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Article ; Online: “So, if she wasn’t aware of it, then how would everybody else out there be aware of it?” —Key Stakeholder Perspectives on the Initial Implementation of Self-Collection in Australia’s Cervical Screening Program

Claire M. Zammit / Nicola S. Creagh / Tracey McDermott / Megan A. Smith / Dorothy A. Machalek / Chloe J. Jennett / Khic-Houy Prang / Farhana Sultana / Claire E. Nightingale / Nicole M. Rankin / Margaret Kelaher / Julia M. L. Brotherton

International Journal of Environmental Research and Public Health, Vol 19, Iss 15776, p

A Qualitative Study

2022 Volume 15776

Abstract: ... the pathway’s availability. Conclusions: Whilst the introduction of self-collection was welcomed, clear ...

Abstract	Background: In December 2017, the Australian National Cervical Screening Program transitioned from 2-yearly cytology-based to 5-yearly human papillomavirus (HPV)-based cervical screening, including a vaginal self-collection option. Until July 2022, this option was restricted to under- or never-screened people aged 30 years and older who refused a speculum exam. We investigated the perspectives and experiences of stakeholders involved in, or affected by, the initial implementation of the restricted self-collection pathway. Methods: Semi-structured interviews were conducted with 49 stakeholders as part of the STakeholder Opinions of Renewal Implementation and Experiences Study. All interviews were audio recorded and transcribed. Data were thematically analysed and coded to the Conceptual Framework for Implementation Outcomes. Results: Stakeholders viewed the introduction of self-collection as an exciting opportunity to provide under-screened people with an alternative to a speculum examination. Adoption in clinical practice, however, was impacted by a lack of clear communication and promotion to providers, and the limited number of laboratories accredited to process self-collected samples. Primary care providers tasked with communicating and offering self-collection described confusion about the availability, participant eligibility, pathology processes, and clinical management processes for self-collection. Regulatory delay in developing an agreed protocol to approve laboratory processing of self-collected swabs, and consequently initially having one laboratory nationally accredited to process samples, led to missed opportunities and misinformation regarding the pathway’s availability. Conclusions: Whilst the introduction of self-collection was welcomed, clear communication from Government regarding setbacks in implementation and how to overcome these in practice were needed. As Australia moves to a policy of providing everyone eligible for screening the choice of self-collection, wider promotion to providers and ...
Keywords	self-collection ; self-sampling ; cervical screening ; implementation science ; qualitative ; experience ; Medicine ; R
Subject code	360
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cleveland Clinic Imaging Institute’s “Commitment to Respect” and Impact on Quality of Care and Patient Satisfaction

Carl Creagh MS (OD) / Scott D Flamm MD, MBA / Heather Madonia PhD / Patrick O’Keefe MD / Frank Ricaurte MD / Jean Triner MA

Journal of Patient Experience, Vol

2017 Volume 4

Abstract: Cleveland Clinic’s Imaging Institute implemented a “Commitment to Respect” initiative and survey ...

Abstract	Cleveland Clinic’s Imaging Institute implemented a “Commitment to Respect” initiative and survey process in March 2013 with the goal of improving communication and teamwork among employees and, in turn, improving patient satisfaction. Since the rollout of this initiative, we have worked to increase acceptance of the process, improve the survey response, and more fully incorporate results into staff development. Now that we have 4 years of annual data for analysis, we can state based on feedback from caregivers that the process has had a positive effect on relationships between radiologists and frontline clinical staff. The survey identifies behaviors that individuals were not previously aware of, allowing staff members to make changes based on this feedback. Additionally, institute leaders are able to reinforce the respectful behaviors of those scoring well and support the efforts of those whose scores need improvement. Both scenarios are reinforced through the radiologist annual performance review process.
Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2017-09-01T00:00:00Z
Publisher	SAGE Publishing
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Virtual reality interventions designed to support parents during and throughout the first year after birth: A scoping review.

Fallon, Victoria / Davies, Sian M / Silverio, Sergio / Creagh, Lisa

Digital health

2024 Volume 10, Page(s) 20552076241245373

Abstract: Objective: Virtual reality (VR) has become increasingly popular in clinical and health settings where it has been used for a wide range of purposes. A recent scoping review explored VR applications to assist pregnant women and found that VR was a useful ...

