Digital Commons Network^™

Exploring Treatment Burden In People With Type 2 Diabetes Mellitus (T2dm) In Primary Care Settings, Kai Lin

Theses: Doctorates and Masters

Introduction

Treatment burden is the perceived workload of care by individuals. The treatment burden experienced by individuals with Type 2 Diabetes Mellitus (T2DM) is a major obstacle to achieving effective healthcare outcomes. The aim of this research is to facilitate better management of treatment burden in people with T2DM in primary care settings.

Methods

A systematic review, encompassing narrative analysis was used to characterise the treatment burden of T2DM and critical appraisal was used to identify the appropriate patient-reported outcome measures (PROMs) for measuring this burden. The selected instruments were employed with subsequent questionnaires, followed by patient focus groups. A …

The Legal Framework For The Protection Of Victims Of The Worst Forms Of Child Labour In Agriculture In Ghana: A Human Rights Based Approach, Ruby Akua Aglagoh

Theses: Doctorates and Masters

Child labour is prevalent in Ghana, especially in the agriculture industry where children engage in work that is harmful to their health, morals, and safety. Such harmful work has been defined by the ILO Convention No. 182 on the Worst Forms of Child Labour, 1999 as constituting the worst forms of child labour. These children have human rights stated in the laws of Ghana but have become victims of human rights violations because they cannot access the protections provided for under the international conventions and national laws of Ghana.

Using doctrinal legal research, this thesis reviews the legal framework of …

Representations Of Afro-Taíno Puerto Rican American Women’S Identities And Connections To Place: The Cultural Productions Of Nitty Scott 2016-2018, Frances Claire Haynes Orchard

Theses: Doctorates and Masters

This research explores song lyrics, interview statements and social media posts produced by Black, Taíno and Puerto-Rican American rapper Nitty Scott, between January 2016 and December 2018. It positions Nitty Scott as an important Indigenous decolonial artist who – via these ‘cultural productions’ – constructed an archive of decolonial commentary that, in my reading, aimed to reconstruct Black and Taíno-Puerto-Rican-American women’s identities and connections to place, in relation to colonial histories.

Decolonial theorists such as Walter D. Mignolo have explored how colonised artists such as Chicana poet and theorist Gloria Anzaldúa have critiqued colonial systems of knowledge and representation, and …

Slow Choreographies: Addressing Everyday Sexisms In Australian Universities Through Embodied Creative Methods, Emma Fishwick

Theses: Doctorates and Masters

Everyday sexisms within Australian universities are like shape shifters that move between bodies, hide inside policies and behind closed doors. This interdisciplinary research project examines how a slow choreographic methodology enables embodied creative processes to give social phenomena a tangible dimension. Centrally situated within an Australian Research Council Discovery Project, Understanding and Addressing Everyday Sexisms in Australian Universities (Everyday Sexisms), this research project thickens, extends, and informs the development of the Everyday Sexisms’ methods and findings in two ways. First, by highlighting how bodies, movement, and objects are involved in the choreography of institutional everyday sexisms. Secondly, by utilising creative …

Prevalence Trends Of Foodborne Pathogens, Bacillus Cereus, Non Stec Escherichia Coli And Staphylococcus Aureus In Ready-To-Eat Foods Sourced From Restaurants, Cafés, Catering And Takeaway Food Premises, Nicole Foxcroft

Theses: Doctorates and Masters

The foodborne pathogens of Bacillus cereus (B. cereus), non STEC Escherichia coli (non STEC E. coli) and Staphylococcus aureus (S. aureus) are currently non-notifiable in Australia unless attributed to a food poisoning outbreak. Due to the lack of data around individual cases and isolations in foods, any changes in prevalence may go undetected. The aim of the study was to determine any changes in prevalence of B. cereus, non STEC E. coli and S. aureus in ready-to-eat foods (RTE) sampled from Western Australian restaurants, cafés, catering facilities, and takeaway food premises during the period July 2009 to June 2022. The …

Developing A Novel Ontology For Cybersecurity In Internet Of Medical Things-Enabled Remote Patient Monitoring, Kulsoom S. Bughio, David M. Cook, Syed A. A. Shah

