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  1. Article: What is Effective in Massage Therapy? Well, "It Depends…": a Qualitative Study of Experienced Orthopaedic Massage Therapists.

    Stewart-Richardson, Jennifer L / Hopf, Suzanne C / Crockett, Judith / Southwell, Phillipa

    International journal of therapeutic massage & bodywork

    2024  Volume 17, Issue 1, Page(s) 4–18

    Abstract: Background: Massage has been used as a treatment for musculoskeletal pain throughout history and across cultures, and yet most meta-analyses have only shown weak support for the efficacy of massage. There is a recognised need for more research in ... ...

    Abstract Background: Massage has been used as a treatment for musculoskeletal pain throughout history and across cultures, and yet most meta-analyses have only shown weak support for the efficacy of massage. There is a recognised need for more research in foundational questions including: how massage treatments are constructed; what therapists actually do within a treatment, including their clinical reasoning; and what role therapists play in determining the effectiveness of a massage treatment.
    Purpose: The aim of this study was to explore what experienced orthopaedic massage therapists consider to be the aspects of their work that contribute to effectiveness.
    Setting and participants: Semi-structured interviews were conducted via Zoom with six experienced orthopaedic massage therapists in Australia.
    Research design: The interviews were analysed using inductive thematic analysis, seeking insights that might be practically applied, rather than theory-driven interpretations.
    Results: The participants focused on the underlying differences between clients, between therapists, and between treatments, and clearly indicated that this concept of "difference" was foundational to their view of their work and was the underlying context for the comments they made. Within that frame of "difference", three key themes were interpreted from the data: (1) "Everyone is different so every treatment is different": how they individualised treatment based on these differences; (2) "How therapists cope with difference": how they managed the challenges of working in this context; and (3) "What makes a difference": the problem-solving processes they used to target each treatment to meeting the client's needs.
    Conclusions: Participants did not identify specific techniques or modalities as "effective" or not. Rather, a therapist's ability to provide effective treatment was based on an iterative process of treatment and assessment that allowed them to focus on the individual needs of the client. In this case "effectiveness" could be considered a process rather than a specific massage technique.
    Language English
    Publishing date 2024-03-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2452024-X
    ISSN 1916-257X
    ISSN 1916-257X
    DOI 10.3822/ijtmb.v17i1.935
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Murray-Darling Medical Schools Network Research Collaboration: protocol for a longitudinal, multi-university program of work to explore the effect of rurally based medical school programs in the Murray-Darling region.

    Turner, Brie / Bullock, Shane / Butler, Sally / Ferrington, Linda / Macartney, Michael / Major, Laura / Monrouxe, Lynn / Osuagwu, Uchechukwu Levi / Southwell, Phillipa / Van Schaik, Lachlan / Luscombe, Georgina M

    Rural and remote health

    2024  Volume 24, Issue 1, Page(s) 8306

    Abstract: Introduction: There is now strong evidence to support the positive impact of place-based medical education on the recruitment and retention of the rural health workforce in Australia. Much of this work, however, has been undertaken in the context of ' ... ...

    Abstract Introduction: There is now strong evidence to support the positive impact of place-based medical education on the recruitment and retention of the rural health workforce in Australia. Much of this work, however, has been undertaken in the context of 'extended rural clinical placement' - students undertaking part of their medical degree in a rural location. Until recently, there were only a few places in Australia in which students could undertake the entirety of their medical degree in a rural area. With the introduction of the Murray-Darling Medical Schools Network (MDMSN) initiative, this dynamic is changing. The MDMSN is part of the Stronger Rural Health Strategy and builds on the Australian Government's existing Rural Health Multidisciplinary Training Program to establish a network of rurally based medical programs in the Murray-Darling region. The MDMSN offers a unique opportunity to explore the effect of complete rural immersion during medical school on subsequent rural practice. This article describes the establishment of a research collaboration intended to ensure the harmonisation of research data collection from the outset of the MDMSN program.
    Methods: The MDMSN research collaboration is a longitudinal, multi-university program of work to explore the effect of rurally based medical school programs in the Murray-Darling region. Initially it has been agreed that administrative student data will be collected from existing university datasets to help characterise this novel student cohort. Each university will then distribute an entry survey to all first-year MDMSN students. The survey will collect demographic information as well as information regarding rural background, preferences and future practice intention. Questions have been aligned with and adapted from the Medical Schools Outcomes Database survey, the Australian Bureau of Statistics, and from the literature. This information will be combined with graduate information from the Australian Health Practitioner Regulation Agency.
    Results: The MDMSN research collaboration will work toward the co-design of research projects, to facilitate and progress multi-site research addressing nationally relevant research questions. Early research efforts are focused on our ability to better understand the new cohort of students embarking on rurally based medical education, their practice intentions and realisation. Subsequent work of the collaboration may lead to deeper understanding of the rural student experience, any effect of 'place', changes in student professional identity over time, and their relationship to subsequent rural practice.
    Conclusion: The MDMSN research collaboration is a proactive initiative that brings together data and experience from five new rurally based medical programs, and answers calls for multi-institution and longitudinal studies. It is uniquely placed to capture the impact of the MDMSN program, including the effect of complete rural immersion on the future practice location of these graduates. Ultimately, the combined research efforts of the MDMSN research collaboration will add knowledge to address the known rural workforce maldistribution, particularly how to attract and retain medical workforce.
    MeSH term(s) Humans ; Australia ; Universities ; Schools, Medical ; Workforce ; Students, Medical ; Rural Health Services ; Career Choice ; Professional Practice Location
    Language English
    Publishing date 2024-01-12
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2105620-1
    ISSN 1445-6354 ; 1445-6354
    ISSN (online) 1445-6354
    ISSN 1445-6354
    DOI 10.22605/RRH8306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Successful Ageing with COPD: Physical and Psychosocial Adaption to Functional Decline.

