IHO039 |
Development of small fibre pathology in chronic whiplash associated disorder |
Building on our prior observation of small nerve fibre pathology in chronic WAD, we are undertaking a longitudinal study to determine temporal development of small fibre pathology after acute whiplash injury and relationship with clinical outcomes. |
Scott Farrell |
Sterling M, Cabot P, Ranathunga N, Gray P, Claus A, Schmid A, Nicholson G, Chu K |
To develop interventions |
Data collection commenced |
| IHO040 |
Small fibre pathology in chronic pain conditions in humans |
Following our observation of small nerve fibre pathology in chronic whiplash, we are systematically interrogating the literature to characterise evidence of this neurological involvement in chronic pain conditions |
Scott Farrell |
Sterling M, Ranathunga N, Schmid A, Sierra-Sylvestre E, Bissett L, Coppieters M |
To develop interventions |
Manuscript published |
| IHO041 |
Effectiveness of psychological interventions delivered by physiotherapists in management of neck pain |
This systematic review aimed to determine if psychological interventions delivered by physiotherapists are effective in treating neck pain |
Scott Farrell |
M Sterling, Liimatainen J |
Improve injury treatment |
Study complete - Work Published |
| IHO042 |
Genetic mechanisms of chronic pain |
Using genetic data for 8 chronic pain types and >1400 biopsychosocial conditions, this project investigates i) shared genetic basis to different chronic pain conditions, and ii) causal relationships between a range of biopsychosocial traits and chronic pain |
Scott Farrell |
M Sterling, A Campos, PF Kho, RMJ de Zoete, ME Rentería, T Thanh Ngo, G Cuellar-Partida |
To develop interventions |
Manuscript published |
| IHO043 |
PRioRTI: PReventing chronic pain after whiplash Road Traffic Injury: RCT of very early pregabalin in the Emergency Department |
Road traffic injury (RTI) incurs a huge and rapidly increasing worldwide burden. Most RTIs are musculoskeletal, principally neck pain and upper back pain (whiplash). 50% of people with whiplash RTI do not recover, contributing significantly to the Australian burden of chronic pain. Preventing chronic pain has been recognised as an unmet medical need in Australia and internationally.
Recommended treatments (advice, exercise, simple analgesics) do little to reduce chronic pain after RTI. Inappropriate prescription of opioids is common. Pregabalin, approved in Australia for neuropathic pain and epilepsy, is increasingly used off-label for acute whiplash. This is despite the lack of supporting evidence and concerns about side effects. Pregabalin blocks the development of pain central sensitization, features of which are associated with poor recovery after whiplash RTI.
We recently completed a randomised controlled feasibility trial of pregabalin for acute whiplash initiated within 48 hours of injury in the hospital Emergency Department. The trial was feasible and pregabalin had promising and sustained effects over placebo to prevent chronic pain. Repurposing pregabalin for use in acute injury is a novel approach to prevent chronic pain.
We propose a double-blind parallel randomised placebo controlled trial to definitively test whether short term pregabalin prevents chronic pain after acute whiplash injury. Safety and cost-effectiveness of the intervention will be determined. A mixed methods process evaluation to provide detailed understanding of implementation and mechanisms of effect (mediators) will be conducted. We have included consumers and end-users (clinicians, policy makers) in the refining and piloting of the treatment and they will play a central role throughout the project.
Any treatment that can prevent chronic pain after injury will have a profound and significant effect on public health and cost of Australia and the world’s most burdensome condition. |
Michele Sterling |
Schug S, Lin C, Celenza A, Mitchell G, Ware R, Connelly L, Hodges P, Klyne D, Elphinston R, Nikles J, Dinh M, Ferguson L |
Improve injury treatment |
Data collection commenced |
| IHO044 |
Implementing integrated psychological and physical care for Australians after road traffic injury (PICOT Trial) |
Each year >100,000 Australians experience a road traffic injury––the majority (75%) are considered non-catastrophic musculoskeletal injuries (nRTIs). Up to 50% of cases do not recover but develop chronic pain (pain that persists =3 months). This represents a significant health burden for Australia. A biopsychosocial approach to care is recommended and our RCT showed that when physiotherapists include psychological strategies as part of their treatment (StressModex RCT), recovery improves. However, this approach is not in routine use in Australia with a major barrier being limited training and lack confidence of physiotherapists to deliver psychological care.
Under RCT conditions, we showed that 2-day in-person training improved patient outcomes. In-person training is difficult to scale limiting widespread implementation and sustainable change in clinical practice. To address this barrier, together with our partners, we have developed a novel on-line implementation strategy (PICOT: Physiotherapists bIopsyChosocial On-line Training) to implement the StressModex intervention. Our VISION is that all physiotherapists, nationwide, deliver effective early biopsychosocial care to improve health outcomes for people with nRTI.
We will conduct a hybrid implementation-effectiveness cluster randomised controlled trial in primary care physiotherapy practices. The aims of this research are to: (1) Compare the effectiveness of the two implementation strategies (in-person training versus PICOT) on the delivery of StressModex in routine physiotherapy practice; (2) Compare the effectiveness of the two implementation strategies on patient outcomes; and (3) Compare the cost-effectiveness of the two implementation strategies. A process evaluation will inform broad scale-up beyond this RCT. Consumers and end-users (clinicians, policy makers) have been involved in the development and piloting of our implementation strategy and they will continue to play a central role in this trial. |
Michele Sterling |
Elphinston R, Foster N, Treleaven J, Slater H, Tuffaha H, Lodge J, Forbes R, Peek K, Lynch J, O'Leary S, Xie Y, Eather C-M |
Improve injury treatment |
Data collection commenced |
| IHO045 |
ReconNECKt: A randomised placebo-controlled trial to test the safety, clinical and cost effectiveness of a new treatment for chronic neck pain. |
Chronic neck pain exerts a massive health burden and has been identified by our clinician, consumer and industry partners as a major health priority. Chronic idiopathic neck pain is neck pain not triggered by a specific traumatic event, which remains a substantial unmet health need - there are currently limited options for effective treatment.
It is recognised to be a complex condition with many potential contributors. Our research team has been at the forefront internationally of identifying and understanding these contributors and designing interventions that modify them and reduce their impact.
We have now developed an integrated treatment approach that combines several promising component treatments into a coherent, progressive complex care package. The ReconNECKt trial will compare our new treatment to a carefully designed placebo treatment, which is equally credible, involves equal interaction with health professionals and controls for any placebo effects.
Over five years, we will recruit from the community 434 participants with chronic neck pain. We will randomly allocate them to the new treatment or to the control treatment. Both treatments take 8 weeks, are delivered via telehealth and involve 8 sessions with a trained physiotherapist or exercise physiologist. We will assess pain, disability and a range of physical and psychological factors at multiple time points. Our primary outcome is disability due to neck pain at 12 weeks. We predict that people who participate in the new treatment will be less disabled by neck pain, have less pain, less worry and more confidence to return to normal life, than people who participate in the control treatment. We will assess participants for a year after treatment. We will also fully assess the safety, acceptability and cost effectiveness of our new treatment.
We have included consumers and end-users (clinicians) in the refining and piloting of the treatment and they will play a central role throughout the project. |
Michele Sterling |
Moseley G, McAuley J, Wand B, Karran E, Cashin A, Rebbeck T, Stanton T, de Zoete R, Wallwork S, Harvie D, Gooddall S |
Improve injury treatment |
Data collection commenced |
| IHO046 |
Implementation of My Whiplash Navigator (a website to support a risk-based clinical pathway of care) with ALLIANZ- a pilot study. |
People with whiplash still have poor outcomes and rehabilitation is costly. We have developed an interactive website (MyWhiplashNavigator www.mywhiplash.com.au) in collaboration with key stakeholders including clinicians, insurers, patients and researchers. The website aims to assist delivery of health services to people with whiplash by providing the right treatment to the right people at the right time. In this study, we aim to implement MyWhiplashNavigator in collaboration with the CTP insurer, Allianz. We aim to evaluate the effect of this implementation on; 1) CTP Insurer knowledge, 2) CTP Insurer practice and 3) Patient satisfaction and health outcomes.
|
Michele Sterling |
Rebbeck T, Leaver A, Bandong A, Mackey M, Dunleavy A |
Improve injury treatment |
Manuscript in preparation |
| IHO047 |
How do digital psychological interventions deliver value-based health to people living with pain? A scoping review. |
This scoping review will aim to address the following questions:
1. How do digital psychological interventions address the quadruple aim of healthcare?
2. What are the opportunities and challenges in implementing a value-based approach for digital psychological interventions?
