Digital Commons Network^™

Preclinical Ischemic Stroke Multicenter Trials (Prism) Collective Statement: Opportunities, Challenges, And Recommendations For A New Era, Cenk Ayata, Philip M Bath, Anna M Planas, Stuart M Allan, Johannes Boltze, Ryan P Cabeen, Claire L Gibson, Marilyn J Cipolla, Marcio A Diniz, Stefano Fumagalli, Fahmeed Hyder, Raymond C Koehler, Arthur Liesz, Sarah K Mccann, Tim Magnus, Louise D Mccullough, Emily S Sena, Simone Beretta, Jaroslaw Aronowski, Francesca Bosetti, Clinton B Wright, Patrick D Lyden, Lauren H Sansing

Faculty, Staff and Student Publications

Preclinical stroke research faces a critical translational gap, with animal studies failing to reliably predict clinical efficacy. To address this, the field is moving toward rigorous, multicenter preclinical randomized controlled trials (mpRCTs) that mimic phase 3 clinical trials in several key components. This collective statement, derived from experts involved in mpRCTs, outlines considerations for designing and executing such trials. mpRCTs offer advantages such as increased sample sizes, robust statistical design, incorporation of heterogeneity, and standardized protocols, but they face challenges in finding the right balance between standardization and heterogeneity, appropriate stroke model selection, and outcome measures, as well as the …

Intertidal Seagrass Meadows In South West England: The Ecology Of Expansion, Oliver Thomas

School of Biological and Marine Sciences Theses

Within the space of a decade, intertidal sediments in the Tamar estuary, South West England, have undergone a shift from unvegetated mudflats to dense perennial seagrass habitat. Yet despite the increasing prevalence of intertidal seagrass meadows in the South West, there are large knowledge gaps relating to intertidal meadow biodiversity, function and ecosystem service provision, particularly within the context of the estuarine meadows of the South West: as such we do not fully understand the implications of this recent colonisation within the Tamar. This study aims to characterise the spatial expansion of these newly-established Zostera marina meadows using Earth observation …

Coping With Climate Change: The Role Of Plasticity Within And Across Generations, Caitlin Mcandry

School of Biological and Marine Sciences Theses

Climate change is leading to increased mean temperatures and more frequent and severe temperature anomalies, threatening organisms globally. Phenotypic plasticity, the ability of a given genotype to express different phenotypes in different environments, may offer a mechanism that allows organisms to temporarily persist in a rapidly changing environment, ultimately buying time for genetically based adaptations to evolve. Plasticity has been demonstrated both within and across generations, in response to different environmental stressors. However, our understanding of the interactive effects of plastic responses across levels of biological organisation, and over temporal scales from hours to generations, is still limited. Additionally, we …

Assessing The Ecological Vulnerability Of Natural Flood Defences And Risks To Agricultural Land Following Seawater Flooding, Cally Barratt

School of Biological and Marine Sciences Theses

Anthropogenic climate change is intensifying extreme weather events, affecting the natural environment by altering ecosystems, and leading to habitat loss. Pressingly, the frequency and severity of storm surge flooding in low-lying coastal regions is projected to increase under future climate scenarios. There is a growing need to understand how these events will impact coastal ecosystems, and the measures that can be taken to mitigate against these effects and protect natural resources. Furthermore, with increased pressures placed on agriculture to meet food demand, protecting arable land resources in coastal regions from the rising threat of flooding is imperative. This thesis explores …

Application Of Coastal Change Management Areas (Ccmas) For Coastal Adaptation To Climate Change Impacts In Sw England, Josie-Alice Kirby

School of Biological and Marine Sciences Theses

Coastal Change Management Areas (CCMAs) were introduced into the English planning system in 2012 to enable anticipatory management of long-term coastal change. However, their implementation has been limited and inconsistent, reflecting uncertainty in how future shoreline change should be defined and translated into statutory planning boundaries. This thesis addresses the gap between national coastal adaptation policy and the scientific evidence required to support its practical application.The research combines policy analysis, geomorphological classification and probabilistic modelling to develop a structured framework for delineating areas of future coastal change. Chapter 2 evaluates the national implementation of CCMAs and demonstrates substantial variability in …

Developing A Socio-Ecological Thriving Resilience Model For Student Teachers In Myanmar, A Crises-Affected Context, Shwe Ye Phyo, Erika Kopp