    Southwell, Phillipa Jane / Crockett, Judith / Burton, Deborah / Gullifer, Judith

    COPD

    2019  Volume 15, Issue 5, Page(s) 439–445

    Abstract: There is considerable research regarding the adaption to functional decline associated with advanced (Stage IV) Chronic Obstructive Pulmonary Disease (COPD). This research has, however, primarily focused on physical and interventional strategies to ... ...

    Abstract There is considerable research regarding the adaption to functional decline associated with advanced (Stage IV) Chronic Obstructive Pulmonary Disease (COPD). This research has, however, primarily focused on physical and interventional strategies to manage disease progression and symptom burden, as opposed to the psychosocial strategies. To address this paucity, the current research explored the psychosocial strategies people with Stage IV COPD use to maintain quality of life towards the end of life. Eleven older people with Stage IV COPD living in regional Australia were interviewed to explore their experiences of ageing with COPD. The research used a theory-led analysis, informed by a Gadamerian hermeneutic phenomenological methodology, to examine participant data in relation to selection, optimisation and compensation theory (SOC). The participant stories reflected the use of selective strategies, from which a hierarchy of priority tasks emerged. Participants optimised their capacity to perform high priority tasks using a range of pragmatic and instinctive responses to ongoing change, which became more and more conscious and deliberate over time. Additionally, compensatory strategies more traditionally associated with COPD management were used to reduce the impact of symptoms. It is through the participant descriptions and perception of optimisation and compensation strategies and how they were implemented that the wider theme of 'mind over matter' emerged. The use of these strategies to adapt physically and psychosocially to COPD shows how the participants demonstrated resilience and used 'successful ageing' strategies to cope with ongoing functional decline.
    MeSH term(s) Activities of Daily Living ; Adaptation, Psychological ; Aged ; Aged, 80 and over ; Australia ; Canes ; Disease Progression ; Female ; Frustration ; Healthy Aging/physiology ; Healthy Aging/psychology ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Optimism ; Oxygen Inhalation Therapy ; Perception ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/psychology ; Pulmonary Disease, Chronic Obstructive/therapy ; Quality of Life ; Resilience, Psychological
    Language English
    Publishing date 2019-03-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2171107-0
    ISSN 1541-2563 ; 1541-2555
    ISSN (online) 1541-2563
    ISSN 1541-2555
    DOI 10.1080/15412555.2018.1487390
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The reliability and utility of spirometry performed on people with asthma in community pharmacies.

    Lei Burton, Deborah / LeMay, Kate S / Saini, Bandana / Smith, Lorraine / Bosnic-Anticevich, Sinthia / Southwell, Phillipa / Cooke, Julie / Emmerton, Lynne / Stewart, Kay / Krass, Ines / Reddel, Helen / Armour, Carol

    The Journal of asthma : official journal of the Association for the Care of Asthma

    2015  Volume 52, Issue 9, Page(s) 913–919

    Abstract: Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people.: Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma ... ...