3. How are patients with chronic non-cancer pain accessing digital psychological interventions? |
Chloe-Emily Eather |
Sterling M, Sullivan C, Armfield N, Liimatainen J, Chandra, S, Elphinston R. |
Improve injury treatment |
Manuscript submitted |
| IHO048 |
Development and use of mobile messaging for individuals with musculoskeletal pain conditions: a scoping review |
The aims of this review are:
(1) to map how mobile messaging has been used for individuals with MSK pain; (2) to identify information that could be useful in the design of future messaging interventions for these individuals; and (3) because few RCTs have been conducted in the area, and their focus has been solely on effectiveness, to explore and summarise the findings of efficacy, effectiveness and economics derived from both previous experimental and observational messaging studies for individuals with MSK pain. |
Nigel Armfield |
Sterling M, Liimatainen J, Eather C, Elphinston R |
Improve injury treatment |
Study complete - Work Published |
| IHO049 |
Co-designing a supportive SMS text message intervention for individuals with acute whiplash-associated disorders: a mixed methods study |
The aim of this mixed-methods study is to conduct a co-design process to inform the acceptability, readability, and quality of a supportive text message bank to inform a future feasibility trial on a supportive text message intervention for individuals with acute whiplash associated disorders. This interactive co-design study will have two phases: 1) Phase 1: co-design workshops, 2) Phase 2: text message review and refinement. By the end of phase 2, we will have a comprehensive text message bank to be used in a future feasibility trial. |
Michele Sterling |
Prof Michele Sterling, Ms Chloe-Emily Eather, Ms Jessica Cheers, Dr Jessica Formosa, Ms Jenna Liimatainen, Dr Karime Andrade Mescouto, Dr Nigel Armfield, Dr Rachel Elphinston. |
To develop interventions |
Data collection commenced |
| IHO050 |
Perspectives of people with chronic whiplash associated disorders and post-traumatic stress disorder that participated in a trial investigating the effectiveness of combined trauma-focused cognitive behavioural therapy and exercise compared with supportiv |
This qualitative study aims to explore the perspectives of people with chronic whiplash associated disorders and post-traumatic stress disorders that participated in a trial investigating the effectiveness of combined trauma-focused cognitive behavioural therapy (TF-CBT) and exercise compared with supportive therapy (ST) and exercise. We will analyse participants exit interviews to explore their perception of the treatment they received and their overall experience in participating in the trial. |
Michele Sterling |
Elphinston, R., Bennett, L. |
To develop interventions |
Manuscript in preparation |
| IHO051 |
Relationships between sleep and pain after road traffic injury |
This study will lever the large USA AURORA dataset to investigate the prospective relationships between sleep and pain, mediators and moderators of these relationships. This will inform future treatments that aime to prevent the development of chronic pain after road traffic injury. |
Michele Sterling |
Wanyun (Irene) Huang
Nigel Armfield
Samuel Mclean |
To develop interventions |
Manuscript in preparation |
| IHO052 |
Developing better treatment for chronic WAD. |
There are few effective treatments for chronic WAD. The aim of this study is to analyse previous RCT data, develop and test new interventions. The following studies are planned:
1) Qualitative analysis of therapist/patient treatment audio tapes from previous RCT- trauma-focussed CBT and exercise for chronic WAD; 2) secondary mediation analysis of the trauma-focussed CBT and exercise for chronic WAD to determine the mechanism of effect; 3) use these results to develop a new intervention and 4) test this intervention in a SCED design. |
Michele Sterling |
Leone Bennett
Rachel Elphinston
Tonny Andersen
Sophie Ravn
Nigel Armfield |
To develop interventions |
Manuscript in preparation |
| IHO053 |
Is it feasible and acceptable to use smartwatch sensors to monitor outcomes in a physiotherapy clinic? |
The primary aim of this project is to determine the feasibility and acceptability of a research grade smartwatch to track daytime heart rate variability and nighttime sleep duration and quality in patients participating in a 6-week intensive multidisciplinary pain program. Secondary aims include characterizing changes in sleep and stress over the 6-week multidisciplinary pain program and evaluate whether subjectively measured sleep and stress correlate with data from the research smartwatch.
|
Michele Sterling |
Yanfei Xie, Montana Moyle, Jenna Liimatainen |
Improve injury treatment |
Manuscript in preparation |
| IHO054 |
Early multi-disciplinary care to reduce chronicity of transport accident injuries |
To investigate the acceptability, feasibility and potential effectiveness of an early, stratified care rehabilitation program for TAC clients who have sustained non-hospitalised transport accident injuries.
Objective 1 - Evaluate the potential effectiveness* of the stratified care rehabilitation program by assessing the impact on health outcomes pre- to post-intervention, focusing on the following domains:
• Physical functioning
• Perceived recovery
• Work and social functioning
• Psychological functioning
• Quality of life
• Pain, and
• Cost diaries.
Objective 2 – To evaluate the acceptability and feasibility of the stratified care rehabilitation program through focus groups with trial clients and health care providers.
|
Michele Sterling |
Nick Kendrick, David Brentnall, Rachel Elphinston, Joshua Farragher, Shaun O'Leary |
Improve injury treatment |
Project commenced |
| IHO055 |
Health care utilisation of compensable road traffic injury |
Data linkage of cohort studies, CTP data with MBS and PBS |
Michele Sterling |
Collie A, Cameron I, Connelly L, Griffin D. |
Affordability and viability of CTP |
Project commenced |
| IHO056 |
Uncovering the role of sleep in back pain in the real world |
By experimentally manipulating sleep, we will explore the impact and aspects (e.g., staging, fragmentation, arousal) of sleep quantity/quality on next-day pain and test the relevance of our pre-clinical findings in humans with LBP by verifying: (1) potential mechanisms that explain how sleep influences pain, and (2) factors that facilitate or impede (e.g., exercise) this interaction. We will also assess the validity of four common consumer wearables (e.g., Whoop) for measuring sleep quantity, continuity and basic architecture in this population in the “real-world” by comparing the data to that acquired by a PSG setup. This research will take advantage of existing equipment and online platforms/infrastructure, a database of LBP participants, and ongoing funding support (e.g., US NIH).
AIM 1: Test the hypothesis that poor sleep worsens next-day LBP via specific neuroimmune pathways, and that these changes are attributed to specific indices of sleep such as slow wave sleep.
AIM 2: Evaluate the accuracy of multiple latest generation consumer wearables for quantifying indices of sleep quantity, continuity and basic architecture in people with LBP in the real-world. |
Scott Farrell |
David Klyne (UQ), Scott Farrell (UQ), Sanam Mustafa (Uni Adelaide), Paul Hodges (UQ), Simon Smith (UQ), Michelle Hall (USyd), Manuela Besomi (UQ) |
To develop interventions |
Protocol under development |
| IHO057 |
Glucocorticoid facet joint injection for chronic back or neck pain |
This is a Cochrane Review (intervention). The objectives are as follows:
The primary objective is to assess the benefits and harms of glucocorticoid facet joint injections in adults with chronic back or neck pain that is presumed to be facet joint‐mediated.
The secondary objective is to assess whether the effects differ by diagnostic method for facet joint‐mediated pain. |
Scott Farrell |
Smith (UCalg), Schneider (Vanderbilt), Schneider (UCalg), Grondin (CMCC), Gelley (Private Practice), Bobos (WesternU), Maher (USyd), Gross (McMasterU) |
Improve injury treatment |
Manuscript in preparation |
| IHO058 |
Early Medication for Prevention of Chronic Pain After Whiplash Injury – a Discrete Choice Experiment |
In order to inform our full trial and later implementation, we aim to use a Discrete Choice Experiment to explore how attributes of a medicine (such as pregabalin) influence patient treatment preferences in management of acute whiplash injury. Specifically, it will determine the impact of i) clinical efficacy in the short term (reducing acute pain) and long term (prevention of chronic pain), ii) effects on long term function, return to work and mental health, iii) potential side effects/adverse events, iv) potential for addiction, and v) costs. |
Scott Farrell |
Michele Sterling (RECOVER), Connelly (UQ), Lenzen (UQ) |
Improve injury treatment |
Project ethics submitted |
| IHO059 |
'StressModex’ For Inpatient Care Following Orthopaedic Road Trauma |
Research Aim: To develop an adapted version of StressModex for delivery by physiotherapists in inpatient care after orthopaedic road trauma, through co-design with consumers, clinicians, health service managers and insurers.
