2008 - School of Medicine - University of Queensland

som.uq.edu.au

2008 - School of Medicine - University of Queensland

2008 CONROD ANNUAL REPORT32Programme REPORTSCONTINUEDProgramme REPORTSCONTINUEDTrauma Review ActivitiesThe trauma review and practice development activitiesof the QTR are coordinated by the Trauma ReviewCommittees (TRC) operating in most sites. The TRCsmeet on a regular (between monthly and quarterly)basis to review cases that have tripped a performanceindicator or have been identified as being worthyof review for an additional reason. Regular reportsof summary data regarding performance indicatorsfor each hospital are provided to these forums asrequested. Recommendations are made, and policieschanged, that influence trauma care throughout theregion. Examples of recommendations and policychanges brought about by the TRC process include:\\ Development/revision of trauma forms to improvedocumentation\\ Improvement of communication between tertiaryand regional hospitals via improved referralinformation\\ Development of protocols for spinal clearanceproceduresStaff DevelopmentQTR staff have attended relevant conferences,workshops and seminars and have themselves deliverededucational and information sessions on site.The biannual workshops in particular concentrate ondeveloping knowledge of coding practices, as well asskills and strategies to effectively implement practicedevelopment programmes within each of the QTRhospitals and surrounding health service districts.PublicationsResearch manuscripts have been prepared and arebeing submitted to peer review journals. These includethe following:1. Characteristics and outcomes of injury patientsin an Aboriginal and Torres-Strait Islander (ATSI)population - Queensland Trauma Registry, Australia2. The presence of complications is associated withincreased fatal outcomes in middle-aged and elderlytrauma patients - Queensland Trauma Registry,Australia3. The association between Pre-hospital/EmergencyDepartment Management and DevelopingComplications among Trauma Patients - QueenslandTrauma Registry, AustraliaResearchAcute Trauma Care Programme staff participated in anumber of research projects during 2008.Longitudinal study of outcomes in roadtraffic crashesProfessor Nicholas Bellamy, Dr Fumiko Irie andcolleagues have advanced the development of aprotocol for a prospective longitudinal observationalstudy of trauma outcomes in RTC victims registeredby the QTR. The study aims to generate informationcapable of informing policy and practice in injurymanagement and post injury rehabilitation andprovide insight into the functioning of aspects of theCompulsory Third Party (CTP) scheme in Queensland.Characteristics and outcomes following serioustraumatic injury in the elderlyThis study was designed to describe, characterize andcompare the differences in injury characteristics andoutcomes in the elderly population (aged 65 yearsand older). This study also aims to identify risk factorsfor death and discharge placement following hospitaldischarge. During 2007, ethics applications wereprepared and approval was gained from the PrincessAlexandra Hospital Human Research Ethics Committeeand The University of Queensland Medical ResearchEthics Committee. Data from the QTR (January 2003 –December 2006) has been analysed to examine theseaims and a draft manuscript has been produced anddistributed to all authors for comment.Characteristics and outcomes following injury inthe ATSI populationDisadvantage and inequality of health in indigenouspopulations, such as Aboriginal and Torres Straitislanders (ATSI), compared to non-indigenouspopulations is known to exist, however injury-relatedhealth problems in indigenous people are rarelynoted and investigated. This study aims to comparethe characteristics and outcomes of injury in an ATSIpopulation to the non-ATSI population who are living inQueensland, Australia. Data from the QTR database forthe period between 2003 and 2005 was analysed forthis project. The analysis, including examining baselineand injury characteristics, injury outcomes (lengthof stay, number of complications, mortality) whichcompared the non-ATSI and ATSI population has beenfinished. Further analysis, including the injury leveladjustedodds ratios for the mortality outcomes stratifiedby age, gender, and number of complications also hasbeen completed. The manuscript is now in progress tosubmit to the appropriate peer-reviewed journal. Thestudy result was presented at the Population HealthConference held in Brisbane, July, 2008.Impact of complications in trauma patientsThe development of complications can lead toincreased risk of suboptimal outcomes in trauma patients.Complications can also negatively impact on the length ofhospital stay and lead to excess medical costs. The aims ofthis study are:\\ to examine the impact of pre-hospital and emergencydepartment management processes on developingcomplications in trauma patients and\\ to examine the association between the developmentof multiple complications and risk of death in differentage categories.Statistical analysis has been completed and writing ofthe manuscript is now in progress. Data from the QTR(2003 – 2005) was used for this study. Co-morbiditydata were included in the analysis, and essentialstatistical analysis has been done. The manuscript isnow in progress to complete. The study result waspresented at the Population Health Conference held inBrisbane, July, 2008.Predicting the probability of survival followinginjury for the Queensland populationThe TRISS (Trauma and Injury Severity Score) method hasbeen the standard way of predicting outcome in traumapatients for many years, however there are alternativemethods which may produce more accurate predictions inthe Queensland population. The aim of this project is totailor the TRISS methodology to a Queensland setting thusenabling more accurate predictions based on the datacollected by the QTR. It is envisaged that more detailedexploration of the QTR data and modelling of TRISS-typealgorithms for predicting survival in trauma patients willcommence in the New Year.Trauma Tracking StudyThis collaborative project with the NCCH was designed todetermine the outcome of injured patients who survivedto hospital discharge three years post injury. The secondphase of the Trauma Tracking Study examines 2003 datafrom all QTR sites. This study will enable investigation ofconcordance of data coding practices across the entirestate and will also facilitate investigation of trends indeath across time and across different geographicalareas. Approval was sought from the Director-General ofQueensland Health to enable linkage of QHPADC datato QTR data. This approval was granted on 12 August,2008. The task of data linkage is now with the HealthInformation Centre at Queensland Health. Once the fulldataset is available, work will commence on analysis.Traumatic Injury Recovery Study: The managementand prediction of early recoveryThis study, conducted in collaboration with the Centrefor Work, Leisure and Community Research at GriffithUniversity, has been funded under the CONRODcollaborative grants scheme. It will:\\ describe the natural progress of early recoveryfrom severe traumatic injury in a population-basedsample of adults (18 years of age or older)\\ document the characteristics of care andrehabilitation received by this sample and\\ identify the determinants of outcome in termsof injury factors, psychosocial variables and earlytreatment experiences of patients with severe injury.This project has two sources of data for eachparticipant: a mail-out questionnaire and QueenslandTrauma Registry data. The questionnaire has threepoints of data collection – discharge, 3 months postdischarge,and 6 months post-discharge. Data werecollected from the Gold Coast Hospital and the PrincessAlexandra Hospital. The QTR has provided data for allparticipants from both hospitals, and this constitutesthe final sample. Data cleaning has been finalized andmultivariate analysis is in progress, with the first reportsto be presented shortly. The first publications are to bewritten up before the new year.\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\