Research outputs 2022 to 2026

IoT has seen remarkable growth, particularly in healthcare, leading to the rise of IoMT. IoMT integrates medical devices for real-time data analysis and transmission but faces challenges in data security and interoperability. This research identifies a significant gap in the existing literature regarding a comprehensive ontology for vulnerabilities in medical IoT devices. This paper proposes a fundamental domain ontology named MIoT (Medical Internet of Things) ontology, focusing on cybersecurity in IoMT (Internet of Medical Things), particularly in remote patient monitoring settings. This research will refer to similar-looking acronyms, IoMT and MIoT ontology. It is important to distinguish between the two. …

A Systematic Review Of K-12 Cybersecurity Education Around The World, Ahmed Ibrahim, Marnie Mckee, Leslie F. Sikos, Nicola F. Johnson

Research outputs 2022 to 2026

This paper presents a systematic review of K-12 cybersecurity education literature from around the world. 24 academic papers dated from 2013-2023 were eligible for inclusion in the literature established within the research protocol. An additional 19 gray literature sources comprised the total. A range of recurring common topics deemed as aspects of cybersecurity behavior or practice were identified. A variety of cybersecurity competencies and skills are needed for K-12 students to apply their knowledge. As may be expected to be the case with interdisciplinary fields, studies are inherently unclear in the use of their terminology, and this is compounded in …

Care-Full Climate Justice Organising: Movement-Based Participatory Action Research On Noongar Boodja, Kylie A. Wrigley

Theses: Doctorates and Masters

Aligned with emerging research agendas for critical (intersectional and decolonial) climate justice, this research aims to co-create place-based knowledges and actions about how communities and movements organise for climate justice. Organising for climate justice in Western Australia (WA) is particularly difficult because of the strong influence of the fossil fuel industry and the prevailing racial capitalist, colonial, and patriarchal responses to climate change in policy and mainstream climate movements. These systems of power often reproduce, for example, intersecting gender, race, and class inequalities, which marginalise communities most impacted by climate injustice. Moreover, many climate activists experience climate distress and burnout. …

Spatial And Temporal Variation In Population Genetic Diversity In Seagrasses And The Implications For Resilience, Anna Maria Frouws

Theses: Doctorates and Masters

Seagrass ecosystems are highly productive and fulfil vital roles in the coastal environment as ecosystem engineers and keystone species. Unfortunately, anthropogenic pressures have resulted in a significant loss of seagrass habitat and associated ecosystem services. The complex and unpredictable nature of these pressures, and their increasing extent and intensity globally, makes resilience-based ecosystem management a valuable approach. Resilience-based management requires knowledge on processes enhancing ecosystem resilience and on actions supporting these processes. Genetic diversity, which is the allelic variation among individuals of a population, has been recognised as one of the pillars of resilient ecosystems. Genetic diversity within a population …

Airway Epithelium Respiratory Illnesses And Allergy (Aerial) Birth Cohort: Study Protocol, Elizabeth Kicic-Starcevich, David G. Hancock, Thomas Iosifidis, Patricia Agudelo-Romero, Jose A. Caparros-Martin, Yuliya V. Karpievitch, Desiree Silva, Lidija Turkovic, Peter N. Le Souef, Anthony Bosco, David J. Martino, Anthony Kicic, Susan L. Prescott, Stephen M. Stick

Research outputs 2022 to 2026

Introduction: Recurrent wheezing disorders including asthma are complex and heterogeneous diseases that affect up to 30% of all children, contributing to a major burden on children, their families, and global healthcare systems. It is now recognized that a dysfunctional airway epithelium plays a central role in the pathogenesis of recurrent wheeze, although the underlying mechanisms are still not fully understood. This prospective birth cohort aims to bridge this knowledge gap by investigating the influence of intrinsic epithelial dysfunction on the risk for developing respiratory disorders and the modulation of this risk by maternal morbidities, in utero exposures, and respiratory exposures …