Method: Modified Experience-Based Co-Design approach via a series of 5 workshops (3 streams) with consumers/carers/families (N~10), clinicians and health service managers (N~10 and N~5, respectively), and insurers/regulators (N~5). Together with the research team, these co-designers will address priorities identified in our foundational stakeholder consultation and produce a clinical protocol and intervention manual for an adapted version of StressModex that is feasible and acceptable for an inpatient orthopaedic ward setting. This adapted intervention will be ready for subsequent testing in future feasibility and effectiveness clinical trials. |
Scott Farrell |
Sterling, Elphinston, Papic, Xie, Foster (JTI). AIs: Smith (Active Rehab), Statham (RBWH), O'Neill (RBWH), Jeffress (QH), Lane (GCUH), Butler (SCUH) |
To develop interventions |
Ethical approval obtained |
| IHO060 |
A Single-Case Experimental Study to Assess Temporal Change During the StressModEx Intervention for Sub-Acute Whiplash-Associated Disorders |
This trial aims to identify if and when individuals with acute or sub-acute WAD exhibit changes in pain-related outcomes and stress during StressModex. A Single Case Experimental Design incorporating embedded randomisation, replication and non-concurrent multiple baselines will be employed in adults with acute or sub-acute WAD classified at medium-to-high risk of non-recovery. The primary aim is to determine the process of change in daily stress and pain-related outcomes (interference, intensity, bothersomeness) during the six-week StressModex intervention. |
Nicole Rickerby |
Stirling, M., Elphinston, R., Papic, C., Tanious, R., Vlaeyen, J. |
Improve injury treatment |
Ethical approval obtained |
| IHO061 |
RISE for Recovery, Information, Support, Empowerment after road traffic injury – an innovative text messaging intervention pilot study |
The purpose of this study is to pilot test the feasibility, acceptability, and preliminary effectiveness of RISE. RISE provides text messages to improve Recovery, Information, Support, Empowerment in the first 3 months after RTI, supporting patients who have been
previously left to navigate recovery by themselves. A double-blind randomised controlled trial (N=50) will assess its feasibility in practice, acceptability, and its preliminary effectiveness in reducing pain and disability. This significant work will bring RISE for Recovery, Information, Support, Empowerment closer to the people who need it in Queensland, and position it as a scalable, transformative treatment option for RTI care across Australia. |
Rachel Elphinston |
Dr Rachel Elphinston
Dr Jessica Formosa (RECOVER Injury Research Centre,
UQ)
Prof. Michele Sterling (RECOVER Injury Research Centre,
UQ),
Dr Nigel Armfield (RECOVER Injury Research Centre, UQ),
A/Prof Claire Ashton-James (USYD)
Dr Lisa Buckley (USC),
Dr Chris Papic (RECOVER Injury Research Centre, UQ)
Dr Katherine Brain (UQ, Chronic Pain Australia [consumer representative]),
A/Prof Anton Van Der Vegt (Faculty of Medicine, UQ)
Dr Kim Hansen (Medical Director, Virtual Emergency Care Services, Metro North)
Dr Andrew Staib (Deputy Director Emergency Medicine, Princess Alexandra Hospital, Metro South)
Dr Andrew Hobbins King (Medical Director Trauma Service, Senior Staff Specialist Emergency, Sunshine Coast University Hospital, Sunshine Coast Hospital and Health Service)
Jenna Liimatainen (RECOVER Injury Research Centre, UQ)
Chloe-Emily Eather (RECOVER Injury Research Centre, UQ)
Dr Jessica Cheers (Consultant)
|
Improve injury treatment |
Ethical approval obtained |
| IHO062 |
A patient perspective on creating value in digital psychological interventions for chronic non-cancer pain |
To explore outcomes that are meaningful to people living with chronic non-cancer pain in the use of digital psychological interventions.
To rank the outcomes identified as important to people with chronic non-cancer pain
|
Chloe-Emily Eather |
Rachel Elphinston
Michele Sterling
Clair Sullivan |
Improve injury treatment |
Data collection commenced |
| IHO063 |
Exploring the experiences in implementing digital psychological interventions for people with chronic non-cancer pain |
To explore the experiences of clinicians who prescribe, implement, and facilitate digital psychological interventions in patients with chronic pain.
To identify key indicators of the clinician experience when delivering digital psychological interventions for people with pain.
|
Chloe-Emily Eather |
Rachel Elphinston
Michele Sterling
Clair Sullivan |
Improve injury treatment |
Data collection commenced |
| IHO064 |
A discrete choice experiment (DCE) to assess physiotherapists’ preferences and willingness to pay for clinical supervision to enhance their skills in delivering integrated psychological and physical care. |
This study aims to conduct a DCE to assess physiotherapists’ preferences and WTP for clinical supervision designed to enhance their skills in delivering integrated psychological and physical care for people with musculoskeletal pain. Findings will inform the development of acceptable, scalable, and sustainable supervision models to support physiotherapy workforce capacity and support widespread implementation of biopsychosocial care in physiotherapy. |
Yanfei Xie |
Michele Sterling, Rachel Elphinston, Chris Papic, Chloe-Emily Eather, Carrie Ritchie |
Improve injury treatment |
Project commenced |
| IHO065 |
Evaluation of PICOT Physiotherapist Training Modules |
• Primary aim: To assess physiotherapists’ perceived acceptability, usability, and overall experience of using the PICOT modules
• Secondary aim: To assess changes in physiotherapists’ pain attitudes and beliefs, self-perceived confidence and competence in delivering StressModex, as well as their intention to implement StressModex in clinical practice following completion of the PICOT modules
|
Yanfei Xie |
Michele Sterling, Rachel Elphinston, Chris Papic, Chloe-Emily Eather, Carrie Ritchie |
Improve injury treatment |
Project commenced |
| IHO066 |
A scoping review of the classification, prevalence, burden and treatment of minor to moderate road traffic injuries in low- and middle-income countries |
This review seeks to map the available literature on the characterisation, prevalence, individual-level burden and treatment of minor to moderate road traffic injuries in low- and middle-income countries (LMICs).
|
Nicole Rickerby |
Sterling, M., Armfield, N., Xie, Y. |
Educating and disseminating information |
Protocol under development |
| IHO067 |
Understand factors contributing to the transition from acute to chronic pain following motor vehicle collision injury |
The aim is to better understand factors contributing to the transition from acute to chronic pain following motor vehicle collision injury. Leveraging existing longitudinal data from the AURORA study provides an opportunity to examine cognitive (resilience), behavioural (avoidance), and affective (perceived stress, hyperarousal) factors over time, as well as whether the type of health service accessed modifies these relationships. Findings may help inform early psychological screening and referral pathways for more personalised pain management. |
Nicole Rickerby |
Sterling, M., Ng, A., Tawiah, N. |
All CTP categories |
Protocol under development |
| IHO068 |
Biopsychosocial Factors Associated with Recovery Following Micro-Mobility Crash-Related Injury |
To examine associations between biopsychocial factors and perceived recovery following a micro-mobility (i.e., e-scooters, e-bikes, bicycles) crash.