2008 CONROD ANNUAL REPORT36Programme REPORTSCONTINUEDProgramme REPORTSCONTINUEDProgramme 3 - HEALTH ECONOMICSAND HEALTH SYSTEMS ProgrammeReport by Professor Luke Connelly and AssociateProfessor Helen LapsleyThe Health Economics and Health Systems (HEHS)Programme at CONROD enjoyed considerable successin 2008, winning a number of national competitivegrants and presenting its research findings at a numberof national and international conferences. It was also ayear of noteworthy individual achievement, especiallyby Dr Susan Gargett who was awarded her PhD inhealth economics (through the School of PopulationHealth, The University of Queensland) for her thesis,entitled An Economic Analysis of the AustralianNursing Home Industry.Researchers from the HEHS Programme were ChiefInvestigators on a number of applications for nationalcompetitive grants in 2008 and four of these, totallingmore than $1.4m, were successful. The successfulapplications included three NHMRC Project grantsand one ARC-Linkage grant. The latter, with industrypartners Health Services Australia (HSA) Group,The Workers’ Compensation Regulatory Authority(Q-COMP), and the Motor Accident InsuranceCommission (MAIC), is designed to test whetherparticipation in a ‘self-management’ programmeimproves health and well-being, decreases pain, resultsin earlier return to work, and is a more efficient use ofresources than usual care in vocation rehabilitation.The self-management intervention will be adapted tosuit a population with chronic injuries.The Programme’s high-level of participation inpostgraduate education continued in 2008. Staff werealso involved in the principal supervision of five PhDstudents who were enrolled in the School of Economicsor the School of Medicine, and in the supervision ofdoctoral candidates at other Australian universities. Inaddition, staff taught and coordinated a course in theMaster of Health Economics programme in the Schoolof Economics and, in July 2008, Professor Connellybecame the Director of that programme. Relatedactivities by the staff included the performance ofPhD examiner duties.The Programme was also called upon to provideadvice on a range of economic issues. The workthat was conducted as a result included researchfor the Centre for Military and Veterans Health(UQ) to estimate the economic cost of injuries fromexcessive weight load carriage in military personnelduring 2008 and a review for the AustralianCommunication Exchange on the role that assistivedevices can play to improve the quality of life ofpeople with an acquired hearing loss.The programme was well-represented in national andinternational conferences, with Professor Connellymaking several invited presentations during theyear. The presence of CONROD and ACERH staffand students at the 30 th Australian Conference ofHealth Economists was particularly noteworthy, withfive oral presentations by the group at the 2008conference in Adelaide.\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\Programme 4 – SOCIAL ANDBEHAVIOURAL SCIENCE ProgrammeReport by Professor Justin KenardyOur Research Programme focuses on the psychologicalhealth and wellbeing of adults and children followingmedical trauma.Children and FamiliesA large part of our programme has focussed onexploring post traumatic stress in children and theirparents following a visit to hospital for a varietyof medical issues including visits to the emergencydepartment or admission to hospital following accidentalinjury, traumatic brain injury, burns or admission to thepaediatric intensive care.A degree of psychological distress is common in theinitial weeks after medical trauma and for mostchildren these changes are transient with childrenand their families adapting and moving on. However,for a significant proportion (between 10-20%) ofchildren the trauma, and their response, has thepotential to disrupt their development of cognition,attention, personality style, self-concept, self-esteemand impulse control. Other adverse outcomes reportedin the literature include; persistent mood disturbances,tantrums, mood swings and sleep disturbances, posttraumatic stress disorder, phobic anxiety. This has bothemotional and financial costs for the individual, theirfamily and society as a whole. Our research and thatof others indicates that, for these children and theirparents, symptoms and associated disability may beongoing and persist for years.CollaboratorsOur research programme is conducted within thecontext of international efforts to understand thepsychological impact of medical trauma on children andtheir families. Our collaborators include staff from theUniversity of Queensland, Mayne Medical School andthe School of Psychology as well as the Universities ofMelbourne and Adelaide. In addition, our programmeincludes collaborators from The Royal Children’sHospitals (Brisbane and Melbourne), The MaterChildren’s Hospital, Brisbane, the Mater Child and YouthMental Health Service and the Queensland PaediatricRehabilitation Service. Our collaborators come froma variety of disciplines including medical and nursingstaff, rehabilitation specialists, and staff with expertise inpsychology, medical sociology and biostatistics.An important partner in our efforts to understand posttraumatic stress following medical events includescollaborations with researchers and clinicians at TheChildren’s Hospital of Philadelphia includingDr Nancy Kassam-Adams and Professor Anne Kazak.We have partnered with a number of researchers in theUnited States and have a grant under review with theNational Institute of Health to support an internationalconsortium to explore traumatic medical stress inchildren and their families cross-culturally.We also work closely with students from The Universityof Queensland and the University of Melbourne aswell as a range of international students from TheNetherlands and United States.Our Research Programme to DateOur research programme has focussed on:1. The assessment and diagnosis of the incidence,severity, and course of post traumatic stress inchildren and their parents following accidentalinjury, admission to hospital after accidental injury(primarily orthopaedic), traumatic brain injury,paediatric burn injury, and admission to paediatricintensive care (PICU). (Funded by grants fromNHMRC and Royal Children’s Hospital Foundation)2. The design and evaluation of early screening toolsto identify children at risk of poor psychologicaloutcomes. (Funded by a grant from Royal Children’sHospital Foundation)3. The design, implementation and evaluation ofprevention programme aimed at moderating theeffects of medical trauma. (Funded by a grant fromMAIC)4. The design, implementation and evaluation of an earlyintervention programme to address post-concussionsymptoms in children following mild traumatic braininjury. (Funded by a grant from MAIC).5. The design, implementation and evaluation of atertiary intervention programme targeting childrenand families where the impact of medical traumahas resulted in posttraumatic stress disorder.(Funded by a Project Grant from NHMRC).


