| 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 |
| 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 |
Study complete - Work Published |
| 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 analysis 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 |
Study complete - Work 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 |
Study complete - Work Published |
| 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 |
Manuscript in preparation |
| 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 |
Manuscript submitted |
| 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 |
Study complete |
| 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 published |
| 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 published |
| 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 |
Study complete - Work 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 |
Most digital psychological interventions for chronic pain fail to measure all 4 dimensions of the quadruple aim of value-based health care: a scoping review |
Psychological treatments are increasingly being developed and delivered using platforms such as mobile applications, online
modules, virtual reality, and artificial intelligence chatbots. This scoping review aimed to examine how digital psychological
interventions deliver outcomes that are valuable not only for patients but also for clinicians and the broader health system. Peer-
reviewed studies evaluating digital psychological interventions for adults with chronic primary pain and chronic primary or secondary
musculoskeletal pain were included. Seven databases were searched: PubMed, Embase, CINAHL, Web of Science, Scopus,
PsycInfo, and Cochrane. Screening was conducted independently by 2 reviewers, with a third reviewer providing consensus in
cases of conflict. After screening, 108 articles met the eligibility criteria, reporting on 81 distinct interventions. Outcomes were
mapped to the quadruple aim of health care to assess for improvements in population health, patient experiences, clinician
experiences, and cost-efficiency. All interventions demonstrated improved health outcomes for people living with pain, with most
also assessing patient experiences (n 5 65, 80.2%). Few measured clinician experiences (n 5 22, 27.2%) or cost-effectiveness (n 5
8, 9.9%). Only 2 interventions reported outcomes that addressed all 4 quadrants of the quadruple aim of health care. At the time of
review, a third of the interventions (n 5 27, 33.3%) were available for use in real-world settings. Overall, current evaluations
demonstrated positive impact on population health, patient experience, and access to psychological care. However, limited
understanding remains on how clinicians are supported to refer and implement these treatments, as well as the costs of integrating
them into routine care. |
Chloe-Emily Eather |
Sterling M, Sullivan C, Armfield N, Liimatainen J, Chandra, S, Elphinston R. |
Improve injury treatment |
Study complete - Work Published |
| 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 |
Data collection complete |
| 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 |
Project ethics submitted |
| 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 |
Data collection commenced |
| 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 |
Sterling, M., Elphinston, R., Papic, C., Tanious, R., Vlaeyen, J. |
Improve injury treatment |
Data collection commenced |
| 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 analysis 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 analysis 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. |
William McCann |
Michele Sterling, Rachel Elphinston, Chris Papic, Chloe-Emily Eather, Carrie Ritchie |
Improve injury treatment |
Data collection 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
|
Michele Sterling |
Michele Sterling, Rachel Elphinston, Chris Papic, Chloe-Emily Eather, Carrie Ritchie |
Improve injury treatment |
Manuscript in preparation |
| 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., Mytton, J., Parker, R., Sharma, S., Jagnoor, J., Bandong, A. N., Carvalho-e-Silva, A. P.
|
Educating and disseminating information |
Data collection commenced |
| 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 |
Project commenced |
| IHO068 |
Psychological Factors, Behavioural change, and Functional Outcomes Following a Micromobility Crash Injury |
To examine the relationships between pain intensity and unpleasantness at time of injury, post-traumatic stress symptoms, pain-related anxiety, pain catastrophising, and post-injury micromobility avoidance and behaviour in individuals who have experienced an injury sustained in a micromobility crash.
To explore the experiences of behavioural adaptation following micromobility injury, with particular attention to changes in risk perception, confidence, and riding practices.
