Medicine and Health Sciences Commons^™

The Coaches’ Eye: Exploring Coach Decision-Making During Talent Identification, Alexandra Hannah Roberts

Theses: Doctorates and Masters

For decades, researchers and practitioners interested in talent identification have discussed the coaches’ eye: the elusive ability that allows some coaches to ‘see’ qualities in an athlete that point to their talent or future potential. While there is significant anecdotal evidence of coaches who possess this ability, there is little empirical research supporting the validity or reliability of the coaches’ eye. Guided by ecological dynamics, this thesis employs mixed methodologies to explore the decision-making that underpins how high-level coaches identify talent in Olympic combat sports. These four studies captured the processes of thirty- four coaches during the talent identification process, …

Drumbeat© For Arthritis “ A Shared Purpose” Rather Than A “Lonely Struggle”, Jannette Warhurst

Theses: Doctorates and Masters

Australia is regarded as a healthy nation, with life expectancy one of the highest in the world. Yet the latest National Health Survey tells a very different story. Almost 50% of Australians are now living with one or more chronic conditions, with arthritis and other musculoskeletal (MSK) conditions representing the most expensive chronic disease group in Australia. As the leading cause of chronic pain and second most common cause of disability and early retirement due to ill health in Australia, Arthritis is costing the economy over $7 billion a year, in addition to over $1.1 billion in extra welfare costs …

The Perceived Influence Of Grandparents’ Beliefs And Attitudes On Parents’ Breastfeeding Behaviour And Paediatric Vaccination Decisions, Shantha Premila Karthigesu

Theses: Doctorates and Masters

Human infants are highly dependent on their parents for a prolonged period of time. The resources required to raise a child cannot be provided by biological parents alone and requires the assistance of others, usually relatives. Grandparents among them, have played the most significant role. With increased life expectancy in Western, educated, industrialised, rich and democratic (WEIRD) societies, grandparents have come to the forefront as informal childcare providers. Although the influence of a child’s social environment on health has been well-studied, the influence of grandparents, specifically in regard to breastfeeding remains inconclusive, while grandparental influence on paediatric vaccinations has not …

Appraisal Of Free Online Symptom Checkers And Applications For Self-Diagnosis And Triage: An Australian Evaluation, Michella Gaye Hill

Theses: Doctorates and Masters

The internet has impacted society and changed the way companies and individuals operate on a daily basis. Seeking information online via computer or mobile device is common practice. The phrase ‘Google it’ is now part of modern vernacular and is a resource increasingly utilised by young and old alike. Around 80% of Australian’s search health-related information online as it is convenient, cheap, and available 24/7. Symptom checkers are one tool used by consumers to investigate their health issues. Symptom checkers are automated online programs which use computerised algorithms, asking a series of questions to help determine a potential diagnosis and/or …

Improving Sprint Performance In Road Cycling: The Forward Standing Sprint Position, Paul Franciscus Johannes Merkes

Theses: Doctorates and Masters

The majority of road cycling races finish with a sprint and as such sprints are a key determinant of success. Surprisingly, the scientific literature on this specific topic is scarce, with limited to few studies describing the characteristics of road cycling sprinters and the demands of road sprinting. Cyclists’ sprinting velocity, which is mostly influenced by power output and aerodynamic drag (CdA) is critical to performance outcomes. However, to date, there is very limited research specifically examining how to maximise road sprint velocity. Thus, the overall objective of the four studies outlined in this thesis was to manipulate CdA, physiology, …

Injury Surveillance In Community Cricket And The Exploration Of Insurance Claims Systems, Geordie Mcleod

Theses: Doctorates and Masters

The aims of this industry funded PhD thesis were 1) To understand the injury causes, trends and burden in community cricket and 2) To examine the Cricket Australia National Club Risk Protection Program (NCRPP) insurance scheme for suitability as an injury surveillance tool for community cricket.