2008 CONROD ANNUAL REPORT38Programme REPORTSCONTINUEDProgramme REPORTSCONTINUEDThe ‘Children’s Accident Response Website’ is a websitedeveloped specifically for children and their parentsthat have experienced an accidental trauma. The website contains information that aims to normalise achild’s experience and teach them skills to cope withthe tough times following an accident. As parents arevital to a child’s recovery, information is also providedfor them via a PDF file that explains what a normalreaction is and how they can help their child andthemselves with the stresses related to the incident.The website can be found at:http://kidsaccident.psy.uq.edu.au/AdultsOur research continues in the area of psychologicalfactors in adult injury. The main areas of focus have been1. Identification of psychological factors, includingpsychological co morbidity, in recovery followingmotor vehicle injury. This project will be the largestprospective trial of its type in the world. (Funded bya grant from MAIC)2. Assessment of the role of traumatic stress in relationto chronic pain in individuals with whiplash relatedinjury. This work is progressing with all necessarycases recruited.3. Evaluation of effectiveness and dissemination ofa consumer-focussed evidence-based website fortreatment of posttraumatic stress. All evidence todate has been gathered and the website is currentlyunder construction.4. Development and evaluation of a web-basedintervention for general distress in adults. (Fundedby a Project Grant from NHMRC).Outputs1. Nine papers have been published from theprogramme including a key paper on earlyintervention with posttraumatic stress disorder inthe American Journal of Psychiatry.2. Results of the research from the programme havebeen presented at national and internationalforums. These include the International Societyfor Traumatic Stress Studies Conference inChicago, USA; Society for Life History andPsychopathology in Bad Nauheim, Germany;Grand Rounds at the Stanford University Schoolof Medicine; National Child Health PsychologyConference, Miami, USA; Australian and NewZealand Burns Association, Melbourne; AustralianSociety for Traumatic Stress Studies, Melbourne;and the Australian Psychological Society, Hobart.3. Justin Kenardy was awarding the Ian CampbellMemorial Prize for Outstanding Contribution toClinical Psychology. Robyne LeBrocque was awardeda Promoting Women Fellowship.4. Two new NHMRC grants were awarded to add toseven ongoing grants, including two from NHMRC,two from MAIC, and one ARC-Discovery.\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\Programme 5 – VOCATIONALAND COMMUNITY REHABILITATIONProgrammeReport by Professor Elizabeth KendallIn 2008, the Griffith University team consisted of oneProfessor, two Post-doctoral and one full-time researchfellow and six part-time support staff. Fourteen keyprojects were commenced or progressed during the year.During 2008, the team produced sixteen publicationsin peer-reviewed journals (such as Social Science andMedicine, Disability and Rehabilitation, AustralianHealth Review) with another three manuscriptssubmitted. Nine industry reports were finalised.There have been three Nationally Competitive Grantssubmitted this year. We were unsuccessful with oneand are still awaiting the outcome of the other two.The team supervised seven PhD students, two Mastersstudents and two Honours students. Several projectsresulted in significant outcomes for practice and policy.There is evidence of use of our research findings incourses at Flinders University and other Queenslanduniversities around studies of self-management andcommunity rehabilitation.We have facilitated ongoing research partnerships withkey stakeholder organisations and health services toenable research to contribute to planning and policydecisions with inclusion of MAIC in these partnerships.The Griffith research team has provided expertise andadvice for health services and rehabilitation providers inthe community on brain injury rehabilitation, youngerpeople with complex care needs following traumaticinjury/illness, and self-management following traumaticinjury/illness.Research findings in the area of vocational rehabilitationare being used in the training delivered by the AccidentCompensation Corporation in New Zealand.The team continues to actively provide representation onkey advisory panels (Queensland Health, Acquired BrainInjury Outreach Service, Queensland Self-ManagementAlliance, and Flinders University Self-Management).We also attended the Spinal Injuries Awareness ClassicWallabies function to promote MAIC research.The Projects:Evaluation of the ABIOS STEPS intervention:A state-wide interventionThis study evaluates individual change in health andwell-being over time following participation in theSTEPS intervention. Specifically, the evaluation willidentify the indicators of success for the interventionand the factors that facilitate positive outcomes.Publication will be submitted in December. The projectis finalised. ABIOS has acquired recurrent funding forthe projectTraumatic Injury: Management of Recovery andthe prediction of well-beingThis study involved a prospective cohort design, usingboth quantitative and qualitative methods with datacollection at hospital discharge, three and six monthspost-discharge. Quantitative surveys measuringdemographics, injury and treatment data, generalhealth, self efficacy, illness perceptions, autonomy, selfadvocacy, knowledge and support, decision makingstyles and continuity of care were administered.Preliminary data analysis has commenced on thedischarge and 3 month data. As soon as the remainingdata is received from QTR, and we have reached thelimit of the follow-up strategies, we will know ourfinal sample, and the more complex multivariateand time-series analyses will commence. Currentindications are that we will have acceptable responserates, that our data fits the psychometric propertiesexpected of the instruments used, and that the datawill meet the assumptions required for the morecomplex analyses. Journal articles and conferencepapers are now in preparation.The team has maintained their existing collaborationsand have developed new collaborations in 2008 withG-Plan, the Logan-Beaudesert Coalition, Multi-LinkServices, AccesServices Inc., Access Arts and Gold CoastDivision of General Practice.


