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Sport And Physical Activity For Youth With Intellectual Disability: An Analysis Of Determinants And Outcomes, Nathanial J. Kapsal Jun 2019

Sport And Physical Activity For Youth With Intellectual Disability: An Analysis Of Determinants And Outcomes, Nathanial J. Kapsal

Theses

Introduction: Extensive research has supported the physical and psychosocial health benefits of physical activity among typically developing youth. These benefits include higher quality of life, lower risk of disease, higher levels of psychological and emotional well-being, greater school engagement, greater motor skills, more frequent prosocial behaviours, and enhanced self-concept. Compared to their typically developing peers, youth with intellectual disability participate less frequently in physical activity, tend to be less fit, have poorer motor control, and worse mental health. Many studies examining sport and physical activity for youth with disability have focused on a limited range of outcomes or interventions, have ...


Measuring Community Walking In Stroke Survivors Using Physiotherapists’ Perspectives And The International Classification Of Functioning, Health And Disability (Icf) Framework, Neelam Nayak May 2019

Measuring Community Walking In Stroke Survivors Using Physiotherapists’ Perspectives And The International Classification Of Functioning, Health And Disability (Icf) Framework, Neelam Nayak

Theses

Community walking is a multifactorial task and an important functional goal for stroke survivors. Measuring community walking is challenging because there is not a good understanding of what is considered successful community walking or how this could be measured. Physiotherapists currently use a range of measures to assess community walking. Furthermore, the factors contributing to community walking that are captured by these measures are not yet well understood. This thesis, comprising two studies, explores these gaps. The first study is a qualitative exploration of physiotherapists’ perspectives of community walking measurement in stroke survivors. Physiotherapists experienced in stroke rehabilitation were recruited ...


An Evaluation Of A Model Of Care For Children With Serious Illnesses And Their Families In New Zealand, Cynthia Ward Apr 2019

An Evaluation Of A Model Of Care For Children With Serious Illnesses And Their Families In New Zealand, Cynthia Ward

Theses

Background: Due to advances in knowledge and medical technology, many neonates and children survive pre-term birth and serious illness. They are cared for by their families, predominantly their parents, in the family home. While there is a high demand on health services to provide care to the seriously ill child, the highest burden of care falls on the child’s family. The impact of the child’s complex and highly technical care needs on the family unit is often not understood. Although health service providers can provide high quality care, at times, they do not fully comprehend the issues of ...


Socioemotional Functioning In Youth With Borderline Personality Disorder, Elizabeth Pizarro-Campagna Mar 2019

Socioemotional Functioning In Youth With Borderline Personality Disorder, Elizabeth Pizarro-Campagna

Theses

This thesis makes an original contribution to our understanding of socioemotional functioning in borderline personality disorder (BPD) by critically examining social cognition and emotion regulation BPD research from a developmental perspective. It also extends on previous research, making a novel and important contribution to our understanding of sociocognitive functioning and emotion regulation ability in youth with first presentation BPD. This was achieved via two critical narrative reviews of the existing literature and two empirical studies, which examined aspects of social cognition and emotion regulation considered key to interpersonal functioning in BPD. The empirical studies assessed, 1) unconscious simulation processes, a ...


A Model Of Art Therapy For Aboriginal Children Within The Preschool, Shiri Hergass Feb 2019

A Model Of Art Therapy For Aboriginal Children Within The Preschool, Shiri Hergass

Theses

This research sets out to formally develop the Seasonal Model of Art Therapy, to observe and test it in action, and to address the research question, which examines ways to support educators working with children who have experienced trauma, using art therapy groups in preschools. Case study methodology was utilised, to systematise the approach and to assist in fully articulating its aims, purposes and procedure, ultimately for dissemination to art therapy teams and educators. In addition, the thesis provides a systematic and somewhat exhaustive survey of contributory theories and related research in the literature, which serves towards providing a rationale ...