Australian Journal of Teacher Education

The teacher education journey of student teachers in Myanmar has become more challenging due to the combined effects of COVID-19 and political unrest. Preparing resilient teachers in such contexts requires an understanding of the challenges student teachers face and the strategies they employ. Through focus group interviews with 12 final-year student teachers, the study explored their challenges and strategies during their teacher education journey. Using constructivist grounded theory, data were analysed, and a Socio-Ecological Thriving Resilience Model was proposed. Student teachers overcame both professional and personal challenges through the active use of their own resources and contextual ones. This demonstrates …

Indicators Of Mid-Career Teacher Quality Through Perspectives Of Key Stakeholders, Maria Azfar Karimullah, Wayne G. Cotton, Louisa Peralta

Australian Journal of Teacher Education

The ongoing quest of quality education has focused on teaching quality in K-12 classrooms globally, as evidenced by recent research, reviews, and media coverage. Yet, identifying, defining, and measuring ‘teacher quality’ remains a complex challenge, particularly during the crucial mid-career stage. The focus on mid-career teachers in educational research is often neglected, when compared with early career teachers or teachers in leadership. This qualitative study explores the characteristics that mid-career teachers, teacher leaders and accreditation personnel perceive as the indicators of a quality mid-career teacher. Drawing on semi-structured interviews with 29 participants including 23 mid-career teachers, five school principals, and …

Patient Experiences Of Receiving Home-Based Immunotherapy Infusions - A Constructivist Grounded Theory Study, Patricia Ann Cook

Theses: Doctorates and Masters

Context: The treatment of cancer and chronic health conditions has been greatly revolutionised via intravenous immunotherapy infusions. Demand, both globally and in Australia, is increasing due to several factors including aging and increased populations, subsequent increases of cancer cases, new immunotherapy indications and increased survival rates.

In Perth, Western Australia, a private service provider commenced delivering a home based immunotherapy infusions model of care as a hospital substitution service provider in 2013 and the service has now been extended across Australia. The safety and efficacy of home-based infusions have been well documented in research, and an increasing number of patients …

Optimising Vaginal Microbiome Profiling For Clinical Translation: A Comparative Assessment Of Sample Storage Methods And A Vagina-Specific 16s Rrna Gene Database, Alishum Ali, Jeffrey A. Keelan, Blagica Penova-Veselinovic, Morten E. Allentoft, Michael Bunce, Claus T. Christophersen

Research outputs 2022 to 2026

Vaginal microbiome composition has been linked to risk of preterm birth (PTB), a persistent global health challenge. 16S rRNA microbial profiling has identified specific vaginal community state types (CSTs) that have been associated with PTB risk. Diagnostic profiling requires standardised pre-analytical protocols. We evaluated two storage methods and validated a curated, vagina-specific 16S rRNA gene database (VagDB) to enhance annotation. Paired Copan FLOQ swabs from 22 women at high PTB risk were processed for either (a) dry/immediate freezing or (b) Amies-stabilisation/refrigeration. Amplicon sequence variants were generated via 16S rRNA gene (V4) PCR and Illumina sequencing. We assessed diversity, composition, and …

A Mass Cytometry-Based Blood Cell Phenotyping Workflow Enabling Inclusion Of Resource-Limited And Rural Sites In Immune System Studies, Natalie J. Smith, Michael Cohen, Lauren Tracey, Julie Alipaz, Christina Loh, David King, Neha Pulyani, Rebecca Auzins, Elin Gray, Sandra Taylor, Rajat Rai, Steven Kao, Barbara Fazekas De St Groth, Helen M. Mcguire

Research outputs 2022 to 2026

Insight into disease detection and treatment through comprehensive immune phenotyping relies on the generation of high-quality data. However, the execution of robust immune monitoring in clinical trials by flow cytometry is complex due to logistical challenges in sample preparation and reagent stability. These challenges are exacerbated when considering remote and rural communities in Australia, which are burdened by both an increased prevalence and a worse prognosis of many chronic and infectious pathologies. This is not unique to the Australian context as globally remote and rural communities are underrepresented in biomedical research studies, contributing to persistent health inequities. To address these …

Efficacy And Safety Of Tai Chi For Chronic Musculoskeletal Pain: A Systematic Review And Meta-Analysis, Shun Chen, Weiting Liu, Qinwei Fu, Mingyu Huang, Weilan Lin, Yanting Ding, Ming Li