Abstract	Objective: Virtual reality (VR) has become increasingly popular in clinical and health settings where it has been used for a wide range of purposes. A recent scoping review explored VR applications to assist pregnant women and found that VR was a useful method to be used for a range of different purposes in both pregnancy and labour. However, no such review exists for the period after birth. Method: We aimed to search for studies that used VR to support parents during birth and in the first year postpartum (Population) in different settings (Context), and finally provided data on the characteristics, reported effectiveness and experience of VR interventions (Concept). Two hundred and fifty-one studies were identified, of which ten were eligible. Two authors independently extracted data including study design, participants and results. Results: Findings indicate that VR has been used effectively in this context to alleviate depression anxiety, and multiple domains of pain and to improve childbirth satisfaction. The majority of the studies explored the use of VR technology on outcomes such as pain and anxiety during labour and birth. The studies included used a broad range of VR hardware and software. All of the studies reported positive experiences of using VR. Conclusions: Across these studies, VR was found to be effective in terms of both physiological and psychological outcomes. There are many unexplored maternal and infant focused applications of VR which warrant further investigation as emerging evidence indicates this is becoming an increasingly accessible method to improve maternal and infant health outcomes from pregnancy through to parenthood.
Language	English
Publishing date	2024-04-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	2819396-9
ISSN	2055-2076
ISSN	2055-2076
DOI	10.1177/20552076241245373
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Article ; Online: Self-reported voice difficulties in educational professionals during COVID-19 in Quebec: a cross-sectional mixed-methods study.

Verduyckt, Ingrid / Chang, Tiffany / Creagh, Sinead / Taleb, Hanaa

Logopedics, phoniatrics, vocology

2022 , Page(s) 1–9

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2022-10-18
Publishing country	England
Document type	Journal Article
ZDB-ID	1340538-x
ISSN	1651-2022 ; 1401-5439
ISSN (online)	1651-2022
ISSN	1401-5439
DOI	10.1080/14015439.2022.2121986
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Zs.A 5910: Show issues

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Article ; Online: Management of adult patients with haematological malignancies in critical care.

Fizza Haider, S / Sloss, R / Jhanji, S / Nicholson, E / Creagh-Brown, B

Anaesthesia

2023 Volume 78, Issue 7, Page(s) 874–883

Abstract: There are a diverse range of haematological malignancies with varying clinical presentations and prognoses. Patients with haematological malignancy may require admission to critical care at the time of diagnosis or due to treatment related effects and ... ...

Abstract	There are a diverse range of haematological malignancies with varying clinical presentations and prognoses. Patients with haematological malignancy may require admission to critical care at the time of diagnosis or due to treatment related effects and complications. Although the prognosis for such patients requiring critical care has improved, there remain uncertainties in optimal clinical management. Identification of patients who will benefit from critical care admission is challenging and selective involvement of palliative care may help to reduce unnecessary and non-beneficial treatments. While patients with haematological malignancy can present a challenge to critical care physicians, good outcomes can be achieved. In this narrative review, we provide a brief overview of relevant haematological malignancies for the critical care physician and a summary of recent treatment advances. Subsequently, we focus on critical care management for the patient with haematological malignancy including sepsis; acute respiratory failure; prevention and treatment of tumour lysis syndrome; thrombocytopaenia; and venous thromboembolism. We also discuss immunotherapeutic-specific related complications and their management, including cytokine release syndrome and immune effector cell associated neurotoxicity syndrome associated with chimeric antigen receptor T-cell therapy. While the management of haematological malignancies is highly specialised and increasingly centralised, acutely unwell patients often present to their local hospital with complications requiring critical care expertise. The aim of this review is to provide a contemporary overview of disease and management principles for non-specialist critical care teams.
MeSH term(s)	Humans ; Adult ; Hematologic Neoplasms/therapy ; Hematologic Neoplasms/drug therapy ; Prognosis ; Critical Care ; Hospitalization ; Hospitals
Language	English
Publishing date	2023-01-19
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	80033-8
ISSN	1365-2044 ; 0003-2409
ISSN (online)	1365-2044
ISSN	0003-2409
DOI	10.1111/anae.15955
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Article ; Online: Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: a systematic narrative review.

Verbunt, Ebony J / Newman, Grace / Creagh, Nicola S / Milley, Kristi M / Emery, Jon D / Kelaher, Margaret A / Rankin, Nicole M / Nightingale, Claire E

Primary health care research & development

2024 Volume 25, Page(s) e12

Abstract: Aim: To provide a systematic synthesis of primary care practice-based interventions and their effect on participation in population-based cancer screening programs.: Background: Globally, population-based cancer screening programs (bowel, breast, and ...