This thesis sought to identify and understand the injury profile of community cricketers through existing literature and injury datasets, being, Victorian Injury Surveillance Unit (VISU) hospital data, Accident Compensation Corporation (ACC) and NCRPP insurance claims data. This thesis also undertook a novel assessment of data validity and completeness from various sources, against industry standards …

Development, Assessment And Application Of A Novel Algorithm To Automatically Detect Change Of Direction Movement And Quantify Its Associated Mechanical Load In Elite Australian Football, Aaron Balloch

Theses: Doctorates and Masters

The ability to change direction rapidly and efficiently is critical to team-sport performance, including Australian football (AF), where a player’s capacity to rapidly decelerate, move laterally and re-accelerate is critical when evading opponents, tackling, or reacting to the unpredictable bounce of the ball or movement of another player. The biomechanical loading requirements of change of direction (COD) movement are angle and velocity dependant. Cumulative COD movement can impart high levels of neuromuscular and metabolic fatigue which can adversely affect the efficiency of subsequent movement efforts. Despite widespread use of microtechnology devices (the vast majority containing a global navigation satellite system …

Drug Users’ Experiences Of A Residential Rehabilitation Program In Western Australia: A Thematic Analysis Of Drug Users Lived Experiences, Michelle Fullam

Theses: Doctorates and Masters

In the last decade, there has been a marked increase in the awareness of drug use and drug-related crime in Australia. As a result, the demand for drug treatment services has increased and 14 recognised government-funded services are now available in Western Australia (WA). The goal of these services is to reduce drug use through full-time intensive programs that are usually residential. This type of drug treatment has been shown to be effective in reducing drug use and promoting pro-social lives post-treatment. However, little is known of the experiences of participants in this type of treatment in WA. As such, …

A Public Health Perspective Of The Higher Education Experiences Of Women Studying Nursing: A Hermeneutic Inquiry Into Commencement And Progression, Lesley Jane Andrew

Theses: Doctorates and Masters

While student retention is a central goal across higher education, the projected shortage in the Australian health workforce has intensified its importance to undergraduate nursing.

Nursing degrees attract a higher proportion of mature-age women students than ever before. More are therefore beginning university at life stage characterised by marriage (or co-habitation) and traditional family structures. Nursing retention strategies require an understanding of the unique university experiences of these women, however, this is missing in the nursing literature. This study is the first to explore the experiences of these women students, doing so from the perspective of Bachelor of Science (Nursing) …

Analysis Of Perceptual-Motor Calibration Processes In Indoor Climbing, Andrew Stephen Walsh

Theses: Doctorates and Masters

This research programme examines how people perceive maximal reach-and grasp-ness in climbing, and as such these questions will be limited to climbing.

Is experienced gained from performing daily submaximal reaching sufficient for the accurate perception of maximal horizontal reaching affordances in rock climbing?

How is perception of maximal horizontal boundary of reach-and grasp-ness affected by: hold size, body position, additional load, or fatigue.

How will inducing fatigue affect how a participant calibrates distance and their movement economy?

An Exploration Of The Critical Success Factors Associated With Implementing A Public Health Plan In Local Governments Within Western Australia, Anne Polley

Theses: Doctorates and Masters

Public Health planning in local governments in Western Australia (WA) is a relatively new approach to addressing local health needs. The Western Australian Public Health Act came into effect in 2016. The Public Health Act 2016 encompasses a range of legislative requirements, some of which include the development of Local Public Health Plans. A range of roles within the local government workforce therefore are likely to require support to plan and implement Public Health Plans, which in the past have not directly been a component of their role. There is limited understanding and evidence of the barriers and enablers that …

Moving On After Critical Incidents In Health Care. Second Victims: A Qualitative Study Of The Experiences Of Nurses And Midwives, Melanie Buhlmann

Theses: Doctorates and Masters

Aims: The aims of this study were to gain a deeper understanding of the experiences of nurses and midwives who have been involved in a critical incident in a non-critical care area and to explore how they have ‘moved-on’ from the event.