An Athlete's Perspective: Comparing Talent Development Environments For Boys And Girls In Western Australia Youth Soccer, Mikayla J. Lyons, Jenny A. Conlon, Sophia Nimphius, Brad S. Keller, Christopher Joyce

Research outputs 2022 to 2026

This study aimed to compare the perceptions of boys and girls regarding their gender-specific talent development environments (TDEs) in state-level youth soccer. Seventy-one players (girls, n = 35; boys, n = 36) aged 11–18 years completed the Talent Development Environment Questionnaire (TDEQ-5), Sports Motivation Scale (SMS-6), Coach-Athlete Relationship Questionnaire (CART-Q), and Self-Efficacy and Outcome Expectancies (SEOE) of strength training questionnaire. Mann–Whitney U tests and Hedges’s g effect sizes were used to identify group differences. Boys scored higher for TDEQ-5 subdimensions: long-term development focus, alignment of expectations, and holistic quality preparation. For the CART-Q, boys perceived greater coach commitment, whilst girls …

Coordinating The Telematic Music Performance Experience With Telemidi: Synchronising Nodes, Enhancing Musicality, And Delivering Simultaneity, Matthew Clive Bray

Theses: Doctorates and Masters

The practice of Telematic Music Performance (TMP), a subset of Network Music Performance (NMP), enables geographically remote musicians to engage in real-time musical interplay, typically occurring over a Wide Area Network (WAN: the Internet). However, the transmission of data between remote collaborators introduces millisecond latencies that obstruct the nuance of traditional human-to-human musical intercourse, and consequentially, the music generated by TMP often lacks rudimentary degrees of syncopation. Reducing network latency has been a critical focal point for research in this field, wherein effective networks support low-latency, multi-modal data transmission to enhance sensations of immersion and telepresence for participants; the sense …

Developing A Weighted Model To Measure Knowledge Diffusion In A Tourism Destination Network, Hossein Raisi, Llandis Barratt-Pugh, Rodolfo Baggio, Gregory Willson, Sam Huang, Kourosh Esfandiar

Research outputs 2022 to 2026

Efficient knowledge transfer enhances tourism destination competitiveness. Multiple factors, however, affect knowledge transfer, making it a complex process to quantify. To address this complexity, we developed a quantitative tool by integrating a diffusion model with the major antecedents of knowledge transfer identified in the knowledge management literature. We applied this model in the Western Australian tourism industry and demonstrated its practicality. The proposed model provides a quantitative tool for destination management organizations to monitor, assess and improve the efficiency of knowledge diffusion within their tourism destinations. Such improved knowledge diffusion is critical in strengthening a destination's innovative capabilities and competitiveness.

Verbal And Nonverbal Communicative Approaches Used By Reading Teachers To Foster Student Reading For Pleasure In Secondary School, Claire Patricia Smith

Theses: Doctorates and Masters

The benefits of reading for pleasure are diverse. As evidence supporting the value of reading for pleasure grows, so does its legitimacy as a catalyst for positive personal and cognitive development, and as a stand-alone subject in education. Reading for pleasure pedagogy (RfPP), distinct from reading instruction, is evolving in tandem with these findings. This pedagogy is predicated on the profile of a Reading Teacher (RT) as a reader who enjoys reading and is prepared to share their personal reading lives to teach their students to read for pleasure. However, this profile may be an ideal rather than the norm. …

The Experiences Of Older Immigrants Living With Dementia In Australia: A Multi-Method Secondary Analysis, Pelden Chejor

Theses: Doctorates and Masters

The ageing immigrant population and rising dementia cases underscores the need for culturally appropriate dementia care services. However, accessing dementia care services can be challenging for immigrants due to cultural and linguistical differences including their health beliefs. Understanding the experiences and concerns of older immigrants living with dementia is imperative for the planning and delivery of culturally and linguistically appropriate care. The aim of this thesis was to explore and describe the experiences of older immigrants living with dementia, as well as to describe and compare (against non-immigrants living with dementia) the characteristics (neuropsychiatric symptoms and pain characteristics) of older …

Diagnosing Innovation: A Design-Led Approach To Cultivate Innovation In The Western Australian Public Health System, Sash Milne

Theses: Doctorates and Masters

Recent research highlights the significance of design-led approaches, such as human-centred design, in fostering an innovative culture within complex public systems like public health. However, transforming systemic culture on a large scale presents a formidable challenge, constituting its own "wicked problem" that is both a fertile ground for design intervention and exceptionally difficult to tackle.