Exploring Health Education Delivered To Patients With Acute Coronary Syndrome And Type 2 Diabetes Mellitus Admitted To A Shanghai Hospital, Xian-Liang Liu Oct 2018

Exploring Health Education Delivered To Patients With Acute Coronary Syndrome And Type 2 Diabetes Mellitus Admitted To A Shanghai Hospital, Xian-Liang Liu

Theses

Introduction

Patients with both acute coronary syndrome (ACS) and type 2 diabetes mellitus (T2DM) are the focus of this thesis. Together these conditions represent a substantial burden of illness within Western and now Eastern countries. Patients presenting with multiple conditions are frequently encountered within clinical practice, with often poorer clinical outcomes than those with a single condition. The challenge of delivering health education is substantial when patients experience two or more health conditions. Within China, health education is provided principally during the acute admission period, often for ACS. In this unique cultural setting, there has been little research about the ...


Modelling Of Intrinsic And Extrinsic Injury Risk Factors In Elite Tennis, Danielle Gescheit Sep 2018

Modelling Of Intrinsic And Extrinsic Injury Risk Factors In Elite Tennis, Danielle Gescheit

Theses

Elite tennis places high physical, physiological and psychological stresses on its players which can amplify injury risk and limit player development and performance (1, 2). Therefore, understanding what and why injuries occur in both elite junior and professional tennis is critical in mitigating the risk. Unfortunately, current research on elite tennis injury is sparse. What is available is limited by methodological design and conflicting findings. Consequently, this thesis aimed to address these gaps through a more complete examination of the injury epidemiology and aetiology of elite tennis injuries throughout the entire player pathway. Specifically, Study 1 examined the epidemiology and ...


Low Back Pain In Dance: Prevalence And Associated Factors, Christopher Thomas Vaughan Swain Aug 2018

Low Back Pain In Dance: Prevalence And Associated Factors, Christopher Thomas Vaughan Swain

Theses

Introduction Low back pain (LBP) is a leading cause of disability worldwide. Dancers, who are often required to perform complex and repetitive movements of the spine, are thought to be vulnerable to LBP. However, there is limited available evidence concerning the prevalence, experience, impact, or factors associated with LBP in this population. Therefore, the overarching aim of this thesis was to investigate the prevalence and factors associated with LBP in dance. Methods This thesis consists of five discrete but interrelated studies. Study one systematically synthesises the available evidence for the prevalence of, and risk factors for, LBP and injury in ...


Improving Analogical Reasoning Skills In Adolescence Through Figurative Music Lyric Exposure: Towards Better Decision-Making Skills, Shannon S. Clark Jul 2018

Improving Analogical Reasoning Skills In Adolescence Through Figurative Music Lyric Exposure: Towards Better Decision-Making Skills, Shannon S. Clark

Theses

Adolescents are known through both anecdotal and empirical research to be poor descision-makers; especially when risk is involved. Numerous factors are highlighted as influential to descision-making in adolescence; however, no complete understanding has been offered despite the endeavour. Understanding is suggested to be key to decision-making, and analogical reasoning is key to understanding. In addition, figurative-language comprehension skills are reported to be practically identical in their neurological mapping as analogical reasoning skills. Furthermore, lyrical music can be heavily represented by figurative language; and adolescents are exposed to lyrical musical for up to a quarter of their waking days. The existing ...


Tackling Ability In Rugby League Players: A Strength And Conditioning Perspective, Michael Speranza Jul 2018

Tackling Ability In Rugby League Players: A Strength And Conditioning Perspective, Michael Speranza

Theses

Rugby league is a collision sport that is intermittent in nature, characterised by bouts of high intensity running, collisions and tackling, separated by periods of lower intensity activity. Success in the sport requires a multifaceted skillset with players requiring good ball handling ability, quick and accurate decision making, and the ability to perform effective tackles.

A large part of success in a collision sport such as rugby league is based on player’s ability to execute proficient and effective tackles, the ability to dominate the tackle contest, and the capacity to tolerate physical impacts. While the tackle contest is a ...


Improving Screening And Physiotherapy Management Of Vestibular Disorders In The Hospital Setting, Vicky Stewart Jun 2018

Improving Screening And Physiotherapy Management Of Vestibular Disorders In The Hospital Setting, Vicky Stewart

Theses

Vestibular disorders significantly impact a person’s quality of life and daily function with symptoms such as dizziness, vertigo, visual disturbances and balance impairment. Vestibular disorders commonly cause hospital presentations and are often under diagnosed and therefore mis-managed in the emergency department (ED) and acute medical environment (AME). There is a lack of research assisting clinicians in identifying and managing vestibular disorders in these settings. There is also limited evidence concerning the effectiveness of a physiotherapy vestibular service in the acute hospital setting for managing non-emergent vestibular disorders (non-life threatening).