Background: It is irrefutable that health care is intrinsically risk-laden and perceived to be personally and professionally demanding for those who are employed within it. The term ‘second victim’ has been assigned to health care professionals who experienced emotional distress as a result of their involvement in critical incidents. Despite the recognition that critical incidents contribute to workrelated …

The Application Of Maximal Mean And Critical Speed And Metabolic Powers For The Quantification Of External Load In Soccer, Cameron Nicholas Lord

Theses: Doctorates and Masters

In Association football, often referred to as “soccer”, competitive match play is typically known to represent the greatest physical demand that players experience. The demands associated with match running performance may impact training outcomes and injury risk. As a result, practitioners evaluate these demands to ensure that performance is optimised. To assist in this process, global positioning systems (GPS) are typically used to quantify displacement variables and, more recently, the interaction between running speed and acceleration. However, traditional player monitoring methods tend to apply identical and somewhat arbitrary displacement, velocity and acceleration bands to describe movement “intensity”, and thus to …

Holistic Health: Shaping Women’S Experiences Of Positive Body Image, Helen Elizabeth Monks

Theses: Doctorates and Masters

This PhD thesis seeks to contribute to a nuanced understanding of positive body image and how it is expressed among a group of women participating in holistic health culture in a modern Western society. Qualitative data were collected from in-depth ethnographic interviews with 25 women in Perth, Western Australia, to illuminate an understanding of their holistic health beliefs and practices, perceptions of appearance and health ideals, as well as their understandings of positive body image. Thematic analysis of the data through Nvivo revealed several overarching themes, demonstrating how certain aspects of holistic health culture may encourage or dissuade the development …

Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes

Theses: Doctorates and Masters

This study investigates the preparedness of novice (student) paramedics for the mental health challenges of the paramedic profession and identifies the coping strategies used by veteran paramedics to successfully meet these challenges. The lived experience of veteran paramedics is utilised to provide this important assistance.

Initially, two surveys were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate degree paramedicine courses across Australia and New Zealand, to identify the perceived need (for preparation) within the curriculum. In addition, the anticipations, confidence and fears of novice (student) paramedics, course coordinators and veteran paramedics were also …

The Mechanics Of Front Leg Loading During Cricket Fast Bowling: Delivery Variations, Spell Demands, And The Effects Of Strength Training, Samuel J. Callaghan

Theses: Doctorates and Masters

The goal of fast bowling in cricket is to dismiss a batsman for as few runs as possible. To assist this goal, fast bowlers will attempt to maximise ball release velocity (BRV) to decrease the decision-making and stroke execution time of the opposing batsmen. Fast bowlers will also employ various delivery lengths (i.e. short, good and full) to assist in affecting a batsman’s stroke execution.

Several issues remain to be addressed with regards to the biomechanical assessment of fast bowling. This is particularly evident when analysing fast bowling performance (i.e. BRV), the implications of front foot loading (i.e. vertical and …

Breathing New Life: Investigating Ways To Improve The Mental Health Of People Living With Chronic Obstructive Pulmonary Disease In Western Australia, Tina Phan

Theses: Doctorates and Masters

Anxiety and depression are common comorbidities in people with chronic obstructive pulmonary disease (COPD), contributing to greater morbidity and mortality in an already vulnerable population. Despite the prevalence, few recommendations exist in global management guidelines for the detection and treatment of these comorbidities, reflecting the limited literature available on effective strategies for dealing with mental health issues in COPD populations. There is promising evidence that cognitive behavioural therapy (CBT) improves mental health outcomes in people with COPD. However, investigational studies have commonly reported participants’ lack of transport, lack of time and illness as barriers to recruitment and successful completion. This …

Effects Of Long-Term Participation In Tennis On Cognitive Function In Elderly Individuals, Scott Culpin