My research employs a design-led research perspective to investigate the current state of innovation culture within WA Health and to identify potential leverage points for future cultural transformation. Utilising data gathered from interviews and workshops, this research project sheds light on the multifaceted barriers confronting …

Enhancing Marketing Students’ Indigenous Cultural Competencies Through A Decolonisation And Authentic Assessment Approach, Claire Lambert, Melissa Fong-Emmerson, Sonja Coetzee, Steven D’Alessandro

Research outputs 2022 to 2026

To prepare students for multicultural environments and understand consumers from different backgrounds, marketing educators must incorporate diversity into their curricula and recognise the importance of decolonisation by considering First Nations’ perspectives to promote reconciliation and better outcomes. This paper reports on a novel approach of students working directly with First Nations businesspeople to gain an applied understanding of Indigenous cultural learning. The study examines the influence of this approach on students’ learning and cultural understanding, as well as how the teaching approach and authentic assessment design within the unit improve the confidence of students to apply these learnings and engage …

Mitigating Intensive Care Unit Noise: Design-Led Modeling Solutions, Calculated Acoustic Outcomes, And Cost Implications, Emil E. Jonescu, Benjamin Farrel, Chamil E. Ramanayaka, Christopher White, Giuseppe Costanzo, Lori Delaney, Rebecca Hahn, Janet Ferrier, Edward Litton

Research outputs 2022 to 2026

Objectives, Purpose, or Aim: The study aimed to decrease noise levels in the ICU, anticipated to have adverse effects on both patients and staff, by implementing enhancements in acoustic design. Background: Recognizing ICU noise as a significant disruptor of sleep and a potential hindrance to patient recovery, this study was conducted at a 40-bed ICU in Fiona Stanley Hospital in Perth, Australia. Methods: A comprehensive mixed-methods approach was employed, encompassing surveys, site analysis, and acoustic measurements. Survey data highlighted the importance of patient sleep quality, emphasizing the negative impact of noise on work performance, patient connection, and job satisfaction. Room …

Parent Implementation Of A Treatment For Late Talkers Based On Cross-Situational Statistical Learning Principles: Treatment Fidelity And Acceptability, Suzanne J. Meldrum, Jennifer Fisk, Jennifer Stopher, Emily F. Hunt

Research outputs 2022 to 2026

Purpose:

Early intervention based on principles of cross-situational statistical learning (CSSL) for late-talking children has shown promise. This study explored whether parents could be trained to deliver this intervention protocol with fidelity and if they found the intervention to be acceptable.

Method:

Mothers of four English-speaking children aged 18–30 months who scored < 10th centile for expressive vocabulary were recruited to an 8-week group training program. Parents were taught principles of CSSL and asked to perform 16 home treatment sessions (30 minutes each) in total, providing auditory bombardment of target words in full sentences at high dose number and syntactic variability, using a range of physical exemplars. Home diaries and two videotaped sessions measured treatment fidelity. Pre- and post-treatment questionnaires measured acceptability. Result: One parent discontinued the study after the second group training session. Three parents completed 15/16 group training sessions and reported completing 87% of home sessions. Two parents demonstrated implementing the intervention as per the target dose number by the first fidelity session (Weeks 2/3), and the third parent was very close to meeting target dose number by the second fidelity session (Weeks 7/8).

Conclusion:

Parents can be trained to deliver an intervention based on cross-situational statistical learning principles.