Research outputs 2022 to 2026

Objectives: Tai Chi, a form of complementary intervention emphasizing breathing and mind-body connection, is increasingly recognized for its potential in pain management. This review aims to synthesize current evidence on the efficacy and safety of Tai Chi for chronic musculoskeletal pain management in adults. Design: Systematic review and meta-analysis. Data sources: AMED, EMBASE, MEDLINE, WoS, CBM, CNKI, VIP, Wanfang Databases, CENTRAL, and WHO ICTRP were searched from database inception through May 2025, with an additional supplementary search conducted in January 2026. Eligibility criteria for selecting studies: We included randomized controlled trials (RCTs) comparing Tai Chi with other interventions for chronic …

Lived Experience Of Secondary Vicarious Trauma Among The Tegaru Australian Diaspora In The Postwar Context Of Tigray, Hailay Abrha Gesesew, Fauk, Kiflu Gebremicael Tesfamicael, Gebremeskel Mamu Werid, Lillian Mwanri, Amanuel Gebremedhin, Kidane Gebremariam, Semira Hailu, Kalayu Brhane Mruts, Michael Musker, Fisaha Haile Tesfay, Azeb Gebresilassie Tesema, Paul Ward

Research outputs 2022 to 2026

Background: The war in Tigray has caused humanitarian and public health crises in North Ethiopia in addition to a high prevalence of mental health symptoms among the Tegaru (people from Tigray) diaspora in Australia. To date, there have been no studies that have explored mechanisms of vicarious mental health and resilience among Tegaru diasporas in Australia. Methods: We conducted 14 in-depth interviews with Tegaru people living in South Australia from September 2023 to June 2024. Data analysis involved an initial stage of open coding, followed by conceptual coding. We also applied “interanalyst validity” to validate the code of framework. Results: …

Non-Pharmacological Sleep Interventions For Dementia Caregivers: A Systematic Review Of Randomized Controlled Trials, Aisling Smyth, Lambert, Mark Jenkins, Adugnaw Zeleke Alem, Misganaw Gebrie Worku, Sujatha Shanmugasundaram

Research outputs 2022 to 2026

Background: Caregivers of people living with dementia frequently report poor sleep. This systematic review describes evidence from randomised controlled trials of non-pharmacological sleep interventions for dementia carers. Methods: A systematic search of major databases was undertaken. Risk of bias was assessed using the Cochrane ROB 2.0 tool. Narrative synthesis followed Synthesis Without Meta-analysis (SWiM) guidelines due to substantial heterogeneity. Findings: Eighteen articles were included. Risk of Bias analyses revealed most studies had high overall risk of bias, primarily from selection of reported result bias. Interventions comprised of five categories: sleep-promoting, carer well-being, exercise, technology-based and complementary therapy. High variability between …

S-Methyl Cysteine Sulfoxide: Its Effects On Cardiometabolic Outcomes In High-Fat Fed C57bl/6 Mice And Relevance To Human Health, Caroline R. Hill, Balmer, Hayley Abbiss, Jonathan M. Hodgson, Joshua R. Lewis, Armaghan Shafaei, Lauren C. Blekkenhorst

Research outputs 2022 to 2026

S-Methyl cysteine sulfoxide (SMCSO) is an organosulfur compound with demonstrated hypocholesterolemic, anti-diabetic, and antioxidant benefits in rodents. However, the doses used have limited translatability for humans. We explored whether SMCSO could blunt development of diet-induced metabolic syndrome features in mice using doses that are potentially more translatable and achievable in humans. Male mice (C57BL/6; n = 54) were randomly assigned into one of five groups: [1] normal-diet; [2] high-fat-diet; or high-fat-diet with [3] 60 mg kg⁻¹, [4] 170 mg kg⁻¹, or [5] 350 mg per kg per body weight (BW) of SMCSO, respectively. Doses were administered …

Overview Of Aboriginal And Torres Strait Islander Health Status 2025, Australian Indigenous Healthinfonet

Research outputs 2022 to 2026

This Overview provides a summary of the most recent indicators of the health and wellbeing of Aboriginal and Torres Strait Islander people (of all ages, where data are available). The topics included in the Overview cover chronic health conditions which are featured on the HealthInfoNet website. Over the years as additional funding has been obtained and in consultation with HealthInfoNet networks, more topics have been covered on the website and are now included in the Overview. The topics aim to reflect the status of Aboriginal and Torres Strait Islander health over this period and going forward.