|
Nicole Rickerby |
Kang, B.Y. |
|
Protocol under development |
| TER004 |
A mixed-method investigation of acceptance, barriers and enablers of virtual reality technology in communication rehabilitation from the perspective of patients |
The overarching aim of the project is to develop and validate immersive virtual reality applications to assess and treat speech and cognitive-communication disorders in people following TBI: Patient perspectives
Project 1b: Co-design of a virtual reality application (Simulated Kitchen)
|
Trevor Russell |
Aldridge D., Koenig S., Theodoros D., Russell T. |
To develop interventions |
Study complete |
| TER008 |
Allied health inpatient and outpatient services across Queensland hospitals for people following injuries due to motor vehicle crashes |
The aim of this project is to examine the type and extent of allied health inpatient services across Queensland for people following land transport crashes during a one-year period (2016). Information obtained from this project will help to identify areas of need and possible alternate models of care |
Michele Sterling |
Warren, Jacelle (JTI)., Theodoros D., Cahill L., Sterling M., Johnston V., (RECOVER) Cameron C., Vallmuur K. (JTI). |
Optimising service models |
Study complete |
| TER010 |
Is app gamification effective in increasing consumer engagement and satisfaction? An evaluation of gamification for a chronic pain monitoring app |
Evaluation of a mobile phone-based app to gamify the management of symptoms in a chronic pain population |
Nicole Andrews |
David Ireland (CSIRO), Marelein Varnfield (CSIRO), Sinclair C., Deen M., Cooke K., Rowe H., Vaezipour A., Smits E. |
Improve injury treatment |
Data analysis commenced |
| TER011 |
Innovative Artificial Intelligence based chatbot to improve patient education for the self-management of whiplash |
Development of a chatbot to provide context-specific patient education related to the MAIC whiplash booklet and the whiplash guidelines |
Joshua Simmich |
Russell T., Sterling M., Armfield N. |
Improve injury treatment |
Study discontinued |
| TER015 |
PREDICT-TBI - PREdiction and Diagnosis using Imaging and Clinical biomarkers Trial in Traumatic Brain Injury: the value of Magnetic Resonance Imaging |
The use of imaging and blood biomarkers to predict the long-term functional outcomes in patients with traumatic brain injury |
Trevor Russell |
Nasrallah F., Reutens D., Chandra S.S., Walsham J., Russell T., Bhuta S., Ross J.P., Winter C., Senthuran S., Bellapart J. |
Educating and disseminating information |
Data collection commenced |
| TER017 |
Use of technology to improve the efficiency of orthopaedic rehabilitation in Far North Queensland |
Use of community-based patient-reported outcomes and an mHealth application to streamline orthopaedic rehabilitation in far north Queensland |
Trevor Russell |
O’Leary S, Glenwright B, Cottrell M. |
Optimising service models |
Data collection commenced |
| TER018 |
Enhancing the management of chronic pain: a new eHealth model to extend onsite care and benefits back to the community |
Using Telehealth combined with a gamified mHealth app to support people with chronic pain in the community |
Nicole Andrews |
Russell T, Simmich J, Claus A, Gray P, Pak A, O’Donohue R, Amershi F. |
Optimising service models |
Ethical approval obtained |
| TER019 |
Evaluation framework for using conversational agents in healthcare |
This project will commence with a systematic review of methods used to evaluate the use of conversational agents in healthcare settings |
Joshua Simmich |
Russell T, Simmich J. Andrews N, Vaezipour A. |
To develop interventions |
Study complete - Work Published |
| TER020 |
Can assessment of the TMJ be performed remotely via Telehealth? |
This project will evaluate the diagnostic validity of remotely performed TMJ assessment via Telehealth |
Trevor Russell |
Cottrell M. |
Improve injury treatment |
Study complete - Work Published |
| TER022 |
Acceptability of a pain history and pain education chatbot across different age groups: designing and pilot testing the Dolores mobile app |
This project involves the development and pilot testing of a pain history and pain education chatbot. |
Nicole Andrews |
Ireland D, Claus A, Hay E, Burvill L, Strong J, Westerman D, Schlumpf M, Rose T, Vijayakumar P. |
Optimising service models |
Study complete - Work Published |
| TER023 |
Onsite hospital-based pain management programs: understanding and improving uptake and adherence rates |
Mixed methods involving: 1) establishing uptake and adherence rates of the two onsite pain management programs that were run 2017- 2019 at the RBWH, 2) exploring possible reasons for poor uptake and adherence using qualitative methodology, 3) exploring perceptions of a number of potential initiatives to improve uptake and adherence (incl. Telehealth) |
Nicole Andrews |
Claus A, O’Donohue R, Murdoch M, Ding H, Vaezipour A, Gray P, Russell T. |
Optimising service models |
Manuscript in preparation |
| TER024 |
An investigation of the prevalence, impact, and management of chronic pain post trauma at a tertiary public hospital |
This project aims to examine the prevalence, management and impact of chronic pain post trauma, utilising existing clinical databases at the RBWH.
Main Aim: To better understand the current model of care for individuals who have persistent pain post traumatic injury and how this model of care could be improved
|
Nicole Andrews |
Andrews, N., Zheng, O., Johnston, V., Gane, E., Smits, E, Brakenridge, C., Grant, K., Ross, J., Gray, P. Rudd, M. |
Optimising service models |
Data analysis completed |
| TER025 |
Improving overactivity assessment in chronic pain: the development and pilot implementation of Pain ROADMAP |
Involves the development and pilot implementation of Pain ROADMAP – a mobile health platform that can accurately detect what activities cause severe pain aggravation in individuals with chronic pain |
Nicole Andrews |
Andrews, N., Chien, C.-W., Ireland, D., & Varnfield, M. |
To develop interventions |
Study complete - Work Published |
| TER026 |
Co-design, development, and evaluation of an immersive virtual reality therapy tool for individuals with communication disorder. |
The overreaching aim of this project is to design, develop, and evaluate an evidence-based VR therapy tool to improve the delivery of rehabilitation services for people with communication disorders that is tailored to the needs of end-users.
STARS ID: 26 |
Clare Burns |
CI: Clare Burns (RBWH/RECOVER), Dr Atiyeh Vaezipour (RECOVER), Dr Anna Farrell (RBWH)
AI: Natalie Hickey (STARS), Penni Burfein (UQ/STARS), Emeritus Professor Deborah Theodoros (UQ), Professor Trevor Russell (RECOVER), Professor David Copland (STARS), Dr Arindam Dey, Kate Hacking, Michelle Slee, Brooke Cowie, Wendy Luttrell, Kylie Short (STARS). |
Optimising service models |
Manuscript in preparation |
| TER027 |
Identifying optimal sit-stand recommendations for the workforce |
This project aims to explore whether a recommendation of (a) a 2:1 sit-stand ratio or a (b) a person-led, self-modified sit-stand ratio results in immediate (2 weeks) and short-term (3 months) changes in pain in office workers with low back pain |
Nicole Andrews |
Brakenridge C, Johnston V, Smith M, Gomersall S. |
To develop interventions |
Study complete - Work Published |
| TER028 |
Smartphone-based 6-Minute Walk Test in chronic pain: a validation study |
This project aims to compare a GPS-based phone application to a conventional 6-minute walk test for the determination of the standardised outcome of a 6-minute walk distance. |
Joshua Simmich |
Russell, T., Andrews, N |
To develop interventions |
Study complete - Work Published |
| TER029 |
Systematic review of facilitators and barriers to implementing electronic PROMs and PREMs in healthcare settings |
This systematic review will examine best practice for the implementation of electronic PROMs and PREMs in healthcare settings |
Joshua Simmich |
Ben Glenwright, A/Prof Shaun O’Leary, Dr Michelle Cottrell, Prof Trevor Russell |
Optimising service models |
Study complete - Work Published |
| TER030 |
Cost expectancy of elderly consumers receiving care via Telehealth |
This study involving elderly Australians will examine their expectations around the cost of receiving telehealth services. |
Trevor Russell |
Simmich J., Ross M. |
Optimising service models |
Study discontinued |
| TER031 |
Hazard perception in drivers experiencing Functional Neurological Disorder |
This project will evaluate the ability of patients experiencing FND to perceive hazards while driving (Part 1).
Part 2 of the project involves qualitative interviews to enhance understanding of the needs and challenges of adults with FND while driving.
|
Atiyeh Vaezipour |
Horswill M., Hill A., Lehn, A. (PA), Lagrand, T. (PA), Russell T. |
Optimising service models |
Study complete - Work Published |
| TER032 |
Co-design of a virtual reality application for speech-language rehabilitation in patients with neurological disorders |
This project will co-design with patients and clinicians a virtual reality application that can be used to deliver remote rehabilitation to patients with a neurological disorder – Part 1
RBWH Foundation Grant submitted for Part 2 of the project (VR tele-enabled intervention)
|
Atiyeh Vaezipour |
Burns C., Russell T., Hill A., Short K. |
Optimising service models |
Study complete - Work Published |
| TER033 |
Virtual Reality as an adjunct to Vestibular Rehabilitation therapy in patients with Persistent Postural-Perceptual Dizziness: A pilot study |
This study will examine the utility of using virtual reality as an adjunct to traditional therapy for patients with persistent postural-perception dizziness |
Atiyeh Vaezipour |
Lehn A., Lagrand, T., Dharsha, P., Russell T. |
To develop interventions |
Manuscript in preparation |
| TER034 |
Exploring the frequency, nature and impact of technological difficulties in physiotherapy telehealth consultations |
Investigating the impact of technological difficulties on telehealth consultations by comparison to in-person consultations and telehealth consultations without difficulties |
Megan Ross |
Ross M., Hinman, R., Bennell, K. |
Optimising service models |
Study complete - Work Published |
| TER035 |
Exploring the impact of marketing materials on perceptions/willingness to use telehealth for physiotherapy consultations |
Understanding the impact of different marketing strategies on telehealth acceptance and willingness to participate |
Megan Ross |
Hartley N., Hinman, R., Bennell, K. Russell, T |
Optimising service models |
Study discontinued |
| TER036 |
Changes in perceptions of telerehabilitation for physiotherapists in response to the COVID-19 pandemic and restrictions imposed on in-person consultations |
Exploring changes in clinicians’ perceptions about and attitudes towards telehealth for physiotherapy consultations in hospital outpatient departments in response to COVID-19 restrictions |
Megan Ross |
Nelson M., Hartley N., Tyrrell R., Weight M., Parravicini V. |
Educating and disseminating information |
Study complete - Work Published |
| TER037 |
A remote supervision model for allied health clinical placements |
Exploring student and clinical educator perceptions of remotely supervised clinical placements using telerehabilitation |
Megan Ross |
Whitehead, A., Beak, K. |
Educating and disseminating information |
Study complete - Work Published |
| TER038 |
Virtual Reality to assess meal preparation skills in adults with acquired brain injury |
Validation of the use of Virtual Reality to assess meal preparation skills in adults with acquired brain injury |
Trevor Russell |
Vaezipour, A., Gullo, H. |
To develop interventions |
Manuscript in preparation |
| TER039 |
A systematic review of pain monitoring mHealth apps |
A systematic search and quality review of mHealth applications that can be used to monitor chronic pain in the community |
Joshua Simmich |
Ross, M., Andrews, N., Vaezipour, A., Russell, T. |
Educating and disseminating information |
Study complete - Work Published |
| TER040 |
Co-design of an occupation-based Virtual Reality intervention for people with cognitive impairment after brain injury – bridging evidence to practice. |
This research will expand on previous work to design and develop a hybrid telerehabilitation-VR application with a novel occupation-based focus. We will use a human-centred, participatory approach with occupational therapists and people with ABI to co-design and develop an effective and safe intervention to enhance outcomes after ABI.