2008 CONROD ANNUAL REPORT40Programme REPORTSCONTINUEDProgramme REPORTSCONTINUEDAn Exploratory Pilot Study to Understand theSupport Needs of Volunteer Leaders of theSelf-Management ProgrammeThis project aims to explore the experiences,motivators, support and ongoing training needs ofQueensland leaders (both health professionals andlaypersons) trained to deliver Self-Managementcourses; to elucidate gaps or limitations in leaders’skills, knowledge, and confidence to deliver courses;to develop recommendations for improving thesupport and training offered to in order to targetand strengthen these areas. A publication has beencompleted. The Project is finalised and is beingtranslated into a support programme in Logan.Collective approaches to well-being: Culturallyrespectful research.This project is underpinned by the Indigenousself-management project. The research in this areahas developed into a team approach that focuseson collective approaches to wellbeing and culturallyrespectful research. We are formalising a numberof important principles in this research agenda andestablishing ways in which respectful research canoccur in future. The proposed principles are:a. Formal negotiated research relationships withtraditional ownersb. Respect for Indigenous ways of knowing andIndigenous knowledgec. Promotion of participatory community-basedmethods and localised responses to the needs ofIndigenous peopled. Appropriate collaboration between Indigenous andnon-Indigenous researcherse. Commitment to growth and development ofIndigenous researchersPublications have been prepared and submitted(5 submissions). Project lessons have been translatedinto a project in Beaudesert using touch screens.Intersections Symposium on therapeutic andcreative motivations for art makingThe Intersections Symposium brought community artspractitioners together with health and communityworkers and people with disability to enhance linksbetween creative and therapeutic motivations for artmaking in community contexts. The Symposium washeld at Griffith University South Bank 17-18 March2008. The Symposium was co-hosted by the GriffithAbilities Research Programme and CONROD-Griffith inassociation with Access Arts Queensland. Feedback fromthe symposium was extremely positive from all parties.Disability Services Queensland contacted us askingthat the outcomes be included in their submission toFederal Government on Disability Arts and Employment.Participants have requested that the network of peopleinvolved consider running the event annually. The bookproposal of papers from the symposium will be submittedby end of November to Jessica Kingsley Publishers.The development of Bi-lingual Natural Helpers toaddress the lack of access to services by culturallyand linguistically diverse (CALD) Australians inthe communityThis project focuses on the use of natural helpers to workwith CALD communities to promote health and wellbeing. This new model incorporates the use of formallytrained Bi-Lingual natural helpers drawn from the localcommunity. By virtue of their background and position inthe community, these natural helpers will draw on theirexisting community linkages in a culturally appropriateway to act as a bridge between the communities and theservice system. They will advocate for improved access,ensure that local communities are consulted appropriatelyand support them in their interpretation and use ofservices. It is also important to ensure that local inputis equitable and that sustainability issues are examined.All consultation data has been collected. A model ofintervention has been designed with the community.Systematic review has been sent for publication.A review of the Spinal Cord Injuries Response (SCIR)The project examined and reported on the outcomesof the Spinal Cord Injuries Response, benefits tokey stakeholders and the cost effectiveness of theprogramme. The findings of the research was used toinform the strategic planning and policy formation ofspinal cord injury service delivery, and improve the serviceplanning for people with spinal cord injury. The project iscomplete with the final report delivered and approved.A workshop was run for key stakeholders to develop SCIRfurther and publications are being prepared.Evaluation of Youngcare: An accommodationoption for people with high health and highsupport needsThis study is an empirical evaluation of an independentliving option for younger people with continual careneeds. Within a Logic model framework, the evaluationwill consider the contextual elements required todeliver such a model of care, resources available,activities that have/will occur, intermediate outcomesand overall impact and sustainability of the initiative.A longitudinal cohort study will be undertaken using amixed-methods design. Key outcome indicators includeindividual quality of life and community partnershipexperiences. Youngcare residents, their family andstaff working in the Youngcare apartments will beinvited to participate in the evaluation. In addition,the perceptions of key stakeholders involved in theimplementation of Youngcare will be sought. Secondroundinterviews have been completed for the residentsthat have made the transition from current carearrangements to Youngcare. Funding has been gainedfor a PhD scholarship to complete the project.1000 VoicesThe purpose of this project is to collect and display1000 life narratives from people with disability fromaround the world. With this collection of narrativeswe hope to build awareness of the lived experiencesof people with disability; to provide opportunitiesfor people with disability to have their own voicein determining how their lives are seen and heard;and to make sure that these voices become part ofongoing research, service, and policy developmentactivity in Australia and beyond. The project willcentre on a public interactive website that will displayand catalogue a minimum of 1000 life narratives fromparticipants in Australia and participating countries.These life narratives will be presented in a number ofmultimedia and textual formats to accommodate ourparticipating narrators’ communication strengths andweaknesses. The website is now functional but is notopen to the public. We received $10,000 from theQ150 Grant to gather 5 life narratives of prominentsuccessful Queenslanders with disabilities to display asthe inaugural content for the website. The Q150 haveasked us to delay the public launch to coincide withQ150 celebrations. We have confirmed participationfor universities in other countries and within Australia.Content has already been submitted including lifenarratives of people with acquired brain injury.Moral Distress in Community-based ResearchThis national multi-phase project will examinethe prevalence and effects of moral distressamong community based researchers in Australiawho work with vulnerable populations such asIndigenous and migrant communities and peoplewith chronic illness and disability. The research willalso investigate the training and support needs forCommunity Based Researchers (CBR) who workwith vulnerable populations. With the data analysiscomplete significant findings have been produced forcommunity-based health researchers. A final draftreport is currently being reviewed by co-investigatorsand is due for release by December 2008. Thepublication is due to be completed by January -March 2009.Healthy Places: Putting health in context\\ Understanding how place can influence healthand well-being\\ Increasing the capacity of community tounderstand and respond to local health issues\\ Protecting and supporting the social structuresthat can contribute to health and well-being\\ Encouraging different settings to engage in healthpromotion and prevention of injury/illness.An ARC Linkage grant has been obtained. With earlyconsultation and data collection completed, findingshave been presented at local workshops. Threepublications invited and accepted into AustralianJournal of Primary Health Care: Special Issue.Capable Consumers: Managing our own healthThis is a two year project that aims to understandthe health-related experiences of consumers accessinghealth care provision within the geographical areadefined by the Logan Beaudesert Health Coalition.Specifically, the project seeks to understand theinteraction between consumers and the healthcare system and how individual values and beliefsimpact on health outcomes. Development of thislevel of understanding of consumer experience willinclude ascertaining the processes that people useto adjust to and manage their health, and identifyways in which consumers can be actively engagedin health related interventions. With the projectscoping, literature review and methodological designcommenced, the project is well underway.