|
Nicole Rickerby |
Kang, B.Y., Buning, R., Sterling, M. |
To optimise social and vocational recovery |
Data collection commenced |
| IHO069 |
The OPTIMISE Feasibility Trial: OPTIMIsing treatment of chronic pain after whiplash injury using StressModEx |
OPTIMISE is an external pilot patient randomised trial of a novel physiotherapist-led intervention for patients with
chronic whiplash pain from a motor vehicle crash injury. Participants will be adults with greater than 3 months pain,
disability and psychological distress associated with chronic whiplash. Participants will be randomly allocated to one
of two treatments - a novel physiotherapist-led integrated physical and psychological intervention (StressModex) or
usual physiotherapy exercise. Usual physiotherapy exercise is recommended by clinical guidelines but has only
small effects. Training physiotherapists to identify and treat psychological distress using stress inoculation training
in addition to exercise is effective for acute (< 6 weeks) whiplash. We have optimised StressModex for patients with
chronic whiplash (> 3 months duration), as well as our physiotherapist training model by triangulating the best
available research evidence, with input from patients, physiotherapists, government regulators and compulsory third
party insurer funders to ensure the intervention and physiotherapist training is acceptable to all stakeholders. The
newly designed optimised intervention (StressModex) and physiotherapist training model is ready for feasibility and
pilot trial testing. We will evaluate the feasibility and acceptability of StressModex to patients and physiotherapists,
as well as the feasibility and acceptability of a new training model involving blended on-line learning and clinical
supervision. We will pilot trial processes for a future fully powered randomised controlled trial to test clinical and
cost-effectiveness compared with usual physiotherapy exercise treatment. |
Michele Sterling |
Dr Rachel Elphinston The University of Queensland
CI Assoc Prof Melissa Day The University of Queensland
CI Dr Christopher Papic The University of Queensland
CI Dr Karime Mescouto The University of Queensland
CI Prof Luke Connelly The University of Queensland
CI Dr Sabrina Lenzen The University of Queensland
CI Dr Nigel Armfield The University of Queensland
CI Mrs Ana Paula Carvalho-e-Silva University of Sydney
CI Dr Katherine Brain The University of Newcastle
CI Dr Rutger de Zoete University of Tasmania |
Improve injury treatment |
Project commenced |
| IHO070 |
Physiotherapist-delivered stress inoculation training integrated with exercise compared with exercise alone for acute whiplash injury: an economic evaluation |
This economic evaluation assessed whether a physiotherapist-delivered integrated psychological and exercise intervention (StressModex) is cost-effective compared with exercise alone for people with acute whiplash-associated disorders (WAD), using data from a previous randomised controlled trial. Costs and health outcomes (quality adjusted life years, neck disability index) were analysed from both health system and societal perspectives, incorporating direct healthcare costs (physiotherapist training, health service use, medication use) and broader indirect costs (work productivity loss). Compared with exercise alone, StressModex was cost-effective from health system and societal perspectives, but with considerable uncertainty for the latter. Findings provide evidence to inform clinicians, insurers and policymakers on early intervention for acute WAD. |
Christopher Papic |
Armfield, N., Elphinston, R., Sterling, M. |
All CTP categories |
Manuscript submitted |
| IHO071 |
Evaluating physiotherapist quality and competency in delivering psychologically informed care |
This project includes the evaluation of recorded physiotherapist/patient sessions. Various methods including the Therapist Quality Scale will be used to evaluate therapist quality and competency. |
Michele Sterling |
Mc Cann W, Elphinston R, Day M. |
Improve injury treatment |
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 |
| 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 |
Manuscript in preparation |
| 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 |
| 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 |
| 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 |
Bhavya (Abby) Adalja |
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). |
Affordability and viability of CTP |
Data analysis commenced |
| 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 published |
| 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 |
Protocol under development |
| 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 |
| 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 |
| 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 |
Study complete - Work Published |
| 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 |
| 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 |
Manuscript in preparation |
| 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 |
Window, P., Harvey, D., Coppieters, M., Andrews, N., Spinks, J., Barthel, N. |
Improve injury treatment |
Data collection commenced |
| 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 |
| 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. |
Bhavya (Abby) Adalja |
Daniela Berg, Joshua Simmich, Trevor Russell |
Affordability and viability of CTP |
Data analysis commenced |
| TER069 |
Sentiment analysis of 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. |
Bhavya (Abby) Adalja |
Centaine Snoswell (co-lead), Trevor Russell |
Affordability and viability of CTP |
Data analysis commenced |
| 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. |
Bhavya (Abby) Adalja |
Dr Robert Cuthbert
Dr Hannah Gullo
Mr Sudong Kim 
Prof Trevor Russell |
Affordability and viability of CTP |
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 |
| 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 |
Project ethics submitted |
| 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 |
Data collection commenced |
| 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 |
Manuscript in preparation |
| 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 |
| TER089 |
Effectiveness of video-based exercise delivered via digital platforms compared with usual care or face-to-face physiotherapy in adults with chronic musculoskeletal pain: a systematic review |
This systematic review will evaluate the effectiveness of pre-recorded video based exercises delivered online and usings app compared to traditional face to face physiotherapy for adults with chronic musculoskeletal pain |
Nicole Andrews |
Andrews N, Russell T, Ng A, Kakit Yu N, Pizzatti A, Bielanin J, Trotman M. |
Improve injury treatment |
Data analysis commenced |