Hannah Gullo got the Grant (Stars Led) UQ KX&T grant. Now STARS Collaborating rather than led.
STARS ID: 59 |
Trevor Russell |
Doig E., Vaezipour A, Tornatore G.,Trevor Russell (RECOVER), Fatimah Nasrallah (QBI), Hannah Gullo, |
To develop interventions |
Manuscript in preparation |
| TER041 |
Impact of Immersive Virtual Reality Physiotherapy Interventions in the motor function Rehabilitation of Individuals with Acquired Brain Injury: A Systematic Review |
This study will systematically review the impact of immersive virtual reality (VR) physiotherapy interventions on the motor function rehabilitation of individuals with acquired brain injury (ABI). |
Trevor Russell |
Vaezipour, A. |
Improve injury treatment |
Study discontinued |
| TER042 |
Adherence, compliance and satisfaction to real time telerehabilitation is comparable to standard practice: a systematic review |
This systematic review will review the adherence, compliance and satisfaction rates of real time video telerehabilitation delivered by a physiotherapist compared to alternate modes of therapy? |
Joshua Simmich |
Ross, M., Russell, T. |
Educating and disseminating information |
Study complete - Work Published |
| TER043 |
Barriers to Occupational Therapists specialising in pain |
This project aims to develop a better understanding of 1) the barriers encountered by occupational therapists who have an interest in specialising in the psychosocial management of persistent pain within the private sector and 2) what additional undergraduate and postgraduate support may be required to overcome these barriers. |
Nicole Andrews |
Hamilton C., Lush L., Strong J., Irving P., Oliver M., Doyle S. |
Optimising service models |
Manuscript in preparation |
| TER044 |
Establishing normal values for driver performance in a two degree of freedom rehabilitation driving simulator |
1) Establish normal values for lane tracking accuracy, acceleration and braking force and steering input on a standardized driving task in a rehabilitation driving simulator?
2) Establish normal values for movement of the eyes, eye targeting and head (cervical spine) on a standardized driving task in a rehabilitation driving simulator
3) Investigate motion sickness aspects of a two degrees of freedom simulator compared to a static simulator.
|
Trevor Russell |
Ross, M., Simmich, J. |
To develop interventions |
Study complete |
| TER045 |
Biomechanics of trunk movements during Virtual Reality Gameplay in individuals with persistent low back pain |
To investigate the impact of virtual reality gameplay on trunk contributions to movement in individuals with low back pain and to compare these to healthy controls
|
Trevor Russell |
Window, P., McGrath, M. (RBWH - QMAC) Harvie, D., Smits, E., Johnston, V., Murdoch, M., Russell, T. |
To develop interventions |
Study complete - Work Published |
| TER046 |
The association between spousal reactions to chronic pain and pain-related patient outcomes: a systematic review |
This project aims to better understand helpful partner responses to pain and inform eHealth couples interventions within the pain field |
Nicole Andrews |
Donohue G., Meredith P., Strong J., Page L. |
To develop interventions |
Manuscript revision underway |
| TER047 |
An exploration of the relational and support needs of people experiencing persistent pain from their partner using interpretative phenomenological analysis |
This project aims to better understand the support needs of people experiencing persistent pain to inform eHealth couples interventions within the pain field |
Nicole Andrews |
Donohue G., Meredith P., Strong J., Brown R. |
To develop interventions |
Manuscript in preparation |
| TER048 |
What pain rehabilitation outcomes are important to Aboriginal and Torres Strait Islander Australians? |
This project aims to identify what rehabilitation outcomes are important to our first nation people and if existing outcome measures adequately measure these constructs |
Nicole Andrews |
Russell T., Strong J., Hamilton C., Williams H. |
To develop interventions |
Study discontinued |
| TER049 |
A mHealth assisted allied heath intervention to support people with chronic pain during opioid tapering: a pilot randomised controlled trial. |
Pain ROADMAP is a novel award-winning mobile health platform that tracks people with chronic pain and accurately detects the activities that caused severe pain exacerbations (i.e. pain flare ups). This project aims to adapt the original Pain ROADMAP treatment protocol to incorporate more targeted opioid tapering support and evaluate this protocol. |
Nicole Andrews |
Russell T., Gray P., Parmenter J., Ireland D., Strong J., La Craze A., Ferris J. |
Improve injury treatment |
Data collection commenced |
| TER050 |
Preventing re-presentations and excess strain on specialist pain services through assistive artificial intelligence and community linkage: the PREVAIL Pain trial |
This study aims to co-design, implement, and evaluation of an artificially intelligent discharge support tool (Dolores). Through the utilisation of 1) pain education and coaching, 2) regular goal setting/monitoring, 3) initiation and feedback from remote monitoring and assessment, and 4) linkage to existing resources, peer-support and community services, Dolores aims to support people in the community to sustain treatment gains following specialist care. |
Nicole Andrews |
Russell T., Ireland D., Strong J., Bradford D., Brenner K (Consumer) , Gray P., Ferris J., Spinks J., Woods L., Foster N., Cobcroft R (Consumer). Zahir F., Ngo H. |
Optimising service models |
Protocol under development |
| TER051 |
Clinician and consumer perspectives of driving simulators for rehabilitation after traumatic brain injury |
This study seeks to understand the perspectives of individuals with lived experiences of traumatic brain injury and clinicians with expertise traumatic brain injury driving assessment and/or rehabilitation. It seeks to explore the potential of driving simulators for
assessment and/or rehabilitation in clinical practice for individuals with TBI. |
Megan Ross |
Trevor R, Simmich, J, Blumenfeld, M |
To develop interventions |
Study complete - Work Published |
| TER052 |
Driving abilities and driving simulator tolerance among individuals with history of traumatic brain injury |
The aim of this study is to 1) test the driving performance (including, lane tracking accuracy, acceleration and braking force and steering input), eye movement, and cervical spine movement on a standardized driving task in a rehabilitation driving simulator of individuals with a history of traumatic brain injury. and 2) Investigate the tolerance (e.g., simulator sickness and anxiety) in individuals with a history of traumatic brain injury in driving simulators under two conditions 1) static and 2) a two-degree of freedom driving simulator. |
Trevor Russell |
Ross, M., Simmich, J., Blumenfeld, M |
Improve injury treatment |
Study discontinued |
| TER053 |
Patient preferences for telerehabilitation compared to in-person physiotherapy: a binary discrete choice experiment |
This study will use a binary discrete choice experiment to examine the key factors that influence patients' preferences for telerehabilitation consultations in comparison to traditional in-person physiotherapy consultations, and how do these factors vary across different patient demographic characteristics |
Megan Ross |
Magor, T., Simmich, J., Russell, T. |
To develop interventions |
Study complete - Work Published |
| TER054 |
A post-COVID exploration of telerehabilitation in physiotherapy practice |
A national wide survey of physiotherapists perceptions of telerehabilitation in the post-COVID era |
Trevor Russell |
Ross, M., Simmich, J., Hinman, R., Bennell, K. |
Improve injury treatment |
Study complete - Work Published |
| TER055 |
Safety of telehealth for exercise and rehabilitation: a systematic review and meta-analysis |
RQ: Are synchronous real-time telehealth exercise/rehabilitation interventions safe compared to in-person services? |
Riley Brown |
Riley Brown (RECOVER), Trevor Russell (RECOVER), Megan Ross (RECOVER), Pablo Molina-Garcia, Joshua Simmich (RECOVER), Robert Cuthbert (RECOVER) |
Educating and disseminating information |
Study complete - Work Published |
| TER056 |
Participant experiences and perceptions of a digital health enabled student-led exercise physiology clinic for metabolic conditions: a qualitative study |
This study aims to evaluate the perceptions and experiences of people with a metabolic condition who participated in a student-led digital health exercise physiology clinic, and to focus on acceptability from the recipients of services. |
Riley Brown |
Riley Brown (RECOVER), Sophie Marron (UQ), Jaimon Kelly (UQ), Nicola Burton (UQ), Ingrid Hickman (UQ), Jeff Coombes (UQ), Shelley Keating (UQ) |
Optimising service models |
Study complete - Work Published |
| TER057 |
Co-creation of an mHealth intervention for the management of chronic pain in adults and their family caregivers |
Thus, this project aims to establish perspectives of adults (above 18 years) with chronic pain, their spouses or family caregivers and health professionals (stakeholders) on the development of a mHealth system for the management of chronic pain through non-pharmacological and multidisciplinary interventions. |