2008 CONROD ANNUAL REPORT42Programme REPORTSCONTINUEDProgramme REPORTSCONTINUEDActive Care Management ProgrammeThis is a nine-month area prospective interventiontrial within a defined geographical area (Gold CoastDivision of General Practice) that aims to increasethe coordination of health care for individuals withlong term conditions accessing General Practice. Thisstudy involved a participatory action research projectdesigned to develop a model of coordinated care forimplementation by Practice Nurses within GeneralPractice. Ethical clearance was granted throughGriffith University.The current pilot study aims to:\\ Understand current barriers and facilitators of carecoordination within General Practice\\ Design an intervention for implementation byPractice Nurses within General Practice\\ Pilot the intervention within a defined populationof individuals and General PracticesFocus groups were conducted to identify barriers andfacilitators. An intervention design and training of PracticeNurses regarding the intervention have been completed.The trial and data collection are underway and apublication of the initial results has been submitted.Coordinated Care Concept AnalysisThis was a six month project aimed at identifying thecomponents of Coordinated Care through analysis ofthe concept and providing a report to General PracticeQueensland for distribution amongst Divisions ofGeneral Practice within Queensland. Coordinated careis a term frequently used to describe an approach tohealth care delivery in a complex primary health caresystem. However, the elements constituting the conceptare not completely understood, nor clearly defined.Rather the term is often used simultaneously andinterchangeably to conceptualize the structure, process,philosophy and interpersonal dimensions of caredelivery. This project sought to explore current literatureand develop an understanding of the attributes ofcoordinated care. With the literature review, an analysisof the concept and the final report complete theproject is making great progress.\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\Programme 6 – MUSCULOSKELETALProgrammeReport by Professor Nicholas Bellamy andMs Cecilia WilsonAustralian Normative Data Study\\ Data collection on 13,074 Australians in this 2–phase study was completed in 2007. Data analysisin 2008 resulted in the formulation of age andgender specific community based normative valuesfor pain, stiffness and disability of the hands, hipsand knees.\\ Presentations were made in 2008 at scientificconferences in Paris and Adelaide. Preparation ofpapers for publication is underway.REFLECT Study\\ A multi-centre, prospective, observational cohortstudy directed at developing estimates from thepatient’s perspective, for the main symptomaticseverity criteria used in trials in several differentmusculo-skeletal diseases. Data from this studycontinues to be analysed.\\ A follow-on study is in progress to capture moreextensive Australian data. The pilot phase ofthe National Osteoarthritis Response and StateattainmentEvaluation (NORSE) has been completedin association with Arthritis Queensland.Osteoarthritis Measurement in RheumatologyRoutine Outpatient Practice (OMIRROP)Survey 2007\\ A cross sectional postal survey to assess the extentto which quantitative clinical measurement isperformed by rheumatologists in the longitudinalfollow-up of patients with osteoarthritis (OA).\\ This study is part of a group of studies beingdeveloped and executed, in preparation fora proposal to evaluate the clinical benefit ofintroducing quantitative measurement into routineclinical practice in OA.\\ Study completed. Presentations were made in 2008in Paris and Adelaide. A full manuscript has receivedconditional acceptance in Journal of Rheumatology.Preliminary Evaluation of Digital PhotographicTechniques and Aesthetic Impact in HandOsteoarthritis\\ Data capture was completed in April 2008, and theanalysis is underway.A Comparison of Three Different Mobile Phonesfor Capturing Health Status Information in Hipand Knee Osteoarthritis (OA) Patients.\\ This study is evaluating the feasibility and validityof collecting health status information by mobiletelephone rather than on paper.\\ The results of the pilot study were presented atCambridge University, UK and a full manuscriptaccepted for publication in Inflammopharmacology.The main validation study is underway and to date31 subjects have been entered.\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\