The primary aim of this thesis was to improve the ...


The Contribution Of The Neighbourhood Environment To The Relationship Between Neighbourhood Disadvantage And Physical Function Among Middle-Aged To Older Adults, Hui Yee Loh Jun 2018

The Contribution Of The Neighbourhood Environment To The Relationship Between Neighbourhood Disadvantage And Physical Function Among Middle-Aged To Older Adults, Hui Yee Loh

Theses

Background

With the continuing increases in life expectancies in developed countries, an important public health goal is to ensure successful ageing—morbidity compression, maintenance of physical functioning and active engagement in life. It is well established that the onset of physical function decline begins in mid-life, and functional capacity is critical to maintaining mobility, independence and quality of life. A growing body of literature has found that residents of more disadvantaged neighbourhoods have significantly poorer physical function, independent of individual-level factors. However, the mechanisms through which neighbourhood environments are associated with this relationship remain largely unknown.

The overarching aim of ...


Outdoor Play Decision-Making By Families, Schools, And Local Government For Children With Disabilities, Julia Sterman Apr 2018

Outdoor Play Decision-Making By Families, Schools, And Local Government For Children With Disabilities, Julia Sterman

Theses

Introduction: Play is a right for all children and an essential childhood occupation. Yet, children with disabilities experience exclusion from outdoor play participation. How children’ skills interact with the environment in which they live, notably their family, school, and community, shapes their play choice.

Aim: The aim of this study was to understand outdoor play decision-making at family, school, and local government levels for primary school-age children with disabilities. Method: A multiple-perspective case study allowed for comprehensive understanding of the phenomenon of outdoor play decision-making. Data collection included: interviews with five parents of children with disabilities, four teaching assistants, three ...


Measuring The Effects Of Chest Physiotherapy On Respiratory Function In Mechanically Ventilated Infants And Children, Bronagh Mcalinden Mar 2018

Measuring The Effects Of Chest Physiotherapy On Respiratory Function In Mechanically Ventilated Infants And Children, Bronagh Mcalinden

Theses

No abstract provided.


Decision-Making Impairment In Long Term Opiate Users, Kathryn Biernacki Mar 2018

Decision-Making Impairment In Long Term Opiate Users, Kathryn Biernacki

Theses

The overall aim of this PhD thesis was to conduct a comprehensive investigation of decision-making impairment in long term opiate users, using three studies. The first study aimed to determine the extent of the decision-making impairment and to establish whether other co-morbid factors impacted on the severity of this deficit. Using meta-analysis, the results indicated that opiate use is associated with relatively severe decision-making impairment, and that co-morbid factors, such as head injury and poly-substance dependence did not significantly change the magnitude of the impairment. Furthermore, the decision-making impairment in opiate users was not mitigated by abstinence, and the duration ...


Using A Randomised Controlled Trial To Test The Effectiveness Of A Family-Oriented, Theoretically Based, Diabetes Self-Management Education Program To Improve Glycaemia, Self-Management And Self-Efficacy Of Individuals With Type 2 Diabetes Mellitus Living In Rural Thailand, Nutchanath Wichit Mar 2018

Using A Randomised Controlled Trial To Test The Effectiveness Of A Family-Oriented, Theoretically Based, Diabetes Self-Management Education Program To Improve Glycaemia, Self-Management And Self-Efficacy Of Individuals With Type 2 Diabetes Mellitus Living In Rural Thailand, Nutchanath Wichit

Theses

Introduction

Diabetes is increasing in prevalence throughout the world. This increase is also of concern to upper-middle-income countries such as Thailand. Diabetes mellitus develops gradually and is often undetected in the early stages, leading to long-term damage of several organs in the body with related complications. Diabetes self-management education (DSME) has been found to improve knowledge, self-care behaviours, glycaemic control, and quality of life for Thai individuals with type 2 diabetes mellitus (T2DM). Thailand is a country in which family members have a fundamental role in assisting other family members in sickness and in health. Family-oriented interventions, therefore, have the ...