Theses: Doctorates and Masters

Many studies have reported the relationship between exercise and cognition with conflicting results. This may be due to differences in intervention durations, session lengths, intensities, and type of exercise. It has been suggested that exercises requiring greater cognitive demand such as football, basketball and racquet sports, are protective against cognitive decline, compared to less cognitively demanding exercises such as swimming, cycling and running, however, research concerning exercise types are currently limited. The present study tested the hypothesis that elderly individuals who had been regularly playing tennis more than 10 years, would have greater cognitive function than those who had been …

An Investigation Into The Creation Of Goal Scoring Opportunities In Women’S International Football; And A Comparison To Men’S International Football, Mark Scanlan

Theses: Doctorates and Masters

Football is the most popular sport in the world, played in over two hundred countries and it is governed by the Fédération Internationale de Football Association (FIFA), who host a World Cup every four year for both men and women. Women’s football is growing in terms of popularity, with this growth in popularity, research into the women’s game has begun to emerge. However, to date there is very little published research in women’s football that describes effective attacking strategies and the creation of goal scoring opportunities (GSO). Video of each match (52) from the Women’s World Cup (Canada 2015) was …

A Profile Of Game Style, Physical, Technical And Tactical Skills, And The Pathways That Underpin Expertise In Australian Youth Soccer Players, Bradley Scott Keller

Theses: Doctorates and Masters

The attainment of expertise has been the focus of research in many domains including music, chess and sport. This research has progressed with many theories detailing the best way to develop expertise and nurture talent in sport. Soccer is a multifaceted sport which requires a number of physical, technical and tactical skills to be successful, making it difficult to achieve expertise. Although Australia’s performance on the international stage is improving, there is a lack of evidence to inform the most effective development pathways to support the next wave of talented youth soccer players. Therefore, the aim of the thesis was …

The Human Factors Associated With Responding To Emergency Vehicles, Pauline Grant

Theses: Doctorates and Masters

Emergency vehicles undertake emergency driving, using lights and sirens, to move rapidly through traffic in response to situations where life and property are at risk. For the emergency driving to be effective, other motorists need to drive in a manner that facilitates their passage. Despite laws to support this, problematic encounters can result in emergency vehicles being unable to get through. The current research expanded on earlier exploratory research into motorists’ encounters with emergency vehicles (Grant, 2010) to examine psychological factors involved with motorists’ responses to emergency vehicles. A construct validity approach was used to develop a scale …

A Nested Environmental Approach To Typhoid Epidemiology In Central Division, Fiji, Aaron Jenkins

Theses: Doctorates and Masters

Many current disease threats involve interactions within and between nested subsystems of biological organisation. Typhoid fever is a serious disease threat in the South Pacific region, with Fiji reporting the highest annual number of cases, yet risk factors in this setting have been poorly studied. While localised behaviours have dominated perspectives on typhoid transmission, interactions between distal ecological conditions, conditions of the residential environment and localised behaviour deserve greater attention for their potential to influence transmission. This thesis demonstrates a nested approach to typhoid epidemiology using a fivefold methodology to explore how regional, river basin, residential, socio-cultural and behavioural subsystems …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

Exploring The Experience Of Separation In Australia: Perspectives From Formerly Married And Cohabiting Parents, Sarah M. Barbas

Theses: Doctorates and Masters

The increase in separation and divorce rates during the 20th century brought with it many far-reaching social implications for all involved, sparking a high level of interest among researchers. Most research in this area has been approached from stress frameworks that have conceptualised separation and divorce as a stressful life transition that individuals must adjust to. Yet, attempts to understand separation and divorce to date have been dominated by quantitative methods that have resulted in a relatively static and objective understanding of this experience; particularly in Australia. Furthermore, although international rates of divorce are declining, rates of separation following cohabiting …

Chinese Nursing Students At Australian Universities: A Narrative Inquiry Into Their Motivation, Learning Experience, And Future Career Planning, Carol Chungfeng Wang