2008 CONROD ANNUAL REPORT44COMMITTEES AND PROFESSIONAL SOCIETYMEMBERSHIPSCOMMITTEES AND PROFESSIONAL SOCIETYMEMBERSHIPS CONTINUED\\ Member (Bellamy) the Queensland Trauma DataScoping Project Steering Committee\\ Member (Bellamy) the Statewide Trauma ClinicalNetwork.\\ Member (Bellamy) the QEMS Quality Council\\ Member (Bellamy), International Society forChronobiology\\ Member (Bellamy), Ontario College of Physicians\\ Member (Bellamy), Royal College of Physicians ofthe United Kingdom\\ Fellow (Bellamy), Royal College of Physicians ofCanada\\ Fellow (Bellamy), American College of Physicians\\ Member (Bellamy), Canadian RheumatismAssociation\\ Member (Bellamy), American RheumatismAssociation\\ Member (Bellamy), British Society for Rheumatology\\ Member (Bellamy), International EpidemiologyAssociation\\ Member (Bellamy), Canadian Society of InternalMedicine\\ Fellow (Bellamy), Royal College of Physicians ofEdinburgh\\ Fellow (Bellamy), Royal College of Physicians ofGlasgow\\ Fellow (Bellamy), Royal Society of Medicine\\ Members (Bellamy) of the National TraumaConsortium Steering Committee\\ Associate Member (Bellamy), AustralianRheumatism Association\\ Fellow (Bellamy), Australasian Faculty ofRehabilitation Medicine\\ Board Member (Bellamy), Arthritis Foundation ofQueensland\\ Member (Connelly) International Health EconomicsAssociation (iHEA) Scientific Committee\\ Dean’s (Faculty of Health Sciences) Representative(Connelly), Business Economics and Law FacultyAcademic Board (UQ)\\ Dean’s (Faculty of Health Sciences) Representative(Connelly), Business Economics and Law FacultyBoard of Studies (UQ)\\ Member (Connelly), The American EconomicAssociation (AEA)\\ Member (Connelly), International Health EconomicsAssociation (iHEA)\\ Member (Connelly), Australian Health EconomicsSociety (AHES)\\ Member (Connelly), American Society of HealthEconomists (ASHE)\\ Member (Connelly), American Risk and InsuranceAssociation (ARIA)\\ Professors Connelly and Lapsley were also engagedin national and international review activities for avariety of granting bodies and journals\\ Professors Connelly and Lapsley are also membersof and reviewers for a range of granting bodiesand journals\\ Stakeholders (Dale, Mason and Brennan) onthe Queensland Trauma Data Scoping ProjectWorking Group\\ Member (Dale) the RBWH Trauma Service PracticeDevelopment Steering Committee\\ Member (Dale) the RBWH Trauma Research Group\\ Member (Gargett), International Health EconomicsAssociation (iHEA).\\ Member (Gargett), Australian Health EconomicsSociety (AHES).\\ Member (Gargett), Economic Society of Australia(ESA).\\ Dr Gargett also was involved with reviewingactivities for a national journal\\ Member (Hanby) the Safe Communities Committeerun by the Cairns City Council (a WHO initiative)\\ Member (Irie) Japan Medical Society Member (Irie)Japan Neurosurgical Society\\ Member (Irie) The Japanese Congress ofNeurological Surgeons\\ Committee Member (Kenardy), Allied HealthEducation Standing Committee, Queensland Health\\ Expert Advisor (Kenardy), Queensland Police Service\\ Editor (Kenardy), Clinical Psychologist.\\ Editorial Board (Kenardy), Journal of AnxietyDisorders\\ Editorial Board (Kenardy), Australasian Journal ofDisaster and Trauma Studies\\ Editorial Board (Kenardy), Cognitive and BehaviouralPsychotherapy\\ Editorial Advisory Board (Kenardy), Cognitive andBehavioural Psychotherapy\\ Editorial Board (Kenardy), Evidence-BasedMental Health.\\ Ad hoc reviewer (Kenardy) for Journal of AbnormalPsychology, Journal of Psychosomatic Research,Nervous and Mental Disease, Journal of TraumaticStress, Evidence-based Mental Health, EvidencebasedMedicine, Diabetic Medicine, British Journalof Health Psychology, International Journal ofBehavioural Medicine, British Medical Journal,CNS Spectrum, Journal of Consulting and ClinicalPsychology, Journal of Pediatrics\\ External (international) examiner (Kenardy) for PhDand Masters theses.\\ Regular expert review (Kenardy) for: NHMRC,NSW Cancer Council, Commonwealth Departmentof Health and Family Services Research andDevelopment Grants Council\\ Ad hoc expert reviewer (Kenardy) for: ARC,Australian Sports Commission, NSW Institute ofPsychiatry, National Heart Foundation, DiabetesAustralia Research Trust, Murdoch Children’sResearch Foundation, Emergency ManagementAustralia\\ Member (Kenardy), National Executive, AustralianPsychological Society College of ClinicalPsychologists\\ Member (Kenardy), Australian Psychological SocietyDirectorate of Science Advisory Group\\ (Kenardy) Examiner, Board of Censors, AustralianPsychological Society College of Clinical Psychology\\ Course Accreditor (Kenardy), AustralianPsychological Society College of Clinical Psychology\\ Member (Kenardy) National Mental Health DisasterResponse Committee\\ Member (Kenardy) Royal Children’s HospitalFoundation Research Committee\\ Fellow (Kenardy) Australian Psychological Society.(replaces Member, Australian Psychological Society)\\ Chair (Kenardy) Disability Subcommittee, SenateStanding Committee for Equity, Diversity and theStatus of Women. University of Queensland\\ Member (Kenardy) Senate Standing Committeefor Equity, Diversity and the Status of Women.University of Queensland\\ Member (Kenardy) Academic Board, University ofQueensland\\ Convene (Kenardy) Clinical Psychology andPsychiatry Group, Research Quality FrameworkGroup, University of Queensland\\ Deputy Chair (Kenardy) Faculty AcademicContinuing Appointments and PromotionsCommittee\\ Member (Kendall) Logan Beaudesert HealthCoalition Board\\ Member (Kendall) Riding for Disabled Australia\\ Member (Kendall) E-Health Research Centre Board\\ Member (Kendall) Chronic Disease EvaluationWorking Party\\ Member (Kendall) Queensland Government ChronicDisease Working Party\\ Member (Kendall) NCRISS Board.