Abstract	Aim: To provide a systematic synthesis of primary care practice-based interventions and their effect on participation in population-based cancer screening programs. Background: Globally, population-based cancer screening programs (bowel, breast, and cervical) have sub-optimal participation rates. Primary healthcare workers (PHCWs) have an important role in facilitating a patient's decision to screen; however, barriers exist to their engagement. It remains unclear how to best optimize the role of PHCWs to increase screening participation. Methods: A comprehensive search was conducted from January 2010 until November 2023 in the following databases: Medline (OVID), EMBASE, and CINAHL. Data extraction, quality assessment, and synthesis were conducted. Studies were separated by whether they assessed the effect of a single-component or multi-component intervention and study type. Findings: Forty-nine studies were identified, of which 36 originated from the USA. Fifteen studies were investigations of single-component interventions, and 34 studies were of multi-component interventions. Interventions with a positive effect on screening participation were predominantly multi-component, and most included combinations of audit and feedback, provider reminders, practice-facilitated assessment and improvement, and patient education across all screening programs. Regarding bowel screening, provision of screening kits at point-of-care was an effective strategy to increase participation. Taking a 'whole-of-practice approach' and identifying a 'practice champion' were found to be contextual factors of effective interventions.The findings suggest that complex interventions comprised of practitioner-focused and patient-focused components are required to increase cancer screening participation in primary care settings. This study provides novel understanding as to what components and contextual factors should be included in primary care practice-based interventions.
MeSH term(s)	Humans ; Early Detection of Cancer ; Neoplasms ; Health Personnel/education ; Primary Health Care
Language	English
Publishing date	2024-02-12
Publishing country	England
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	2027892-5
ISSN	1477-1128 ; 1477-1128
ISSN (online)	1477-1128
ISSN	1477-1128
DOI	10.1017/S1463423623000713
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Article ; Online: Experience of introducing screening for intimate partner violence and reproductive coercion in an urban sexual health clinic.

Galrao, Mariana / Creagh, Alison / Douglas, Richelle / Smith, Sarah / Brooker, Cathy

Australian and New Zealand journal of public health

2022 Volume 46, Issue 6, Page(s) 889–895

Abstract: Background: Intimate partner violence (IPV) and reproductive coercion (RC) can result in serious psychological, social and physical harm. Screening patients for IPV/RC has the potential to identify and assist patients who may not otherwise discuss this ... ...

Abstract	Background: Intimate partner violence (IPV) and reproductive coercion (RC) can result in serious psychological, social and physical harm. Screening patients for IPV/RC has the potential to identify and assist patients who may not otherwise discuss this with a health practitioner. Targeted screening for those with a range of specific presentations including many sexual and reproductive health issues has been recommended, but universal screening has not. Methods: The implementation and evaluation of a screening program for IPV and RC in an urban sexual and reproductive health clinic is described. Results: The program enabled patients who had been exposed to IPV and/or RC to receive assistance and support. Screening was highly acceptable to patients, and the reception and clinical staff became both highly supportive of screening and increasingly confident to assist patients who were exposed to IPV and/or RC. Conclusion and implications for public health: This program could be adapted for use in a number of healthcare settings and lead to positive health outcomes.
MeSH term(s)	Humans ; Coercion ; Family Planning Services ; Sexual Health ; Sexual Partners/psychology ; Intimate Partner Violence/prevention & control
Language	English
Publishing date	2022-09-19
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1323548-5
ISSN	1753-6405 ; 1326-0200
ISSN (online)	1753-6405
ISSN	1326-0200
DOI	10.1111/1753-6405.13301
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Zs.A 1916: Show issues

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Article ; Online: Virtual medical student radiology clerkships during the COVID-19 pandemic: Distancing is not a barrier.

Creagh, Susana / Pigg, Nicolas / Gordillo, Claudia / Banks, James

Clinical imaging

2021 Volume 80, Page(s) 420–423

Abstract: Background: Stress on medical education caused by COVID-19 has prompted medical schools to bar their students from onsite education at hospitals and clinics, limiting their educational experiences. Radiology is uniquely positioned to be a virtual ... ...