Theses: Doctorates and Masters

This study presents a narrative inquiry of Chinese nursing students at Australian universities in order to examine these students’ motivations, learning experiences and future career planning. Australia seeks to attract international nursing students from China to maintain its economic advantage and alleviate its projected nursing shortage. In contrast, China desperately needs its best and brightest citizens who have trained abroad as nurses to return to China in order to cope with its current challenges in the healthcare system and nursing education. Little is known about the underlying factors that motivate Chinese nursing students to study in Australia, these students’ learning …

Evaluation Of Acceptance And Efficiency Of Exercise For Indigenous Australians To Benefit Physiological, Anthropometric And Metabolic Syndrome Outcomes, Tuguy Esgin

Theses: Doctorates and Masters

The proposed study will provide an increased understanding in a much-understudied area of how the Australian Indigenous community perceives physical activity and the beneficial effects for improving health outcomes.

The PhD will be made up of three studies:

1) To design an exercise prescription that is culturally appropriate and specifically addresses the major Indigenous health issues around metabolic syndrome.

The first will be a cross sectional study that surveys the motivators and barriers to physical activity within the Perth Noongar community. The results of this study will be used to enhance the intervention section of the PhD. It will provide …

The Relationship Between Physical Exercise And Cognition In Children With Typical Development And Neurodevelopmental Disorders, Beron Wei Zhong Tan

Theses: Doctorates and Masters

This research project sought to investigate the relationship between physical exercise and cognition in children with and without a neurodevelopmental condition. To achieve this aim, three approaches were undertaken to explore the exercise and cognition relationship. The first approach sought to understand the efficacy of exercise interventions on cognition in individuals with a neurodevelopmental disorder. The second approach was to understand the effectiveness of an exercise activity when compared to a cognitively-engaging tablet game activity on measures of implicit learning and attention in children with and without a neurodevelopmental condition. The third approach was to investigate if psychophysiological measures could …

Communication: How Do Females With Rett Syndrome Perform This Activity And What Factors Influence Performance?, Anna Urbanowicz

Theses: Doctorates and Masters

Background Rett syndrome is a neurodevelopmental disorder primarily caused by mutations in the X-linked methyl-Cp2G-binding protein 2 (MECP2) gene. The disorder affects approximately 1 in 9000 females and is usually associated with language, physical and intellectual impairments, each of which contributes to difficulties with communication. In Rett syndrome, eye gaze is considered a common form of communication and conventional methods, such as talking and gestures, less common. Females appear to use these forms of communication to serve a number of functions including choice making, requesting, social convention, bringing attention to themselves, and to reject, comment and answer. However, the literature …

Factors Influencing Resilience Among Haematological Cancer Survivors, Katherine S. Gallager

Theses: Doctorates and Masters

Haematological cancers in bone marrow (leukaemia) and the immune system (lymphomas or myeloma) represent the sixth most common adult tumour group in Australia. These cancers often develop without warning and require intensive treatment regimes that last on average eight months, but may continue for a lifetime depending on the diagnosis. Encouragingly, advancing cancer treatments, a key accomplishment of cancer research over the past 40 years, have resulted in a growing community of cancer survivors. Approximately two in three adults diagnosed with haematological cancer (HC) can now expect to survive more than five years. However, they must attempt to navigate the …

The Experience Of Role Balance Among Australian Working Women With Multigenerational Caring Responsibilities, Kiah Lee Evans

Theses: Doctorates and Masters

Approximately 10% of women in developed countries are working sandwich generation women, who combine paid employment with ongoing multigenerational caring responsibilities for at least one child under 18 years and one parent or parent-in-law. This role combination is expected to become more common due to the increased workforce participation of women, childbirth at an older age, reduced fertility rates, an ageing population and a trend towards community based care. Although there are numerous benefits related to membership in the working sandwich generation, there are also a range of costs related to role participation and quality of life. In particular, these …