Hamstring Strain Injury: Objective Assessment Tools And Exercise-Specific Progression Criteria During Pain-Threshold Rehabilitation, Jack Thomas Hickey Mar 2018

Hamstring Strain Injury: Objective Assessment Tools And Exercise-Specific Progression Criteria During Pain-Threshold Rehabilitation, Jack Thomas Hickey

Theses

Hamstring strain injury (HSI) is a persistent cause of time lost in sports that involve high speed running. Clinicians working with sports injuries are therefore often faced with the task of HSI rehabilitation, with the simultaneous aims of minimising time to return to play (RTP) and risk of re-injury. Following rehabilitation and RTP clearance, previously injured hamstrings display elevated risk of re-injury likely, in part, due to persistent deficits in eccentric knee flexor strength and biceps femoris long head (BFlh) fascicle length. Elevated re-injury risk and persistent deficits in hamstring muscle structure and function suggest inadequacies in current rehabilitation practices ...


Adherence Of Allied Health Clinicians To The Stroke Foundation Clinical Guidelines For Management Of Stroke (2010): A Retrospective Clinical Record Audit Of Both Acute And Rehabilitation Services., Philip Thomas Abery Feb 2018

Adherence Of Allied Health Clinicians To The Stroke Foundation Clinical Guidelines For Management Of Stroke (2010): A Retrospective Clinical Record Audit Of Both Acute And Rehabilitation Services., Philip Thomas Abery

Theses

In 2012, stroke affected over 420 000 people within Australia and the number of stroke survivors is anticipated to increase. Many stroke survivors live with a disability which affects their ability to carry out activities of daily living. In Australia stroke survivors are cared for by both publicly and privately funded hospitals. Available to both systems are the Stroke Foundation Clinical Guidelines for the Management of Stroke Survivors (SF 2010a). The Stroke Foundation carries out biannual national audits in Australia, one focusing on acute services and the other on rehabilitation services, to determine hospitals’ quality of care in accordance with ...


An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt Feb 2018

An Exploration Of Three New South Wales Nurse Practitioner Services In 2008, S Jane Allnutt

Theses

Background

To control increasing health costs, the Australian government initiated a range of health care reforms in the late 1990s. In 2000, the development of the Nurse Practitioner (NP) Service in New South Wales (NSW) was one strategy implemented to improve health care delivery. Supported by legislation, NPs extended their role beyond other nursing roles. The number of NPs in NSW doubled between 2004 and 2007, and NP Services flourished. With little published evidence, research was vital to justify the contribution of this new and rapidly evolving service model to existing health services and the acceptability of the new service ...


Demands Of The Kettlebell Snatch, James Alexander Ross Jan 2018

Demands Of The Kettlebell Snatch, James Alexander Ross

Theses

Kettlebell exercise has grown in popularity in the last decade. One of the exercises commonly performed is the kettlebell snatch, which is a key exercise within kettlebell sport. The kettlebell snatch involves swinging the kettlebell from between the legs to overhead in a continuous motion and is generally performed for multiple repetitions. In kettlebell sport the snatch is performed for up to ten minutes with only one hand change. A judge determines if the repetitions are performed correctly and allocates a point accordingly. Little research on the kettlebell snatch currently exists. When this thesis was started there was a single ...


The Combined Effect Of Training And Match Loads On Injury Risk In Professional Australian Footballers, Nicholas B. Murray Jan 2018

The Combined Effect Of Training And Match Loads On Injury Risk In Professional Australian Footballers, Nicholas B. Murray

Theses

Australian football is a dynamic team sport, which requires players to perform a large number of high-intensity efforts, combined with low-intensity activities throughout a match. Due to the complex and unique demands of the sport, players require an adequate training stimulus to develop and enhance the physical qualities required to succeed at the highest level. The ability to develop physically challenging but appropriate training at an individual level to 1) enhance the technical and physical qualities required, and 2) minimise the negative response to training (i.e. injury, illness, etc.) is a crucial task for practitioners involved in the preparation ...


