Browsing by Author "Langbecker, Danette"
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- ItemThe effectiveness of mHealth for self-management in improving pain, psychological distress, fatigue, and sleep in cancer survivors: a systematic review.(0000-00-00) Hernandez Silva, Elizabeth; Lawler, Sheleigh; Langbecker, DanettePURPOSE Integrating mHealth into the cancer care continuum may be an effective strategy to improve cancer survivorship care by supporting self management We aim to assess the effectiveness of mHealth applications apps for self management in improving pain psychological distress fatigue or sleep outcomes in adult cancer survivors METHODS Experimental quantitative studies evaluating apps aiming to support self management for adult cancer survivors and reporting pain psychological distress fatigue or sleep outcomes were included PubMed Web of Science Embase CINAHL PsycINFO Scopus and CENTRAL databases were searched from inception through December 2017 Risk of bias was assessed using the Cochrane risk of bias tool PROSPERO registration number CRD42017081182 RESULTS Seven studies of six mHealth interventions n 949 participants were included Two randomized controlled trials RCTs one quasi RCT one non RCT and three single arm studies involved survivors with a mix of cancer types The most common app features were symptom questionnaires n 5 and progress tracking n 5 Four studies reported outcomes for pain with three showing improvements Two studies reported psychological distress outcomes showing mixed results Four studies reported improvements in fatigue post intervention or in the intervention compared with control group but the changes were not all statistically significant Two studies reported improvements in sleep outcomes CONCLUSIONS There is emerging evidence that mHealth interventions that support self management can improve pain and fatigue outcomes in cancer survivors and some promise for psychological distress and sleep outcomes Further development and investigation of mHealth is needed incorporating targeted evidence based models of care into app design IMPLICATIONS FOR CANCER SURVIVORS mHealth interventions can improve outcomes for cancer survivors and have significant potential to benefit this growing population due to their reach
- ItemHow telehealth facilitates the provision of culturally appropriate healthcare for Indigenous Australians.(0000-00-00) Caffery, Liam J; Bradford, Natalie K; Smith, Anthony C; Langbecker, DanetteIntroduction The aim of this study was to explore how telehealth facilitates or impedes the provision of culturally appropriate healthcare to Indigenous Australians from the perspective of staff at an Aboriginal Community Controlled Health Service ACCHS Methods An exploratory qualitative study was performed Semi structured interviews were conducted with nine ACCHS staff Interview transcripts were analysed using thematic analysis Results One central theme and three sub themes were identified The central theme of Care provided in a supportive environment describes how telehealth enabled specialist consultations to be conducted in the safe environment of an ACCHS instead of a mainstream health service The first sub theme described how telehealth improved affordability and convenience and brought a reduction in the stress of healthcare The second sub theme explained the importance of the presence of an Indigenous health worker to facilitate culturally appropriate healthcare The third sub theme described how telehealth supported a holistic view of health Discussion Our findings show culturally appropriate healthcare may be enhanced by the use of telehealth because it allows care to be provided in the supportive environment of an ACCHS It allows the community member to have the advocacy and assistance of an Indigenous health worker and reduces the burden of travel and dislocation from community and family
- ItemTelementoring for hepatitis C treatment in correctional facilities.(0000-00-00) Neuhaus, Maike; Langbecker, Danette; Caffery, Liam J; Taylor, Monica; Garner, Lisa; Williams, Gayle; Smith, Anthony C; Macdonald, Graeme AIntroduction Prevalence of hepatitis C virus HCV is substantially higher among prisoners than the general population In Australia until recently only a small proportion of prisoners with HCV received antiviral therapy The direct acting antivirals DAAs for HCV are highly effective with a low burden of side effects Since 2016 DAAs are available to all Australians with HCV However currently in Australia they can only be prescribed by or in consultation with experienced prescribers This study evaluated a telementoring service to upskill doctors and nurse practitioners working in correctional facilities Methods The telementoring service was implemented in five correctional facilities Qualitative interviews were used to examine the perceived clinical effectiveness and organisational impacts of the service Content analysis of the interviews was used to identify key themes Results In the first ten months of the service there were 16 telementoring sessions with 173 patients discussed Sixteen staff participated in qualitative interviews From these three key themes were identified access to antiviral therapy organisational impacts cost increased staff knowledge and confidence staff time and workload and adaptations of the care model and future opportunities Conclusion Telementoring is an effective method to facilitate eligible prescriber status to medical doctors and upskill other clinicians in correctional facilities to increase capacity to treat HCV