Nicole Andrews |
Pablo Molina Garcia
Trevor Russell |
To develop interventions |
Data collection complete |
| TER058 |
Cognitive-behavioural therapy-informed virtual reality in persistent low back pain: a feasibility randomised controlled trial |
This study builds on our previous cohort study demonstrated that combining
virtual reality with pain education using cognitive behavioural principles (VR-CBT) leads to clinically significant short-term reductions in pain and fear of movement. This study will undertake a feasibility RCT (Waitlist control versus VR-CBT and homebased VR gameplay and mindfulness) over a longer intervention period (up to 16 sessions over 4 weeks) to
determine the feasibility and primary outcome measure of a future, fully powered RCT evaluating the clinical and cost effectiveness of longer-duration VR-CBT in the management of persistent low back pain. |
Trevor Russell |
Peter Window, Daniel Harvey, Michel Coppieters, Nicole Andrews., Jean Spinks, Natalie Barthel |
Improve injury treatment |
Data collection commenced |
| TER059 |
Telehealth delivery of an immersive virtual reality therapy tool for communication rehabilitation: A feasibility study |
The overarching aim of this study is to develop and trial a new and innovative speech pathology service model whereby patients with communication disorders can access their therapy using a virtual reality (VR) tool via telehealth. There is currently no research published reporting the remote delivery of a VR tool. Hence this project is highly innovative and would be one of the first studies in this field. Once confirmed as feasible, this model could be translated for use by other services (e.g., STARS) and professional groups (e.g., physiotherapy, occupational therapy, etc) for therapeutic benefit. The specific aims of this project are to:
Aim 1: Develop a new model of care delivering a VR tool for communication rehabilitation via telehealth.
Aim 2: Confirm speech pathologist (SP) and patient education/supports required to facilitate delivery of the new VR telehealth service model.
Aim 3: Examine the feasibility and acceptability of delivering this novel model from RBWH Speech Pathology Department directly to the patient in their home.
|
Clare Burns |
Atiyeh Vaezipour, Meghan Currrant, Sarah Heaton, Caitlin Fraser, Annie Hill, Trevor Russell, John Storie |
Optimising service models |
Data analysis commenced |
| TER060 |
Collaborative co-design of clinical protocols for use in immersive virtual reality environments to support multidisciplinary rehabilitation. |
Recently, two immersive virtual reality (I-VR) therapy environments (office space and supermarket) were developed by members of this research team. This project will use co-design methodology to develop clinical protocols for use within these immersive virtual reality (I-VR) therapy environments. Specifically, the aims of the project are to: (1) design I-VR therapy tasks suited to the office and supermarket environment to support a range of patient goals for delivery by multidisciplinary AHPs; (2) explore implementation enablers/barriers for using the I-VR therapy program in practice; and (3) identify implementation resources required to support integration of the I-VR therapy environment in clinical practice. Allied health professionals (N=6) from speech pathology (n=2); physiotherapy (n=2) and occupational therapy (n=2) will attend 4 x group meetings to develop the protocols and test them within the I-VR environments. These clinical protocols will be used in future research, to trial implementation of these I-VR environments within allied health rehabilitation services.
STARS ID: 120 |
Clare Burns |
Elise Gane, Trevor Russell, Joshua Simmich, Nell Baghaei, Liz Ward, Jennifer Muller, Emmah Doig, Peter Window, Elizabeth Beadle |
Improve injury treatment |
Ethical approval obtained |
| TER061 |
Co-design of clinical protocols and implementation resources for use in an immersive virtual reality tool for communication rehabilitation. |
This project forms part of a larger research program which seeks to design, develop, and evaluate an evidence-based I-VR therapy tool, to enhance rehabilitation for people with communication disorders. In a prior work, by this research team, consumers and clinicians co-designed an I-VR therapy tool, the “Communication Café”. The next step in this research program is to develop the activities and resources to support the trial of this tool in clinical practice. Hence the aim of the current study is to co-design and develop the clinical protocols and implementation resources (e.g., training and therapy planning tools) for use with the I-VR Communication Café in speech pathology rehabilitation sessions. This study proposes to recruit patients with a communication disorder, their carers and speech pathologists to attend a series of group meetings to design, develop and test the clinical protocols and implementation resources to use with the Communication Cafe. Consumers and staff engaged with Speech Pathology services in four sites comprising sites in Metro North Health Service (RBWH, TPCH, STARS and COH) and the Princess Alexandra Hospital will participate. Once developed these resources will be used in a future trial examine the use of the I-VR tool in clinical service in Metro North & Metro South Health.
STARS ID: 92
|
Clare Burns |
Trevor Russell, Joshua Simmich, Annie Hill, David Copland, Peter Worthy, Kylie Short, Michelle Slee, Kate Hacking, Tania Quaglio |
Improve injury treatment |
Data analysis commenced |
| TER062 |
AI Chatbots for Navigation of Healthcare System |
To explore the effectiveness of an advanced AI chatbot using a large language model in helping users navigate the Australian healthcare system, when compared to traditional search engines (eg Google, Bing). This study will expand existing knowledge by providing empirical evidence on the comparative effectiveness of AI chatbots versus traditional search engines in real-world healthcare navigation. It will enhance our understanding of how AI can be integrated into healthcare systems to improve accessibility, reduce the burden on healthcare professionals, and ultimately lead to better patient outcomes. |
Joshua Simmich |
Megan Ross, Trevor Russell |
Optimising service models |
Study complete - Work Published |
| TER063 |
The presence of technical issues and the impact on exercise intervention fidelity in videoconferencing exercise interventions |
This study aims to evaluate whether the presence of technical issues in video consultations impacts exercise intervention fidelity. This study uses data from a randomised controlled trial evaluating the feasibility of a digital health exercise intervention. |
Riley Brown |
Riley Brown (RECOVER), Megan Ross (RECOVER), Shelley Keating (UQ), Nicola Burton (Griffith), Ingrid Hickman (UQ), Jeff Coombes (UQ), Trevor Russell (RECOVER) |
Educating and disseminating information |
Study complete - Work Published |
| TER064 |
Virtual Reality High Intensity Interval Training using Dynamic Difficulty Adjustment via Biofeedback: A Feasibility Cross-Over Randomised Pilot Study |
The primary aim of this trial is to investigate the feasibility of high intensity interval training via virtual reality using dynamic difficulty adjustment through biofeedback for healthy participants, compared to a self-paced VR HIIT approach. This is to see if the DDA approach results in greater vigorous intensity attainment in the session. Feasibility will be assessed according to a priori criteria: recruitment capability, time in heart rate zones and participant acceptability. We hypothesise that using biofeedback for exercise intensity adjustment in VR will be feasible in a healthy population. If the hypotheses are supported, the proposed study will provide clinicians and researchers with valuable information about the delivery of VR exercise training in this cohort. The feasibility data will provide sample size calculation information for the construction of a larger clinical trial. |
Riley Brown |
Riley Brown (RECOVER), Joshua Simmich (RECOVER), Robert Cuthbert (RECOVER), Shelley Keating (UQ), Jeff Coombes (UQ), Trevor Russell (RECOVER) |
To develop interventions |
Manuscript in preparation |
| TER065 |
Perceptions of high intensity interval training (HIIT) via virtual reality (VR) for people with lived experience of spinal cord injury |
The aim of this project is to develop an understanding of the perceptions of people living with SCI on HIIT via VR. This project will help inform the development of a VR prototype intervention for a future consumer-driven RCT. It will involve qualitative interviews with people with lived-experience of spinal cord injury. |
Riley Brown |
Riley Brown (RECOVER), Trevor Russell (RECOVER), Robert Cuthbert (RECOVER) |
To develop interventions |
Ethical approval obtained |
| TER066 |
User-Centric VR for Wheelchair Users: Simulating Personalised Motorised Wheelchair Trials |
Learning to use a wheelchair to gain mobility is one of the many specialised skills needed to regain independence after a severe head injury that impairs the ability to walk.