\\ Member (Lapsley), N.S.W. Medical Board\\ National Councillor (Lapsley) of the AustralianHealthcare and Hospitals Association\\ Member (Lapsley), Economic Society of Australia\\ Member (Lapsley), International Hospital FederationGoverning Council\\ Vice-President (Lapsley), International Health Policyand Management Institute\\ Member (Lapsley), Pharmaceutical BenefitsRemuneration Tribunal\\ Member (Le Brocque) National Research PolicyCommittee, National Tertiary Education Union\\ Member (Nghiem), Australian Health EconomicsSociety (AHES).\\ Member (Nghiem), International Health EconomicsAssociation (iHEA).\\ Member (Nghiem), Australian Agricultural andResources Economic Society (AARES).\\ Member (Nghiem), International Association ofAgricultural Economists (IAAE).\\ Members (Pollard, Bellamy) of the InternationalCollaboration of Trauma Registry Research\\ Chair (Pollard) Patient Transport Quality Council,Integrated Patient Transport Unit


2008 CONROD ANNUAL REPORT46COMMITTEES AND PROFESSIONAL SOCIETYMEMBERSHIPS CONTINUEDFELLOWSHIPREPORTS\\ Member (Pollard) The Queensland EmergencyServices Advisory Committee.\\ Guest Editor (Sterling), Journal of Orthopedic andSports Physical Therapy\\ Editorial Board (Sterling), Australian Journal ofPhysiotherapy\\ Editorial Board (Sterling), Open Journal ofAnesthesiology\\ Editorial Advisory Board (Sterling), Manual Therapy\\ Titled Member (Sterling), MusculoskeletalPhysiotherapy Australia\\ Member (Sterling), Australian PhysiotherapyAssociation\\ Member (Sterling), Australian Pain Society\\ Member (Sterling), International Association for theStudy of Pain (IASP)\\ Member (Sterling), Association of Clinical researchProfessionals\\ Member (Sterling), School of Health andRehabilitation Sciences Research Committee\\ Member (Sterling), Grants Review Committee,Physiotherapy Research Foundation\\ External (national and international) examiner(Sterling) for PhD and Masters theses\\ Member (Swanson), International Biometric Society\\ Member (Swanson), Australian Statistical Society\\ Member (Swanson), Advisory Committee onFunction and Disability Data, Australian Institute forHealth and Welfare\\ Member (Swanson), Clinical Trials MonitoringCommittee, Royal North Shore Hospital, Sydney\\ Expert reviewer (Swanson), Australian OrthopaedicAssociation Research Committee\\ Expert reviewer (Swanson), National HeartFoundation\\ Expert reviewer (Swanson), Medical Journalof Australia\\ Expert reviewer (Swanson), Canadian MedicalJournalCONROD/Royal College Of SurgeonsTrauma FellowshipRecipient: A/Professor Paul Smith, TheCanberra Hospital, Trauma and OrthopaedicResearch United StatesProject Title: Intramedullary Suction System:Prevention of Fat Embolism in ReamingSheep ModelAward: $50,000.00This project has been completed and we are currentlycollaborating with the electronicengineers at the Work Shop of ANU John Curtin Schoolof Medical Research to makea new medical device which will be used in our humantrial in 2009. Major achievements of the research grantare listed below:1. The increases of Intramedullary pressure (IMP)were dramatically reduced in the ISS group whencompared with the non-ISS group in vivo fracturedsheep model.Publications and Presentations1. Paul N. Smith, Anne Leditschke, Damian McMahon,Roxanne R. Sample, Diana Perriman, Anne Prins,Thomas Brüssel, Rachel W. Li*. Monitoring andControlling Intramedullary Pressure Increase in LongBone Instrumentation: a Study on Sheep. Journal ofOrthopaedic Research, 26:1327-1333, 2008.Paper prepared for submission:2. Paul N. Smith, Anne Leditschke, Damian McMahon,Roxanne R. Sample, Thomas Brüssel, Rachel W.Li*. Intramedullary Pressure Increase in Long BoneInstrumentation can be effectively controlled by anovel computerized suction. (Submission of thispaper is being withheld because we will apply apatent before paper submission).\\ Member (Sterling), Technical Advisory Group,TracSa, Clinical Pathway for Whiplash Development\\ Member (Sterling), Scientific Advisory Group, MotorAccident Authority (NSW), Clinical Guidelines forWhiplash Management\\ Member (Sterling) Editorial Advisory Committee,Manual Therapy\\ Member (Sterling/Elliott) Editorial AdvisoryCommittee, Journal of Orthopaedic and SportsPhysical Therapy\\ Member (Elliott)APTA\\ Ad hoc reviewer (Sterling) for Journal of theAmerican Medical Association, Pain, Clinical Journalof Pain, European Journal of Pain, Manual Therapy,Rheumatology, BMC Musculoskeletal Disorders,BMC Neurology, Spine, Biological Researchfor Nursing, Journal of Orthopedic and SportsPhysical Therapy, European Journal of Neurology,Physiotherapy Research International2. The hemodynamics was measured during thesurgical performance. Arterial blood-gas sampleswere analysed intraoperatively, showing PaCO2 wassignificantly lower in ISS group than non-ISS group.3. Histological data revealed a significant higher countof fat emboli in sheep lung tissue in the non-ISSgroup when compared with the ISS group. Totallipids in lung specimens were lower in the ISS groupthan in non-ISS group.4. The ‘worst case scenario’ showed promising resultsof using ISS in prevention of fat embolism, althoughan extended number of sheep in the further studymay provide more useful information.\\ Expert Reviewer (Sterling) for Australian ResearchCouncil, NHMRC, Physiotherapy ResearchFoundation, Alberta Health Research Fund, Canada.