Abstract	Background: Stress on medical education caused by COVID-19 has prompted medical schools to bar their students from onsite education at hospitals and clinics, limiting their educational experiences. Radiology is uniquely positioned to be a virtual rotation during this health crisis and beyond. Purpose: To implement virtual radiology clerkships and evaluate educational outcomes. Methods: We developed virtual radiology clerkships using best practices from adult education theory; emphasizing self-directed and interactive learning through recommended reading materials, pre-recorded lectures, video conferencing, web-based learning modules from the ACR, as well as multimodality radiology resources to allow students flexibility in their individual approach to the subject matter. Results: The mean performance on standardized exams for our cohorts was 75% (range 50-96%), matching the national average of 75%. Surveys of medical students after the clerkship showed positive subjective feedback on the content and structure of the course. Conclusions: Understanding of medical imaging is vital for student doctors to have a better understanding of applied anatomy, patient care strategies, appropriate use, and image interpretation. Radiology is uniquely positioned to be taught in a virtual format, or in a combination of online and in-person activities. Standardized examination performance for our institutional virtual radiology clerkships is comparable to performance on traditional courses. Virtual clerkships designed with adult learners in mind can help student doctors prepare for residency and future independent practice as they build knowledge and skills needed to provide high quality patient care.
MeSH term(s)	Adult ; COVID-19 ; Education, Medical ; Humans ; Pandemics ; Radiology ; SARS-CoV-2 ; Students, Medical
Language	English
Publishing date	2021-09-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	1028123-x
ISSN	1873-4499 ; 0899-7071
ISSN (online)	1873-4499
ISSN	0899-7071
DOI	10.1016/j.clinimag.2021.08.024
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Article ; Online: Lived Experience of Health and Wellbeing Among Young People with Early Psychosis in Aotearoa New Zealand.

Chinn, Victoria / Creagh, Ella / Gardiner, Tracey / Drysdale, Briony / Ramritu, Pāyal / Mansoor, Zara / Every-Palmer, Susanna / Jenkins, Matthew

Community mental health journal

2024

Abstract: First episode psychosis (FEP) can disrupt a young person's life and future health. Those with lived experience of FEP can inform effective support. This study investigated how young people with FEP experience good health and wellbeing living in Aotearoa ... ...

Abstract	First episode psychosis (FEP) can disrupt a young person's life and future health. Those with lived experience of FEP can inform effective support. This study investigated how young people with FEP experience good health and wellbeing living in Aotearoa New Zealand. Recent clients of early intervention services (n = 12) shared their stories across varying traditional and creative platforms. Thematic analysis revealed seven themes important for living well with FEP: whanaungatanga (relationships), addressing stigma, finding out who I am with psychosis, getting the basics right, collaborative healthcare, understanding psychosis, and access to resources. The themes informed five supporting processes: whakawhanuangatanga (relationship-building), using holistic approaches, creating space for young people, reframing, and improving access to appropriate resources. These findings deepen our understanding of how we can support young people to live well with FEP. This study highlights the value of creative methods and partnering with lived experience experts to conduct meaningful health research.This trial was registered at Australian New Zealand Clinical Trials Registry (ANZCTR) CTRN12622001323718 on 12/10/2022 "retrospectively registered"; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384775&isReview=true .
Language	English
Publishing date	2024-03-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	215855-3
ISSN	1573-2789 ; 0010-3853
ISSN (online)	1573-2789
ISSN	0010-3853
DOI	10.1007/s10597-024-01259-6
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Article ; Online: Self-supervised learning for human activity recognition using 700,000 person-days of wearable data.

Yuan, Hang / Chan, Shing / Creagh, Andrew P / Tong, Catherine / Acquah, Aidan / Clifton, David A / Doherty, Aiden

NPJ digital medicine

2024 Volume 7, Issue 1, Page(s) 91

Abstract: Accurate physical activity monitoring is essential to understand the impact of physical activity on one's physical health and overall well-being. However, advances in human activity recognition algorithms have been constrained by the limited availability ...

Abstract	Accurate physical activity monitoring is essential to understand the impact of physical activity on one's physical health and overall well-being. However, advances in human activity recognition algorithms have been constrained by the limited availability of large labelled datasets. This study aims to leverage recent advances in self-supervised learning to exploit the large-scale UK Biobank accelerometer dataset-a 700,000 person-days unlabelled dataset-in order to build models with vastly improved generalisability and accuracy. Our resulting models consistently outperform strong baselines across eight benchmark datasets, with an F1 relative improvement of 2.5-130.9% (median 24.4%). More importantly, in contrast to previous reports, our results generalise across external datasets, cohorts, living environments, and sensor devices. Our open-sourced pre-trained models will be valuable in domains with limited labelled data or where good sampling coverage (across devices, populations, and activities) is hard to achieve.
Language	English
Publishing date	2024-04-12
Publishing country	England
Document type	Journal Article
ISSN	2398-6352
ISSN (online)	2398-6352
DOI	10.1038/s41746-024-01062-3
Database	MEDical Literature Analysis and Retrieval System OnLINE

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