Medicine and Health Sciences Commons^™

Evaluation Of A Brief Intervention Within A Stepped Care Whole Of Service Model For Personality Disorder, Elizabeth A. Huxley, Kate L. Lewis, Adam Coates, Wayne Borg, Caitlin Miller, Michelle L. Townsend, Brin F. S Grenyer

Illawarra Health and Medical Research Institute

Background Although there is growing evidence that stepped models of care are useful for providing appropriate, person centered care, there are very few studies applied to personality disorders. A brief, four session, psychological treatment intervention for personality disorder within a whole of service stepped care model was evaluated. The intervention stepped between acute emergency crisis mental health services and longer-term outpatient treatments. Methods Study 1 used service utilization data from 191 individuals referred to the brief intervention at a single community health site in a metropolitan health service. Proportions of individuals retained across the intervention and the referral pathways accessed …

A Systematic Review Of Intervention Studies Examining Nutritional And Herbal Therapies For Mild Cognitive Impairment And Dementia Using Neuroimaging Methods: Study Characteristics And Intervention Efficacy, Genevieve Z. Steiner, Danielle Mathersul, Freya Macmillan, David A. Camfield, Nerida Klupp, Sai Seto, Yong Huang, Mark Hohenberg, Dennis Chang

Illawarra Health and Medical Research Institute

Neuroimaging facilitates the assessment of complementary medicines (CMs) by providing a noninvasive insight into their mechanisms of action in the human brain. This is important for identifying the potential treatment options for target disease cohorts with complex pathophysiologies. The aim of this systematic review was to evaluate study characteristics, intervention efficacy, and the structural and functional neuroimaging methods used in research assessing nutritional and herbal medicines for mild cognitive impairment (MCI) and dementia. Six databases were searched for articles reporting on CMs, dementia, and neuroimaging methods. Data were extracted from 21/2,742 eligible full text articles and risk of bias was …

Cost Effectiveness Of A Multi-Component School-Based Physical Activity Intervention Targeting Adolescents: The 'Physical Activity 4 Everyone' Cluster Randomized Trial, Rachel Sutherland, Penny Reeves, Elizabeth Campbell, David R. Lubans, Philip J. Morgan, Nicole Nathan, Luke Wolfenden, Anthony D. Okely, Karen Gillham, Lynda Davies, John Wiggers

Illawarra Health and Medical Research Institute

Background Few school-based interventions have been successful in reducing physical activity decline and preventing overweight and obesity in adolescent populations. As a result, few cost effectiveness analyses have been reported. The aim of this paper is to report the cost and cost effectiveness of the Physical Activity 4 Everyone (PA4E1) intervention which was a multi-component intervention implemented in secondary schools located in low-income communities. Cost effectiveness was assessed using both the physical activity and weight status trial outcomes.

Methods Intervention and Study Design: The PA4E1 cluster randomised controlled trial was implemented in 10 Australian secondary schools (5 intervention: 5 …

Feasibility Of Home-Based Dietetic Intervention To Improve The Nutritional Status Of Older Adults Post-Hospital Discharge, Aliza Haslinda Hamirudin, Karen L. Walton, Karen E. Charlton, Amanda Carrie, Linda C. Tapsell, Marianna Milosavljevic, Glen Pang, Jan M. Potter

Illawarra Health and Medical Research Institute

Aim To determine if a model of home-based dietetic care improves dietary intake and weight status in a specific group of older adults post-hospitalisation.

Methods The Department of Veterans' Affairs clients aged 65 years and over were recruited from hospitals in a regional area of New South Wales, Australia (n = 32 men, n = 36 women). Nutritional status was assessed at home at baseline (within two weeks post-discharge) and three months post-discharge using a diet history, a food frequency checklist and Mini Nutritional Assessment (MNA). Personalised dietary advice was provided by a single dietitian according to participants' nutritional status. …

Validating The Western Neuro Sensory Stimulation Profile For Patients With Severe Traumatic Brain Injury Who Are Slow-To-Recover, Anne Cusick, Natasha Lannin, Robyn Hanssen, Jeanine Allaous

Illawarra Health and Medical Research Institute

Background/aim The Western Neuro Sensory Stimulation Profile (WNSSP) is designed to measure disorders of consciousness in people with severe traumatic brain injury who are slow-to-recover. This study explores internal consistency reliability and concurrent validity of the WNSSP with function and two other consciousness measures. Method Retrospective chart audit of all severe traumatic brain injury patients admitted to a specialist neurological rehabilitation centre from January 2001 to December 2006 in a vegetative or minimally conscious state. Medical record of demographical, clinical and Glasgow Coma Scale (GCS) data were recorded. To be included in the study, patients needed admission and discharge WNSSP …

Analysis Of The Psychological Impact Of A Vascular Risk Factor Intervention: Results From A Cluster Randomized Controlled Trial In Australian General Practice, Suzanne Helen Mckenzie, Upali W. Jayasinghe, Mahnaz Fanaian, Megan Passey, Mark Fort Harris

Illawarra Health and Medical Research Institute

Background Screening for vascular disease, risk assessment and management are encouraged in general practice however there is limited evidence about the emotional impact on patients. The Health Improvement and Prevention Study evaluated the impact of a general practice-based vascular risk factor intervention on behavioural and physiological risk factors in 30 Australian practices. The primary aim of this analysis is to investigate the psychological impact of participating in the intervention arm of the trial. The secondary aim is to identify the mediating effects of changes in behavioural risk factors or BMI. Methods This study is an analysis of a secondary outcome …

Burden And Support Needs Of Carers Of Persons With Borderline Personality Disorder: A Systematic Review, Rachel Bailey, Brin F. S Grenyer

Illawarra Health and Medical Research Institute

Background: A major feature of personality disorders is significant impairment in interpersonal functioning, which may create challenges in close relationships. This article aims to systematically review the experience of carers of persons with personality disorders. Method: The PRISMA systematic review method was followed, and empirical studies written in English, published between 1996 and 2011, and cited in major electronic databases were searched. Studies meeting the following selection criteria were included: (1) carers or families of persons with personality disorders; (2) intervention involving the carers or families; (3) burden or related construct used. Studies were required to meet either criteria 1 …

The Effectiveness Of A Brief Intervention Using A Pedometer And Step-Recording Diary In Promoting Physical Activity In People Diagnosed With Type 2 Diabetes Or Impaired Glucose Tolerance, Susan Furber, Claire Monger, Lisa Franco, Darren Mayne, Lauren A. Jones, Rachel Laws, Louise Waters

Illawarra Health and Medical Research Institute

Issue addressed: To evaluate the effectiveness of a brief intervention using a pedometer and step-recording diary on promoting physical activity in people with type 2 diabetes or impaired glucose tolerance (IGT). Methods: People with type 2 diabetes or IGT who attended the Illawarra Diabetes Service were invited to participate. Participants in the intervention group received a pedometer and a diary to record their daily steps for a two-week period. Both the intervention and comparison group received advice on physical activity. Physical activity levels were measured using the Active Australia Survey at baseline, and at two and 20 weeks. Results: A …