However, there is a barrier of entry with not only regaining their independence, but also the costly and resource intensive nature of selecting an appropriate wheelchair. Firstly, there are multiple types of motorised wheelchairs, each with different drive systems that change how navigation and turning works. Further, there is no safe nor cost-effective way to test these different chairs in different situations and environments. Finally, wheelchair users are often locked into their selection after their first choice, unable to change their device. Immersive virtual reality (VR) technologies can provide aid in this area, by creating a safe simulated experience that allows wheelchair users to test different motorised wheelchairs in multiple environments, allowing them to select a device that meets their needs.
This project was generated by consumers with lived experience of brain injury to address a problem they have personally encountered. It will utilise three phases to design, develop and evaluate a prototype VR training simulation for wheelchair mobility and selection. This will not only result in knowledge generation, but also a VR simulation prototype that can be used in clinical settings. Which will positively impact the ability of wheelchair users to select their wheelchair, regain their independence and return to their lives in the community.
|
Robert Cuthbert |
John Hitchens (Consumer)
Trevor Russell (RECOVER)
Joshua Simmich (RECOVER)
Selen Turkay (QUT) |
To develop interventions |
Data collection commenced |
| TER067 |
Shifts in telerehabilitation use in physiotherapy clinical practice throughout the COVID-19 pandemic era |
The aim of this mixed-methods survey is to explore the shifts in telerehabilitation in physiotherapy clinical practice in Australia throughout the COVID-19 pandemic and the key factors that influence physiotherapists’ decisions to deliver telerehabilitation consultations in the post-restrictions period? It is expected that this study will provide insights into clinician's decisions to provide telerehabilitation services that may be utilised to promote uptake. |
Megan Ross |
Joshua Simmich, Trevor Russell, Kim Bennell, Belinda Lawford, Rana Hinman |
Optimising service models |
Study complete - Work Published |
| TER068 |
Exploring consumer perceptions of the role of clinicians’ use of Artificial Intelligence in telehealth and in-person healthcare services |
This research aims to understand the impact of clinicians’ use of artificial intelligence during healthcare interactions on consumers’ perceptions of the clinician and the healthcare service. This study will provide insight into how AI use influences consumer perceptions within healthcare interactions, and perceptions of the clinician or service provided. |
Megan Ross |
Daniela Berg, Joshua Simmich, Trevor Russell |
Optimising service models |
Manuscript in preparation |
| TER069 |
Sentiment analysis consumer reviews of mobile applications for rehabilitation that use AI |
The aim of this project is to explore consumer perspectives and usefulness of mobile apps for rehabilitation with integrated AI functionality. |
Megan Ross |
Centaine Snoswell (co-lead), Trevor Russell |
Improve injury treatment |
Data collection commenced |
| TER070 |
Consumer preferences for access to medical and allied health telehealth services in Australia |
Consumer preferences for access to telehealth services |
Megan Ross |
Centaine Snoswell (co-lead), Jaimon Kelly, Trevor Russell |
Optimising service models |
Data collection complete |
| TER071 |
Telehealth MBS data exploration |
Exploring telehealth MBS data through/across the COVID-19 pandemic for physiotherapy and exercise physiology. |
Megan Ross |
Megan Ross (RECOVER), Riley Brown (co-lead RECOVER), Centaine Snoswell (UQ), Trevor Russell (RECOVER) |
Optimising service models |
Study complete - Work Published |
| TER072 |
Understanding the assessment and therapeutic approaches to support spousal relationships across persistent pain clinics within Australia |
The aim of this study is to establish the prevalence and nature of the assessment and therapeutic approaches of couple relationships in Australian persistent pain clinics. |
Nicole Andrews |
Genevieve Donohue
Pamela Meredith
Jenny Strong |
To develop interventions |
Ethical approval obtained |
| TER073 |
Predicting the Therapeutic Value, Adherence and Adoption Intention of Virtual Reality Using Sensory Testing and Profiling. |
This study aims to understand whether the objective sensory testing and the adult sensory profile are able to predict the therapeutic value, adherence, and adoption intention of a VR system used for two different applications in rehabilitation (exercise engagement and stress management) in a healthy population. |
Nicole Andrews |
Dr Robert Cuthbert
Dr Hannah Gullo
Mr Sudong Kim
Prof Trevor Russell |
Improve injury treatment |
Data analysis commenced |
| TER074 |
Investigating factors influencing fatigue and radiographer performance on night shift: an initiative to improve healthcare delivery |
This study aimed to explore the lived experience of radiographer's fatigue on night shifts and factors influencing fatigue and performance. This was a quality improvement study that resulted in positive changes at local hospitals (Redcliffe and the Prince Charles Hospital) involving optimising roster patterns and increasing the number of radiographers on night shifts. |
Nicole Andrews |
Trevor Gillbard
Dane Thompson |
Improve injury treatment |
Study complete - Work Published |
| TER075 |
Clinical effectiveness of immersive virtual reality exercise interventions: a systematic review and meta-analysis |
The aim of this review is to assess the clinical effectiveness of exercise interventions delivered using immersive virtual reality across a range of population groups. |
Riley Brown |
Riley Brown (RECOVER), Megan Ross (RECOVER), Trevor Russell (RECOVER) |
To develop interventions |
Manuscript submitted |
| TER076 |
Exploring and Evaluating Clinician-Generated Prompts for Language Models in Whiplash Care |
This study has two aims. First, it will explore how musculoskeletal physiotherapists use—or would like to use—chat-based language models to support assessment, diagnosis, and treatment of whiplash. A single 90-minute in-person focus group with a stratified sample of five to six clinicians will surface real-world prompts, scenarios where models help or fall short, patient specificity in queries, and strategies for handling unreliable responses. Draft prompts derived from this discussion will then be emailed back to participants for feedback and refinement.
Second, the finalized prompts (approximately 25–30 items ranging from simple yes/no checks to complex case scenarios) will be submitted to leading language models. Two independent physiotherapists will score each response as either “guideline-concordant or not contradictory” versus “contradictory,” with a third rater resolving any disagreements.
Expected Outcomes:
The project will yield a validated library of clinician-authored prompts organized by assessment, diagnosis, and treatment tasks; qualitative insights into factors driving physiotherapist engagement with language models; and quantitative measures of model alignment with 2024 whiplash guidelines. Findings will guide best practices for safe, effective integration of conversational language models into musculoskeletal care. |
Joshua Simmich |
Papic C, Ross MHR, Sterling M, Russell T |
Optimising service models |
Data collection commenced |
| TER077 |
Immersive Virtual Reality and Artificial Intelligence Powered Agents for Job Interview Training in Individuals with Traumatic Brain Injury |
This consumer driven project aims to explore the feasibility of using VR with an AI powered
conversational agent to support individuals with TBI returning to the workforce. It is anticipated
that the first two phases, exploration of the topic with consumers and development of the
application, of this project will be completed within 12 months, laying the groundwork for a
randomised controlled trial to be implemented beyond the timeline of this project. |
Robert Cuthbert |
Robert Cuthbert (RECOVER), Trevor Russell (RECOVER), Hannah Gullo (UQ), Clare Burns (RECOVER), Joshua Simmich (RECOVER), Riley Brown (RECOVER), Penni Burfein (UQ), Selen Turkay (QUT), Knut Schneider (Consumer) |
To develop interventions |
Data collection commenced |
| TER078 |
Innovative Solutions for Treating Driving Anxiety Using Virtual Reality: The INSPIRE Feasibility and Pilot Trial |
This study will assess the feasibility, safety, and preliminary efficacy of using Virtual Reality
Exposure Therapy (VRET) in addition to Cognitive Behavioural Therapy (CBT) when compared
to CBT alone for treating driving anxiety in individuals with lived experience of motor vehicle
crashes (MVCs).