    Abstract Objective: To investigate the reliability and the utility of spirometry generated by community pharmacists participating in two large asthma intervention trials of 892 people.
    Methods: The Pharmacy Asthma Care Program (PACP) and the Pharmacy Asthma Management Service (PAMS) involved up to four visits to the pharmacy over 6 months for counseling and goal setting. Pharmacists performed spirometry according to ATS/ERS guidelines to inform management. The proportion of A-E, F quality tests, as per EasyOne QC grades, were recorded. Lung function results between visits and for participants referred/not referred to their general practitioner on the basis of spirometry were compared.
    Results: Complete data from 2593 spirometry sessions were recorded, 68.5% of spirometry sessions achieved three acceptable tests with between-test repeatability of 150 ml or less (A or B quality), 96% of spirometry sessions included at least one test that met ATS/ERS acceptability criteria. About 39.1% of participants had FEV1/FVC values below the lower limit of normal (LNN), indicating a respiratory obstruction. As a result of the service, there was a significant increase in FEV1 and FEV1/FVC and asthma control. Lung function values were significantly poorer for participants referred to their general practitioner, compared with those not referred, on the basis of spirometry.
    Conclusions: Community pharmacists are able to reliably achieve spirometry results meeting ATS/ERS guidelines in people with asthma. Significant improvements in airway obstruction were demonstrated with the pharmacy services. Pharmacists interpreted lung function results to identify airway obstruction for referral, making this a useful technique for review of people with asthma in the community.
    MeSH term(s) Adult ; Aged ; Asthma/physiopathology ; Community Pharmacy Services/organization & administration ; Community Pharmacy Services/standards ; Humans ; Middle Aged ; Reproducibility of Results ; Respiratory Function Tests ; Spirometry
    Language English
    Publishing date 2015
    Publishing country England
    Document type Journal Article
    ZDB-ID 603816-5
    ISSN 1532-4303 ; 0277-0903
    ISSN (online) 1532-4303
    ISSN 0277-0903
    DOI 10.3109/02770903.2015.1004684
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Respiratory symptoms and illness in older Australians: the Burden of Obstructive Lung Disease (BOLD) study.

    Toelle, Brett G / Xuan, Wei / Bird, Tessa E / Abramson, Michael J / Atkinson, David N / Burton, Deborah L / James, Alan L / Jenkins, Christine R / Johns, David P / Maguire, Graeme P / Musk, A W Bill / Walters, E Haydn / Wood-Baker, Richard / Hunter, Michael L / Graham, Bruce J / Southwell, Phillipa J / Vollmer, William M / Buist, A Sonia / Marks, Guy B

    The Medical journal of Australia

    2011  Volume 198, Issue 3, Page(s) 144–148

    Abstract: Objective: To measure the prevalence of chronic obstructive pulmonary disease (COPD) among people aged 40 years or older in Australia.: Design, setting and participants: A cross-sectional study of people in the community aged ≥ 40 years, selected at ... ...

    Abstract Objective: To measure the prevalence of chronic obstructive pulmonary disease (COPD) among people aged 40 years or older in Australia.
    Design, setting and participants: A cross-sectional study of people in the community aged ≥ 40 years, selected at random using electoral rolls, in six sites chosen to reflect the sociodemographic and geographic diversity of Australia, conducted between 2006 and 2010. Standardised questionnaires were administered by interview. Forced expiratory volume in 1 second (FEV₁), forced vital capacity (FVC), and the FEV1/FVC ratio were measured by spirometry, before and after bronchodilator administration.
    Main outcome measure: Prevalence of COPD, classified according to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006 criteria.
    Results: Complete data were available for 1620 men (participation rate, 26%) and 1737 women (participation rate, 28%). The prevalence of GOLD Stage II or higher COPD (defined as post-bronchodilator FEV₁/FVC ratio < 0.70 and FEV₁ < 80% predicted) was 7.5% (95% CI, 5.7%-9.4%) among people aged ≥ 40 years, and 29.2% (95% CI, 18.1%-40.2%) among those aged ≥ 75 years. Among people aged ≥ 40 years, the prevalence of wheeze in the past 12 months was 30.0% (95% CI, 27.5%-32.5%), and prevalence of shortness of breath when hurrying on the level or climbing a slight hill was 25.2% (95% CI, 22.7%-27.6%).
    Conclusions: Symptoms and spirometric evidence of COPD are common among people aged 40 years or older and increase with age. Further research is needed to better understand the diagnosis and management of COPD in Australia, along with continuing efforts to prevent the disease.
    MeSH term(s) Adult ; Age Factors ; Aged ; Australia/epidemiology ; Cost of Illness ; Cross-Sectional Studies ; Female ; Forced Expiratory Volume ; Humans ; Male ; Middle Aged ; Prevalence ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Spirometry ; Surveys and Questionnaires ; Vital Capacity
    Language English
    Publishing date 2011-03-28
    Publishing country Australia
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja11.11640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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