Andrew Claus

Royal Brisbane and Women's Hospital

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Paul W. Hodges

University of Queensland

Kylie Tucker

University of Queensland

G. Lorimer Moseley

University of South Australia

Julie A. Hides

Mater Health Services

Mark Matthews

University of Ulster

Leanne M. Johnston

University of Queensland

Bill Vicenzino

University of Queensland

Rosalee Dewar

University of Queensland

Maree T. Izatt

Queensland University of Technology

Robert S. Ware

University of Queensland

Cooperative Institutions

University of Queensland

Queensland University of Technology

National Health and Medical Research Council

Royal Brisbane and Women's Hospital

Queensland Health

QIMR Berghofer Medical Research Institute

Queensland Children’s Hospital

Princess Alexandra Hospital

Mater Health Services

Metro South Health

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Study protocol: Clinical yarning, a communication training program for clinicians supporting aboriginal and Torres Strait Islander patients with persistent pain: A multicentre intervention feasibility study using mixed methods

Public Health in Practice (2021)

Christina M. Bernardes Ivan Lin Stephen Birch Renata Meuter Andrew Claus

Ineffective communication between healthcare clinicians and Aboriginal and Torres Strait Islander patients with persistent pain is a significant barrier to optimal pain management. This manuscript is a study protocol and describes the development and evaluation methods of a tailored, culturally-informed training program, to improve clinicians' communication with patients.This is a single-arm, multicentre (2 metropolitan and 1 regional persistent pain service) intervention feasibility study that will be evaluated using mixed methods.A communication training program will be developed informed by qualitative interviews with key stakeholders, and adapt the patient-centred 'clinical yarning' framework for the Queensland context. Evaluation of the effectiveness of the training will involve the analysis of quantitative data collected at three study sites over a 12-month period. At the patient level, communication experience will be rated at differing times of the training rollout to reflect participants' experience of communication either prior to or following the treating clinician attending the communication training. At the clinician level, evaluation of the training program will be based on changes of ratings in the importance of training, knowledge, ability and confidence to communicate with Aboriginal and Torres Strait Islander patients; satisfaction, acceptance and relevance to their clinical practice. This study will be grounded in the needs and preferences of communication of Aboriginal and Torres Strait Islander people living with pain.It is hypothesized that the patient-centred intervention will have immediate benefits for patients, improving patient experience of care. This research will focus on an area of unmet need in addressing persistent pain.

10.1016/j.puhip.2021.100221

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Citations (3)

Quantifying Muscle Size Asymmetry in Adolescent Idiopathic Scoliosis Using Three-dimensional Magnetic Resonance Imaging

Spine (2023)

Phoebe Duncombe Maree T. Izatt Peter Pivonka Andrew Claus J. Paige Little

This is a case-control study of prospectively collected data.

Idiopathic scoliosis

Rachis

10.1097/brs.0000000000004715

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Evaluating validity of the Kids-Balance Evaluation Systems Test (Kids-BESTest) Clinical Test of Sensory Integration of Balance (CTSIB) criteria to categorise stance postural control of ambulant children with CP

Disability and Rehabilitation (2021)

Rosalee Dewar Kylie Tucker Andrew Claus Wolbert van den Hoorn Robert S. Ware

Rosalee M. Dewara* , Kylie Tuckerb, Andrew P. Clausa, Wolbert van den Hoornc, Robert S. Wared & Leanne M. Johnstona a School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australiab School of Biomedical Sciences, University of Queensland, Brisbane, Australiac NHMRC Centre of Clinical Research Excellence in Spinal Pain, Injury & Health, Brisbane, Australiad Menzies Health Institute Queensland, Griffith University, Nathan, Australia

Excellence

10.1080/09638288.2021.1887374

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Citations (9)

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

Gait & Posture (2017)

Rosalee Dewar Andrew Claus Kylie Tucker Robert S. Ware Leanne M. Johnston

10.1016/j.gaitpost.2017.04.010

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Citations (30)

Assessing a GPS-Based 6-Minute Walk Test for People With Persistent Pain: Validation Study

JMIR Formative Research (2024)

Joshua Simmich Nicole Andrews Andrew Claus Megan Murdoch Trevor Russell

Background The 6-minute walk test (6MWT) is a commonly used method to assess the exercise capacity of people with many health conditions, including persistent pain. However, it is conventionally performed with in-person supervision in a hospital or clinic, therefore requiring staff resources. It may also be difficult when in-person supervision is unavailable, such as during the COVID-19 pandemic, or when the person is geographically remote. A potential solution to these issues could be to use GPS to measure walking distance. Objective The primary aim of this study was to assess the validity of a GPS-based smartphone app to measure walking distance as an alternative to the conventional 6MWT in a population with persistent pain. The secondary aim of this study was to estimate the difference between the pain evoked by the 2 test methods. Methods People with persistent pain (N=36) were recruited to complete a conventional 6MWT on a 30-m shuttle track and a 6MWT assessed by a smartphone app using GPS, performed on outdoor walking circuits. Tests were performed in random order, separated by a 15-minute rest. The 95% limits of agreement were calculated using the Bland-Altman method, with a specified maximum allowable difference of 100 m. Pain was assessed using an 11-point numerical rating scale before and after each walk test. Results The mean 6-minute walk distance measured by the GPS-based smartphone app was 13.2 (SD 46; 95% CI −2.7 to 29.1) m higher than that assessed in the conventional manner. The 95% limits of agreement were 103.9 (95% CI 87.4-134.1) m and −77.6 (95% CI −107.7 to −61) m, which exceeded the maximum allowable difference. Pain increased in the conventional walk test by 1.1 (SD 1.0) points, whereas pain increased in the app test by 0.8 (SD 1.4) points. Conclusions In individuals with persistent pain, the 2 methods of assessing the 6MWT may not be interchangeable due to limited validity. Potential reasons for the differences between the 2 methods might be attributed to the variation in track layout (shuttle track vs continuous circuit); poor GPS accuracy; deviations from the 30-m shuttle track; human variability in walking speed; and the potential impact of a first test on the second test due to fatigue, pain provocation, or a learning effect. Future research is needed to improve the accuracy of the GPS-based approach. Despite its limitations, the GPS-based 6MWT may still have value as a tool for remote monitoring that could allow individuals with persistent pain to self-administer frequent assessments of their functional capacity in their home environment.