This pilot and feasibility Randomised Controlled Trial (RCT) will recruit 30 adults with driving
anxiety following MVCs. Participants will be randomly assigned to either CBT alone (Control)
or CBT combined with VRET (intervention). The VRET intervention will be co-designed with
consumers who have lived experience of driving anxiety and expert clinicians to ensure
relevance and acceptability. |
Trevor Russell |
Trevor Russell (RECOVER), Rachel Elphinston (RECOVER), Robert Cuthbert (RECOVER), Joshua Simmich (RECOVER), Riley Brown (RECOVER), Michele Sterling (RECOVER) |
To develop interventions |
Project commenced |
| TER079 |
Telehealth for Clinical Exercise Services |
. In this leading article, we introduce telehealth and synthesize current research in the context of clinical exercise services, provide insights into some of the pertinent challenges in the adoption of telehealth for exercise clinicians, and provide practical considerations and descriptions of implementing telehealth exercise services across different healthcare contexts. This article offers a structured approach to the implementation of telehealth services for people living with chronic diseases, from both an individual clinician and healthcare system perspective. |
Riley Brown |
Riley Brown (RECOVER), Emily Cox (UON), Shelley Keating (UQ), Jeff Coombes (UQ), Michelle Cottrell (RBWH), Trevor Russell (RECOVER) |
To develop interventions |
Manuscript in preparation |
| TER080 |
How reliable are pain drawings of patients referred to a tertiary spinal service for low back pain? |
The overarching aim of this project is to evaluate the agreement between clinician- and patient- completed body charts for the assessment of low back pain. This will be achieved through the following objectives. Phase one: Development of a body chart design, set of instructions for consumers and a Clinical Impression Analysis Tool for determining if plausible clinical impressions can be formulated directly from the body chart. Phase Two: Determining the inter-rater reliability between patient and clinician completed body charts regarding i) pain extent and location, and ii) clinical impression. |
Nicole Andrews |
Hill R, Cottrell M. (RBWH), Swete Kelly P. (UQ), Andrews N, Ireland D. (CSIRO), Window P. (UQ/ RBWH) |
Improve injury treatment |
Protocol under development |
| TER081 |
Collaborative co-design of a virtual reality office environment (VROffice) to support multidisciplinary rehabilitation following Traumatic Brain Injury (TBI) and Stroke |
Using an experience-based co-design approach, consumers with TBI and stroke and AHPs from PAH and STARS will co-design office-based activities aligned with rehabilitation goals and identify resources to support implementation in multidisciplinary practice. These insights will guide future funding and translation of our VR simulations. |
Clare Burns |
Burns C (UQ RECOVER / RBWH),, Cuthbert R, Russell T, Doig E (UQ/STARS) Elizabeth Beadle, Liz Ward, Nell Baghaei, Window P. (UQ/ RBWH), Joshua Simmich |
To develop interventions |
Project commenced |
| TER082 |
Ballet for Brain Injury – Telehealth Program Feasibility Study (TELE-BRAIN) |
The objective of this project is to investigate the feasibility of an online telehealth rollout of the successful Queensland Ballet (QB) program, ‘Ballet for Brain Injury’, for people living with a brain injury in regional and rural Queensland areas. The study will also compare outcomes to the in-person ‘Ballet for Brain Injury’ program to ensure the telehealth implementation meets the high standards of this program. |
Trevor Russell |
Brown, R., Gomes, Z., SPencer, L., Van Buuren, M., Cuthbert, R., Gollu, H., Russell, T[. |
To develop interventions |
Project commenced |
| TER083 |
Using virtual reality (VR) for wheelchair community access training and fall prevention for people with spinal cord injury (SCI) |
The overall aim of this work is to reduce falls and increase safe community participation for people with SCI who use a wheelchair, through the co-creation of a VR based education package. |
Robert Cuthbert |
Kathryn Marshall, Jacki Liddle, Robert Cuthbert, Trevor Russell |
To develop interventions |
Ethical approval obtained |
| TER084 |
A metasynthesis of qualitative research on the barriers and facilitators for the adoption of telehealth in physiotherapy care |
This qualitative systematic review aims to synthesise existing evidence on physiotherapists’ perceptions of and perspectives about real-time videoconferencing for physiotherapy telerehabilitation. |
Megan Ross |
Simmich, J., Russell, T. |
Educating and disseminating information |
Data collection commenced |
| TER085 |
Evaluation of the implementation of a virtual reality therapy program for communication rehabilitation |
This
project forms part of a larger research program which seeks to design,
develop, and evaluate an evidence-based I-VR therapy tool, to enhance rehabilitation
for people with communication disorders. In a prior work, by this research
team, consumers and clinicians co-designed an I-VR therapy tool, the “Communication
Café” and the clinical protocol and implementation resources required to use
the I-VR therapy tool in speech pathology sessions. Hence, the next step in
this research program is to implement and evaluate the I-VR Communication
Café tool and clinical protocol in clinical practice. This will be examined
through an implementation-effectiveness hybrid design (Type 3). This
methodology blends the design components of clinical effectiveness and
implementation research to inform translation and uptake of new research
ideas in clinical practice, such as the I-VR Communication Café. Hence, the
overarching objective of this study is to trial the I-VR tool and clinical
protocol in speech pathology practice across 4 sites four sites comprising in
Metro North Health Service and the Princess Alexandra Hospital and evaluate
its implementation outcomes and preliminary efficacy as a new program to
support functional communication therapy. |
Clare Burns |
Professor Trevor Russell (RECOVER Injury Research Centre, UQ), Dr Joshua Simmich (RECOVER Injury
Research Centre, UQ), Dr Robert Cuthbert (RECOVER Injury Research Centre, UQ), A/Professor Annie Hill (Latrobe University &
UQ); Dr Jade Dignam Copland (Queensland Aphasia
Research Centre, UQ) Dr Emmah Doig (STARS & UQ); Dr
Lisa Anemaat (STARS & UQ); Professor David Copland (Queensland Aphasia
Research Centre, UQ); Dr Emma Finch (UQ); Dr Brooke-Mai Whelan (UQ); Dr Ashley
Cameron (Metro North Health); Kylie Short (Speech Pathology, STARS); Michelle Slee
(Speech Pathology, TPCH); Kate Hacking (Speech Pathology, Community and Oral
Health Metro North Health Service), Dr Anna Farrell (Speech Pathology, PAH). |
To develop interventions |
Data collection commenced |
| TER086 |
Implementation of a PAthway of CarE for people with chronic musculoskeletal conditions living in RURAL and remote Australia using allied telehealth (PACE-RURAL). |
This study will implement a new care pathway for Australians with burdensome musculoskeletal disorders living in rural and remote locations. We will identify people who may recover well or poorly, using a simple online tool at the point of care. Those who are likely to recover well can be guided by the online resource (Mypainhub.com) providing accurate advice and exercises to aid recovery. People needing extra care will be provided early virtual access to an expert allied health clinician. |
Trevor Russell |
Rebbeck, T.J., Evans, K.A., Beales, D.J., Mosler, A.B., Kemp, J.L., Nicholas, M.K., Russell, T., Sterling, M., Laranjo, L., Cameron, I.D., de Luca, K.E., Cottrell, M., Sharwood, L.N., Fary, R., Waller, R. |
Improve injury treatment |
Data collection commenced |
| TER087 |
i-RECOveR-TH: Evaluating in-person and telehealth delivery of interdisciplinary treatment for persistent post-concussion symptoms after mild traumatic brain injury |
Aim 1: to evaluate the efficacy of the consumer driven, telehealth i-RECOveR-TH intervention (i-RECOveR-TH) for PCS delivered across Australia via telehealth to rural and remote areas, and its comparative effectiveness with in-person delivery and identify factors associated with treatment response. • Aim 2: Conduct a process evaluation of symptom clusters, i-RECOveR-TH decision-making and intervention modules used, the experience of patients receiving the intervention and of clinicians delivering it, its cost-effectivness and social return on investment • Aim 3: Embed in-person i-RECOveR in public hospital clinics, give training and supervision, evaluate patient outcomes and cost-effectiveness, to provide a protype for broader implementation in public sector hospitals. |
Trevor Russell |
Ponsford, J., McKay, A., Nguyen, J., Davies, K., Brusco, N., Willimott, C., Makdissi, M., Russell, T., Mitra, B., Baxter, R., Argus, G., Antonopoulos, S., McKenzie, D. |
Improve injury treatment |
Project ethics submitted |