Understanding The Journey To Higher Education: Decision-Making Insights From Aboriginal And Torres Strait Islander Students, Melissa Fong-Emmerson, Claire Lambert, Braden Hill, Maria M. Ryan

Research outputs 2022 to 2026

This study investigates the decision-making process of Indigenous Australian students in pursuing higher education, addressing a gap in understanding their educational choices. It identifies the key factors influencing university enrolment decisions and how these shape students’ educational pathways. Using a narrative-inquiry approach, the study explored the lived experiences of Indigenous students from two Western Australian universities. Through written autobiographies, yarning sessions and one-on-one interviews, participants shared rich, nuanced insights into their journeys to higher education. Findings reveal the pivotal role of ‘sparks’ in normalising higher education as a viable option. Students relied minimally on formal information search, depending heavily on …

Breaking Down Seagrass Fragmentation In A Marine Heatwave Impacted World Heritage Area, Michael D. Taylor, Simone Strydom, Matthew W. Fraser, Ana M.M. Sequeira, Gary A. Kendrick

Research outputs 2022 to 2026

Marine heatwaves, and other extreme climatic events, are driving mass mortality of habitat-forming species and substantial ecological change worldwide. However, habitat fragmentation is rarely considered despite its role in structuring seascapes and potential to exacerbate the negative impacts of habitat loss. Here, we quantify fragmentation of globally significant seagrass meadows within the Shark Bay World Heritage Area before and after an unprecedented marine heatwave impacting the Western Australian coastline over the austral summer of 2010/11. We use a spatial pattern index to quantify seagrass fragmentation from satellite-derived habitat maps (2002, 2010, 2014 and 2016), assess potential predictors of fragmentation and …

Influence Of Chronotype On Cycling Performance In Simulated 20-Km Time Trials—A Pilot Study, Sabrina Forster, Sascha Schwindling, Chris Abbiss, Fabienne Döringer, Andreas Klütsch, Anne Hecksteden, Tim Meyer

Research outputs 2022 to 2026

The chronotype (CT) refers to an individual's diurnal preference towards morningness (M) or eveningness (E). The aim of this study was to determine the influence of chronotype on 20-km cycling performance throughout the day. Seventy-six competitive male cyclists and triathletes completed the Morningness-Eveningness Questionnaire to determine chronotype. Only participants categorised as ‘definite’ M- (n = 10) and E-types (n = 7) were included in the study. In a randomised order and separated by 2–7 days, participants performed four self-paced 20-km cycling time trials at four different times of the day (06:00 h, 12:00 h, 18:00 h, 22:00 h). Mental readiness …

Towards A Person-Centred Holistic Consultation Framework For Paramedics Attending Non-Acute Presentations: A Multidisciplinary Commentary, Robbie King, Angela Martin, Alan M. Batt, Sonia Louise Martin, Nigel Barr, Caroline Hwang, Bill Lord, Peter O’Meara, Louise Reynolds, Staffan Hammarbäck, Shaun Hosein, Julie Kempton, Brendan Shannon

Research outputs 2022 to 2026

Introduction: Traditional rapid-assessment models may not be fully suited for the complex non-acute presentations that paramedics commonly encounter. As paramedicine evolves to meet non-acute patient needs, extended practice community paramedic roles are emerging to deliver holistic and collaborative community-based healthcare. Purpose: This commentary outlines the need for a person-centred holistic clinical consultation framework for paramedics attending complex non-acute presentations. A framework that provides a structured and systematic process for paramedics, particularly those who are transitioning into extended practice community paramedic roles, to guide them in conducting holistic person-centred assessments. This commentary highlights the importance of understanding the biopsychosocial factors influencing …

Can Dna Be Glycosylated?, Wei Wang

Research outputs 2022 to 2026

No abstract provided.

Cardiovascular–Kidney–Metabolic Syndrome Through The Lens Of Gut‑Derived Uremic Toxins, Chudan Xu, Matthew Snelson, Francine Z. Marques

Research outputs 2022 to 2026

Cardiovascular–Kidney–Metabolic (CKM) syndrome represents a complex, interconnected cluster of cardiovascular disease, chronic kidney disease, and metabolic disorders such as obesity and type 2 diabetes. These conditions share overlapping metabolic, inflammatory, and vascular pathways, with the gut microbiome increasingly recognised as a key contributor and common underlying risk factor. Uremic toxins, traditionally considered waste products of host and microbial metabolism, are now recognised as active mediators of tissue damage across the CKM spectrum, particularly in the context of impaired renal function. Their production and accumulation are amplified by disrupted intestinal barrier integrity, chronic inflammation, and reduced renal clearance, collectively driving systemic …