10.2196/46820

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Clinical predictors of treatment success for patients with patellofemoral pain: a systematic review

Mark Matthews Andrew Claus Bill Vicenzino

Source

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Rethinking how we sit—What is typical, ‘good’ or ‘bad’ for the spine?

Journal of science and medicine in sport (2010)

Andrew Claus Julie A. Hides G. Lorimer Moseley Paul W. Hodges

Sitting

Body posture

10.1016/j.jsams.2009.10.373

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Citations (1)

Quantifying Typical Progression of Adolescent Idiopathic Scoliosis

Spine (2023)

Fraser R. Labrom Maree T. Izatt Geoffrey N. Askin Robert D. Labrom Andrew Claus

A prospective cohort study.Detail typical three-dimensional segmental deformities and their rates of change that occur within developing adolescent idiopathic scoliosis (AIS) spines over multiple timepoints.AIS is a potentially progressive deforming condition that occurs in three dimensions of the scoliotic spine during periods of growth. However, there remains a gap for multiple timepoint segmental deformity analysis in AIS cohorts during development.Thirty-six female patients with Lenke 1 AIS curves underwent two to six sequential magnetic resonance images. Scans were reformatted to produce images in orthogonal dimensions. Wedging angles and rotatory values were measured for segmental elements within the major curve. Two-tailed, paired t tests compared morphologic differences between sequential scans. Rates of change were calculated for variables given the actual time between successive scans. Pearson correlation coefficients were determined for multidimensional deformity measurements.Vertebral bodies were typically coronally convexly wedged, locally lordotic, convexly axially rotated, and demonstrated evidence of local mechanical torsion. Between the first and final scans, apical measures of coronal wedging and axial rotation were all greater in both vertebral and intervertebral disk morphology than nonapical regions (all reaching differences where P <0.05). No measures of sagittal deformity demonstrated a statistically significant change between scans. Cross-planar correlations were predominantly apparent between coronal and axial planes, with sagittal plane parameters rarely correlating across dimensions. Rates of segmental deformity changes between earlier scans were characterized by coronal plane convex wedging and convexly directed axial rotation. The major locally lordotic deformity changes that did occur in the sagittal plane were static between scans.This novel investigation documented a three-dimensional characterization of segmental elements of the growing AIS spine and reported these changes across multiple timepoints. Segmental elements are typically deformed from initial presentation, and subsequent changes occur in separate orthogonal planes at unique times.

Idiopathic scoliosis

10.1097/brs.0000000000004829

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Citations (2)

Prognostic factors or treatment effect modifiers in patellofemoral pain: A systematic review

Journal of science and medicine in sport (2015)

Mark Matthews Michael Skovdal Rathleff Andrew Claus TG McPoil Robert Nee

10.1016/j.jsams.2015.12.207

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Yarning about pain: evaluating communication training for health professionals at persistent pain services in Queensland, Australia

Research Square (Research Square) (2022)

Christina M. Bernardes Stuart Ekberg Stephen Birch Andrew Claus Matthew Bryant

Abstract Background: Providing cultural education to health professionals is essential in improving the quality of care and the outcomes for Aboriginal and Torres Strait Islander patients. This study reports the evaluation of a novel training workshop used as an intervention to improve communication with Aboriginal and Torres Strait Islander patients at persistent pain services. Methods : In this single-arm intervention study, health professionals undertook a one-day workshop, which included cultural capability and communication skills training based on a clinical yarning framework. The workshop was delivered across three adult persistent pain clinics in Queensland. At the end of the training, participants completed a retrospective pre/post evaluation questionnaire (5 points Likert scale , 1=very low to 5=very high) , to rate their perceived importance of communication training, their knowledge, ability, and confidence to communicate effectively. Participants also rated their satisfaction with the training and suggested improvements for future interventions. Results: Fifty-seven health professionals were trained (N= 57/111; 51% participation rate), 51 completed an evaluation questionnaire (n=51/57; 90% response rate). Significant improvements in the perceived importance of communication training, knowledge, ability and confidence to effectively communicate with Aboriginal and Torres Strait Islander patients were identified ( p<0.001 ). The greatest increase was in the perceived confidence pre-training mean of 2.96 (SE=0.11) to the post-training mean of 4.02 (SE=0.09). Conclusion: This patient-centred communication training, delivered through a novel model that combines cultural capability and the clinical yarning framework applied to the pain management setting, was highly acceptable and significantly improved participants’ perceived competence. This method is transferrable to other health system sectors seeking to train their clinical workforce with culturally sensitive communication skills.

Health Professionals

10.21203/rs.3.rs-1740247/v1

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