Physical Qualities And Match Demands Of Female Australian Football, Georgia Black Jan 2018

Physical Qualities And Match Demands Of Female Australian Football, Georgia Black

Theses

Australian football (AF) is arguably the most popular sport in Australia, with over one million people participating in domestic AF annually. As participation rates have continued to rise, it is the growth of female AF that has drawn further attention to the sport in the last two years. Despite the introduction of the national women’s Australian football competition (AFLW) in 2017 and the 400,000 females who participate in recreational AF Australia-wide, there is currently no research to inform training practices. Although the physical match demands of elite male AF have been well established, the differences in physical qualities ...


The Impairment Of Vascular Reactivity Across The Spectrum Of Cardiometabolic Health, Jordan Luke Loader Jan 2018

The Impairment Of Vascular Reactivity Across The Spectrum Of Cardiometabolic Health, Jordan Luke Loader

Theses

Cardiovascular disease (CVD) remains the single leading cause of mortality and is strongly associated with obesity and cardiometabolic disease (inclusive of metabolic syndrome [MetS], impaired glucose tolerance and type 2 diabetes [T2D]). Impairments in vascular reactivity, stemming from such endothelial dysfunction, as well as possible disruptions to endothelium-independent activity and maladaptation to the vascular smooth muscle, increase susceptibility to endothelial injury and, thus, promote atherosclerotic change. Several large cross-sectional studies provide evidence that chronic impairments in vascular reactivity may present early in the decline of cardiometabolic health, such as in those considered overweight. However, whether there is a pathophysiological continuum ...


Muscle Force Contributions To Knee Joint Loading, Nirav Maniar Dec 2017

Muscle Force Contributions To Knee Joint Loading, Nirav Maniar

Theses

Anterior cruciate ligament (ACL) injuries are one of the most common knee injuries suffered by athletic populations. ACL injuries are particularly burdensome due to potential surgical requirements, extensive rehabilitation time and associated financial costs for the individual and the community. Additionally, ACL injuries are associated with increased risk of early onset knee osteoarthritis. As such, ACL injury preventative and rehabilitative strategies are of paramount importance.

ACL injuries typically occur during non-contact dynamic tasks, such as unanticipated sidestep cutting. At the time of injury, the knee joint experiences relatively large degrees of knee valgus and rotation (either internal or external) and ...


Self-Concept Of Children With Cerebral Palsy, Sau Kuan Cheong Nov 2017

Self-Concept Of Children With Cerebral Palsy, Sau Kuan Cheong

Theses

Self-concept is the perception that individuals have of themselves across different aspects of life such as academic performance or appearance. The Self-Concept Feedback Loop proposed for this research program conceptualised self-concept as developing through an interactive and iterative process involving social experiences and the cognitive processes of individuals. Through this process, individuals evaluate their behaviour or attributes against their internal standards. Subsequently, this evaluation influences their self-concept. In the general population, low self-concept has been linked to a range of negative outcomes, including poor academic achievement, and behaviour and mental health problems. However, research into the self-concept of children with ...


Teachers' And Students' Perspectives Of Using Restorative Practices In Schools: "It's Got The Power To Change Behaviour", Michelle Kehoe Nov 2017

Teachers' And Students' Perspectives Of Using Restorative Practices In Schools: "It's Got The Power To Change Behaviour", Michelle Kehoe

Theses

In recent decades, there has been a shift away from authoritarian, punitive discipline in school communities and a movement towards approaches that promote inclusion, respectful relationships, and understanding. This shift was due to growing concerns about the negative impact of bullying and victimisation that was not resolved using traditional punitive measures. Whole-school restorative practices is an approach that has been reported as successful, in not only addressing misbehaviour as it occurs, but also as a preventive measure that builds social and emotional skills for all those within the school community.

The aim of this research was to explore teachers’ and ...