Crustose Coralline Algae, Algal Turfs, And Coral Reef Calcification, Sterling B. Tebbett, Scott D. Ling, David R. Bellwood, James Gahan, Alexandre C. Siqueira, Kyle Morgan

Research outputs 2022 to 2026

Crustose coralline algae (CCA) play a central role in coral reef framework consolidation and vertical accretion, yet their contribution to reef-scale calcification remains poorly quantified, particularly on reefs dominated by algal turfs. We examined how CCA calcification rates differed across ten reef sites with varying benthic composition around Lizard Island, Great Barrier Reef, Australia. Using tiles from calcification accretion units (CAUs), we quantified CCA carbonate production on light-exposed tile surfaces and related these rates to CCA cover and the Epilithic Algal Ratio (i.e. the spectrum of algal states from CCA to turf dominance), quantified on both tiles and the adjacent …

Diasporic Challenges, Domestic Abuse And Patriarchal Norms Experienced By Migrant Pakistani Women In Australia, Safia Iftikhar, Shajimon Peter, Vicki Banham, Elizabeth Reid Boyd

Research outputs 2022 to 2026

This article examines diasporic challenges, domestic abuse and patriarchal ideologies that constitute unique diasporic lives of first-generation migrant married Pakistani women (MPW) in Australia. For this qualitative study, 21 MPW residing in Australia were recruited for semi-structured in-depth interviews. Results from the interpretative phenomenological analysis of data revealed the diasporic encounters MPW face in Australia and the influence of patriarchal ideology on their lives in navigating those encounters. MPW’s responses to patriarchal norms in their married lives fell on a spectrum, which include conformation to the norms of patriarchal familial structures on the one side and resistance and bargaining against …

Emerging Blood-Based Biomarkers For The Detection Of Parenchymal Brain Metastasis: Current Progress And Future Perspectives, Désirée Sexauer, Elin S. Gray, Helen Rizos, Pauline Zaenker, Aaron B. Beasley

Research outputs 2022 to 2026

Parenchymal brain metastases of solid malignancies remain a significant clinical challenge, as they are often detected at later symptomatic stages, which are typically associated with worse prognosis. Delayed detection limits treatment options and contributes to poor outcomes, while early detection is critical for improving patient outcomes and quality of life. In this comprehensive review, we investigated the potential use and challenges of blood-based biomarkers, including circulating tumor cells, cell-free DNA, noncoding RNAs, extracellular vesicles, proteins, and other immune-related biomarkers, for the early detection of parenchymal brain metastasis. The use of blood-based liquid biopsies offers a promising avenue for early detection …

Machine-Learning-Guided Design Of A Biomedical High-Entropy Alloy For Additive Manufacturing: Cast-State Benchmark And Preliminary Lpbf Feasibility Assessment, Deyu Jiang, Lai Chang Zhang, Kuaishe Wang, Wen Wang, Chenyuan Zhu, Yuanfei Fu, Kai Wang, Wei Zhai, Ching Chiuan Yen, Weijie Lu, Di Zhang, Liqiang Wang

Research outputs 2022 to 2026

Additive manufacturing of biomedical high-entropy alloys (BioHEAs) demands a combination of low elastic modulus, high strength, and damage tolerance, yet composition discovery remains largely empirical. Here, we establish a machine-learning framework that couples virtual screening with physical prototyping to link composition, deformation mechanism, and properties. Ensemble models for strength, elongation, and modulus were applied to screen Ti–Zr–Nb–Ta–Mo-centered quinary-to-septenary spaces (∼15 million compositions), revealing discrete performance islands anchored by a Ti–Zr backbone. A Zr-rich BCC alloy (Zr₃₉.₃Ti₁₉.₅Nb₁₇.₉Ta₁₆.₈Mo₆.₅) was identified and validated. In the as-cast state, it delivers ∼1.0 GPa yield strength, 22.3% elongation, and an 88 GPa elastic modulus; ductility originates …

Meta-Analysis Of Dna Methylation Aging Signatures In 17 Human Tissues, Macsue Jacques, Kirsten Seale, Sarah Voisin, Anna Lysenko, Robin Grolaux, Bernadette Jones-Freeman, Severine Lamon, Mandhri Abeysooriya, Itamar Levinger, Carlie Bauer, Adam P. Sharples, Aino Heikkinen, Elina Sillanpaa, Miina Ollikainen, Cassandra Smith, James R. Broatch, Navabeh Zarekookandeh, Linn Gillberg, Ida Blom, Jesse R. Poganik, Mahdi Moqri, Vadim N. Gladyshev, Matthew Taper, Cassandra Malecki, Sean Lal, Nathalie Saurat, Steve Horvath, Andrew Teschendorff, Nir Eynon