Perceived Skill Outcomes Among Coursework And Research Graduates And Evolution Over Time, Denise Jackson, Ian Li

Research outputs 2022 to 2026

This study explores perceived skill outcomes among graduates of 39 Australian higher education institutions in the short- to medium-term after course completion. While acknowledging important dimensions of graduate employability beyond the skills-based approach, we investigated graduate perspectives on their industry-relevant skill outcomes from university, in preparation for employment. Using national data, we build on earlier research by examining the viewpoints of 24,044 research and coursework graduates, at all levels, at six months and three years post-graduation. We found that as graduates progressed in their careers, perceived skill outcomes from university became less favourable, particularly among coursework graduates. Further, we observed …

Point Of View On Outcome Prediction Models In Post-Stroke Motor Recovery, Onno Van Der Groen, Manonita Ghosh, Richard Norman, Amy Kuceyeski, Ceren Tozlu, Teresa J. Kimberley, David J. Lin, Laurel J. Buxbaum, Gert Kwakkel, Steven C. Cramer, Dylan J. Edwards

Research outputs 2022 to 2026

Stroke is a leading cause of disability worldwide which can cause significant and persistent upper limb (UL) impairment. It is difficult to predict UL motor recovery after stroke and to forecast the expected outcomes of rehabilitation interventions during the acute and subacute phases when using clinical data alone. Accurate prediction of response to treatment could allow for more timely and targeted interventions, thereby improving recovery, resource allocation, and reducing the economic impact of post-stroke disability. Initial motor impairment is currently the strongest predictor of post-stroke motor recovery. Despite significant progress, current prediction models could be refined with additional predictors, and …

Queering Primary Initial Teacher Education, David Rhodes, Matt Byrne, Jason Boron

Research outputs 2022 to 2026

This research was designed to raise awareness, access and understanding of lesbian, gay, bisexual, transgender, intersex, queer/questioning, asexual/aromantic and others who sit outside of the heteronormative binary (LGBTIQA+), inclusion for pre-service educators studying in Bachelor of Education (Primary) and Master of Teaching (Primary) ITE courses in one Australian university. The project involved the production of three video resources intended for inclusion in existing teacher education units. Whilst originally conceptualized as ’bite-sized‘ resources intended for use by pre-service educators, initial survey data from academic staff indicated the need to first develop the collective understanding of primary education LGBTIQA+ inclusion for the …

Recidivism Outcomes For Young People Who Have Committed A Sexual Offence And Received Treatment: A Systematic Narrative Review Of Studies Conducted In Australia And New Zealand, James L. Finney, Natalie Gately, Suzanne Rock

Research outputs 2022 to 2026

Young people who have committed a sexual offence present unique and serious challenges to the criminal justice systems of Australia and New Zealand. To understand the current state of existing literature, we systematically collated and critically appraised studies using narrative synthesis, examining the recidivism outcomes of young people who have committed a sexual offence and received treatment. Eight studies were identified utilising a sample of 1528 young people. Recidivism was higher among participants who did not complete treatment, compared to those who completed treatment, but highest in those who commenced but subsequently “dropped out”. Our findings highlight a need for …

The Development And Validation Of A Self-Audit Survey Instrument That Evaluates Preservice Teachers’ Confidence To Use Technologies To Support Student Learning, Michael D. Carey, David A. Martin, Natalie Mcmaster

Research outputs 2022 to 2026

Internationally, university teacher educators are responding to the requirement that preservice teachers (PSTs) need to be confident, operational users of a broad range of technologies, and that they can apply their technological pedagogical and content knowledge (TPACK). TPACK is a framework representing the complex interactions of teachers’ technological content knowledge and technological pedagogical knowledge with their pedagogical content knowledge; the interaction of the three domains is believed to produce effective teaching with technology. The challenge is designing an instrument that can validly and reliably evaluate whether PSTs have this wide range of knowledge, and if not, what their learning needs …

The Development, Implementation And Evaluation Of A Novel Intervention For Delirium Prevention And Management In An Adult Intensive Care Unit: A Mixed Methods Study, Gideon Ugochukwu Johnson

Theses: Doctorates and Masters

Background: Delirium is a prevalent acute brain dysfunction in patients within intensive care units. Delirium is marked by a fluctuating mental state, inattention, and altered consciousness. This condition affects a substantial proportion of patients in intensive care units, and which leads to increased mortality, severe physiological and psychological consequences, and a significant economic burden on healthcare systems. Despite the evidence that supports the use of non-pharmacological interventions to prevent or minimise the impact of delirium such as orientation, sensory stimulation, early mobilisation, and family involvement, their implementation in intensive care units remains inconsistent. The involvement of family members in the …