Emotion Regulation Strategies In Daily Life: Examining Contextual Variability In The Process Of Emotion Regulation, Robert N. Brockman Oct 2017

Emotion Regulation Strategies In Daily Life: Examining Contextual Variability In The Process Of Emotion Regulation, Robert N. Brockman

Theses

Contemporary theories of emotional well-being emphasize context as being inextricably linked to the process of emotion regulation. Empirical studies of these processes have generally relied upon single-occasion measurement approaches, but such methods are limited in their capacity to uncover regulatory processes that are inherently contextual and dynamic and that unfold over discrete time-periods. In this thesis, I address this gap using a daily process approach in three empirical studies to examine contextual variability in the usefulness of three popular emotion regulation strategies: mindfulness, cognitive reappraisal, and emotion suppression.

In Study 1, I establish a daily process approach as relevant to ...


Experiences Of Patients Who Have Undergone Bronchoscopy With ‘Cautious’ Sedation And Analgesia, Catherine Frances Saxon Oct 2017

Experiences Of Patients Who Have Undergone Bronchoscopy With ‘Cautious’ Sedation And Analgesia, Catherine Frances Saxon

Theses

Background

Bronchoscopy is a procedure that is used to investigate and treat respiratory conditions and disease. Sedation and analgesia are administered during the procedure to reduce the side effects of discomfort and cough. The use of sedation and analgesia is cautioned in patients with chronic obstructive pulmonary disease (a high-risk respiratory disease), due to the perceived increased risk of complications. A review of the associated literature examining adult patients’ experiences during flexible bronchoscopy found no qualitative articles on the subject. Due to the numerous quantitative survey-based studies, a significant gap in the literature was identified; that of the patient experience ...


The Cognitive-Behavioural Theory And Treatment For Eating Disorders And Disordered Eating: A Direct Evaluation, Jake Linardon Sep 2017

The Cognitive-Behavioural Theory And Treatment For Eating Disorders And Disordered Eating: A Direct Evaluation, Jake Linardon

Theses

In a series of four studies, the aim of the current research project was to evaluate the cognitive-behavioral theory and treatment (CBT) of eating disorders. The first study (Chapter 5) was a meta-analysis (Linardon, Wade, De la Piedad Garcia, & Brennan, in press) of randomized controlled trials (RCT) testing the efficacy of CBT for eating disorders. Pooling data from 79 RCTs, results showed that therapist-led and guided self-help CBT were efficacious for individuals with bulimia nervosa (BN) and binge eating disorder (BED). There was no evidence to suggest that CBT was more efficacious than other psychological interventions in anorexia nervosa (AN).

Having found evidence supporting the efficacy of CBT for certain eating disorder presentations, the second study (Chapter 6), which was a systematic review, focused on identifying the reliable factors that mediate, moderate, or predict outcome during CBT (Linardon, de la Piedad Garcia, & Brennan, 2016b). This review found that mediators and moderators of change have been largely unexplored, and that no reliable predictors of outcome emerged. Therefore, based on existing evidence, it was concluded that it remains unclear how, for whom, and under what conditions, CBT for eating disorders works.

To understand the mechanisms through which CBT for eating disorders may work, a cross-sectional evaluation of the cognitive-behavioral model in a large non-clinical sample was employed for the third study (Chapter 8; under review). This study validated the conceptual pathways hypothesized by the cognitive model; it also identified two additional variables that might be important mechanisms of change during CBT, body checking and dichotomous thinking. The inclusion of body checking and dichotomous thinking within the cognitive-behavioral model explained nearly three times the amount of variance in disordered eating symptoms than the model without ...


Exercise-Nutrient Interactions: Effects On Substrate Metabolism And Performance, Jill J. Leckey Sep 2017

Exercise-Nutrient Interactions: Effects On Substrate Metabolism And Performance, Jill J. Leckey

Theses

During prolonged (> 90 min), continuous steady-state exercise, skeletal muscle is fuelled by both carbohydrate (CHO) (i.e. muscle and liver glycogen, blood glucose and muscle, blood and liver lactate) and fat substrates (i.e. adipose and intramuscular triglycerides [IMTGs], blood-borne free fatty acids [FFAs] and TGs). The specific pattern of substrate oxidation is influenced by the relative exercise intensity, an individual’s training status and their preceding diet. However, it is well accepted that when exercising at high relative intensities (i.e. > 70% maximal oxygen uptake [V̇ O2max]), CHO-based fuels are the predominant fuel source. Despite CHO being important for ...