Research outputs 2022 to 2026

Epigenetic changes, in particular DNA methylation, accumulate with age across different tissues, but whether these changes follow consistent patterns across different organs remains poorly understood. Here we show, through a meta-analysis of more than 15,000 human methylation profiles spanning 17 tissues, that aging produces both conserved and tissue-specific epigenetic signatures. We identify systemic shifts in methylation levels, increases in methylation variability, and growing molecular disorder across tissues. Network analysis revealed tightly connected gene clusters that are not modified by beneficial interventions, alongside a more modifiable cluster linked to NAD⁺ metabolism, supporting NAD⁺ as a potential therapeutic target in …

Relating To Difficult Weather Through Creative Practice: Responses To Marrugeku’S Cut The Sky, Helena Grehan, Jo Pollitt, O. J.E. Slater, Sam Fox

Research outputs 2022 to 2026

In this paper we argue that performance and the arts invite a deliberate sensorial connection with the body and can support a bodily turn or return, in order to help artists, scholars and communities more broadly, better attune to increasing climate instability, through collaborative, supportive and reflexive storytelling. Drawing on the three “weather” symposia, the paper focusses on the second symposium which featured a keynote presentation by Rachael Swain, co-artistic director of Marrugeku, Australia’s leading Indigenous Intercultural Dance and Performance Company. Responses to Marrugeku’s work Cut the Sky are collectively presented to illuminate what Swain argues are, “Dramaturgies of consequence” …

Sulphur Metabolism As A Key Factor In The Evolution Of Environmental Adaptation Of Acidihalobacter, Eva Vergara, Himel Nahreen Khaleque, Gonzalo Neira, Elizabeth L.J. Watkin, Jorge H. Valdés, David S. Holmes

Research outputs 2022 to 2026

This study compares predicted sulphur metabolism genes across four Acidihalobacter type strains and two metagenome-assembled genomes (MAGs), revealing genomic differences that appear to correspond to ecological specialization. Phylog-enomic analysis separates the species into two clades: clade I includes Acidihalobacter ferrooxydans from a geothermal region in Italy and the two MAGs derived from deep-sea hydrothermal vents in the Pacific Ocean, while clade II comprises Acidihalo-bacter aeolianus and Acidihalobacter prosperus from a geothermal region in Italy and Acidihalobacter yilgarnensis from a saline and acidic drainage in Australia. Variations in sulphide/quinone oxidoreductases (SQRs) across the species, in particular in Ah. ferrooxydans and Ah. …

Thinking With Trees: Responding To Sympoietic Plant Relations Through Visual Art, Xiaoyu Yang

Research outputs 2022 to 2026

Societal Impact Statement: Amid escalating climate crises, this paper explores how we might rethink our relationship with the natural world, particularly with plants and trees, through the perspectives of visual art. This paper reveals how art invites us to see trees and other plant life not as passive background scenery, but as living beings with their own forms of experience and individuality. Rather than offering technical solutions to the climate crisis, visual art creates something equally important: a shift in how we think and feel about ‘othering’ non-human life. By making visible the inner lives and behaviours of plants, art …

A Collaborative Communities-Of-Practice Methodology For Environmental Design Research: A Case Study Application In Palliative Care, Emil E. Jonescu, Benjamin Farrell, Chamil Erik Ramanayaka, Lori Delaney, Edward Litton, Talia J. Uylaki, Gareth Watts, Bella Brigham, Frances Bellemore, Davinia Seah

Research outputs 2022 to 2026

Environmental design in palliative care settings receives increasing attention, yet methodologies for studying such environments often lack interdisciplinary integration. Traditional research designs may overlook the lived expertise of clinicians and designers. Objectives: This article describes a collaborative, cross-disciplinary communities-of-practice model developed as a methodological framework to enable effective environmental evaluation and design processes in healthcare settings. Its application is illustrated through a case study in a palliative care unit. Methods: A co-designed, multi-methods approach was developed by a team of clinicians, facility managers, and academic researchers. The methodology included a scoping review, site-specific environmental data logging (sound, temperature, lighting), and …