The Value Of Work For Doctors In Pakistan: Towards A Framework For Ensuring Decent Work, Abid Hussain, Esme Franken, Tim Bentley, Uma Jogulu

Research outputs 2022 to 2026

The critical frontline work of doctors in Pakistan was overlooked and undervalued by the government, hospitals, and the public during the COVID-19 pandemic. Media reports and studies highlight that public sector doctors in Pakistan facing new societal, professional, and organisational challenges, compunding to the inherent demands of workpotentially leading to its undervaluation. This study, explores how the work of doctors is (under)valued in Pakistan’s public sector hospitals, and how this aligns to the underpinnings of decent work. 27 semi structured in-depth interviews were conducted with doctors in Pakistan’s public sector hospitals. We found that serving others, recognition and appreciation, and …

Towards Blockchain-Based Secure Bgp Routing, Challenges And Future Research Directions, Qiong Yang, Li Ma, Shanshan Tu, Sami Ullah, Muhammad Waqas, Hisham Alasmary

Research outputs 2022 to 2026

Border Gateway Protocol (BGP) is a standard inter-domain routing protocol for the Internet that conveys network layer reachability information and establishes routes to different destinations. The BGP protocol exhibits security design defects, such as an unconditional trust mechanism and the default acceptance of BGP route announcements from peers by BGP neighboring nodes, easily triggering prefix hijacking, path forgery, route leakage, and other BGP security threats. Meanwhile, the traditional BGP security mechanism, relying on a public key infrastructure, faces issues like a single point of failure and a single point of trust. The decentralization, anti-tampering, and traceability advantages of blockchain offer …

Young Children And The Creation Of A Digital Identity On Social Networking Sites: Scoping Review, Valeska Berg, Diana Arabiat, Evalotte Morelius, Lisa Kervin, Maggie Zgambo, Suzanne Robinson, Mark Jenkins, Lisa Whitehead

Research outputs 2022 to 2026

Background:

There is limited understanding of the concept of the digital identity of young children created through engagement on social networking sites.

Objective:

The objective of this scoping review was to identify key characteristics of the concept of digital identity for children from conception to the age of 8 years on social networking sites.

Methods:

This scoping review was conducted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. The key databases searched were EBSCO, Web of Science, ProQuest ERIC, and Scopus. Gray literature sources (National Grey Literature Collection, ProQuest Dissertations and Theses, …

Achieving Covert Communication With A Probabilistic Jamming Strategy, Xun Chen, Fujun Gao, Min Qiu, Jia Zhang, Feng Shu, Shihao Yan

Research outputs 2022 to 2026

In this work, we consider a covert communication scenario, where a transmitter Alice communicates to a receiver Bob with the aid of a probabilistic and uninformed jammer against an adversary warden's detection. The transmission status and power of the jammer are random and follow some priori probabilities. We first analyze the warden's detection performance as a function of the jammer's transmission probability, transmit power distribution, and Alice's transmit power. We then maximize the covert throughput from Alice to Bob subject to a covertness constraint, by designing the covert communication strategies from three different perspectives: Alice's perspective, the jammer's perspective, and …

Twin Scholarships Of Glycomedicine And Precision Medicine In Times Of Single-Cell Multiomics, Seungyoul Oh, Weijie Cao, Manshu Song

Research outputs 2022 to 2026

Systems biology and multiomics research expand the prospects of planetary health innovations. In this context, this mini-review unpacks the twin scholarships of glycomedicine and precision medicine in the current era of single-cell multiomics. A significant growth in glycan research has been observed over the past decade, unveiling and establishing co- and post-translational modifications as dynamic indicators of both pathological and physiological conditions. Systems biology technologies have enabled large-scale and high-throughput glycoprofiling and access to data-intensive biological repositories for global research. These advancements have established glycans as a pivotal third code of life, alongside nucleic acids and amino acids. However, challenges …