2008 CONROD ANNUAL REPORT48FELLOWSHIP REPORTSCONTINUEDRESEARCHREPORTSCONROD/Royal Australian CollegeOf General Practitioners ResearchFellowshipRecipient: Dr Craig Hassed, MonashUniversity, Department of General Practice.Project Title: Examination of AustralianGeneral Practitioners’ knowledge, attitudesand practices in relation to sleep disorders inthe primary care setting.Award: $19,996.009Sleep problems are common in the community and area common cause of accidents including motor vehicleaccidents (MVAs) for both the general community andhealthcare professionals. People involved in MVAs aresignificantly more likely to experience sleep disorderslike insomnia and daytime sleepiness. The use andabuse of prescribed medications for the managementof sleep disorders can compound the problem.It is possible that GPs feel under-skilled in theassessment and non-drug management of sleepdisorders or they do not have the attitudes andresources to facilitate this work. In Australia, fewstudies have examined the attitudes towards, andknowledge about, sleep disorders in primary healthcareprofessionals. From the results available, a low rate ofidentification and diagnosis of sleep disorders, possiblydue to lack of knowledge and awareness, appears tobe a significant problem among Australian primaryhealthcare professionals. The majority of patients witha sleep disorder approach their primary healthcarepractitioners with a complaint of sleep disturbance.It is estimated that over 30% of these patients reportsymptoms of insomnia, another 30% report additionalsymptoms of obstructive sleep apnea (OSA) and morethan 50% report excessive daytime sleepiness thatinterferes with their daily activities.For example, a study on the management of insomniain Australian general practice showed that 90% ofpatients with insomnia were treated with a sedativeas their only treatment. Another study of patientsattending a sleep laboratory revealed that 30% ofpatients with undiagnosed OSA had been prescribedsedative medications which increases their risk ofMVAs compared to those without such prescriptions.The current research project is Phase 1 of a largerresearch programme which aims to improve thedetection, diagnosis and treatment by GPs of sleepdisorders. The research programme consists of threephases. Phase 1 of this research programme involvesthe examination of knowledge, attitudes and practicesin relation to sleep disorders among AustralianGPs using both focus groups and questionnaires.Phase 1 is an essential first step of a larger researchprogramme aimed at identifying barriers to diagnosisand treatment of sleep disorders in GPs so thatappropriate interventions can be developed (phase 2)and tested (phase 3) in the future.CONROD/Royal Australasian Collegeof Physicians Research FellowshipThis Fellowship was not awarded in 2008The National Trauma Registry Consortium(Australia & New Zealand)The NTRC continued to develop in 2008. Agreementon Minimum Data Sets, the International BenchmarkingStudy and alternative models of funding the NTRC werepriority areas. In 2008, Ms Tamzyn Davey prepared theNTRC 2005 report on behalf of the Consortium.COLLABORATIVE RESEARCH GRANTSCOMPETITION REPORTSProject Title: An intervention programmefor children with traumatic stress reactionsfollowing accidents.Chief Investigators: Dr Vanessa Cobham, ProfessorJustin Kenardy and Dr Peta LilleyThe deliverables for this project were renegotiated inearly 2008. The renegotiated deliverables included:\\ Development of treatment materials for a childfocusedand a parent-focused intervention, as wellas a therapist manual;\\ A case series evaluation of these materials; and\\ International conference attendance with a viewto establishing links with possible collaborators onfuture projects.The first of these deliverables has been achieved.The second has not been achieved due to recruitmentproblems. This is in spite of the best efforts of theresearchers and the use of numerous recruitmentstrategies. In relation to the final deliverable, it isproposed that the first CI attend a conference inNew York later this year with a view to establishing andconsolidating links with potential collaborators.An additional outcome of this project was that it servedas the basis for an NHMRC grant proposal, which wasfunded 2009-2011 and will allow the CIs to undertakean RCT evaluating the materials developed within thecurrent project.Part of this work was presented at the 17 thInternational Association for Child and AdolescentPsychiatry and Allied Professions Congress, Melbourne,2006. The title of the paper presented was: “Acognitive-behavioural, family-focused intervention forchildren exhibiting trauma symptomatology”.Project Title: Brain activation in children withpost-traumatic stress symptoms followingtraumatic brain injury: An fMRI studyChief Investigators: Professor Vicki Anderson,Professor Justin Kenardy and Dr Peta LilleyThe current study is ongoing. The piloting of thebehavioural and fMRI paradigms has been completed.A normative sample of children and 15 adults tocomplete the fMRI protocol have been identified andrecruited. Scanning has commenced, and a preliminaryanalysis on the normative data that has been collectedto date has been conducted. Date collection is currentlyon hold while our study researcher is completing writeupof her PhD (which is closely related to the CONRODfundedproject). We believe it is more efficient todelay further data collection that to go through theprotracted training required with a new staff member.Award: $89,076.00Yet despite the high prevalence of these sleepcomplaints, it appears that in more than 50% of cases,sleep disorders are not diagnosed by the primaryhealthcare professional. Inappropriate managementof sleep disorders appears to compound the alreadysubstantial health and safety consequences associatedwith the disorders.A review paper is currently underway and submission isexpected by mid-year.Award: $77,038.72


2008 CONROD ANNUAL REPORT50PHDSCHOLARSHIPPUBLICATIONSThesis Title: Prognostication in Low Back Pain:A Biopsychosocial IndexMr J Nicholas Penney, The University ofQueenslandFollowing response to reviewers’ comments, MrPenney’s PhD thesis was re-submitted for examinationin 2008 and a final approval is pending.BOOK - MONOGRAPHSJull G, Sterling M, Falla D, Treleaven J, O’Leary S.Whiplash, Headache and Neck Pain. Elsevier, Edinburgh.March 2008.Collins DJ and Lapsley H. The avoidable costs of alcoholabuse in Australia and the potential benefits of effectivepolicies to reduce the social costs of alcohol. MonographSeries No. 70. Australian Government, Department ofHealth and Ageing 2008.Collins DJ and Lapsley HM. The social costs of smokingin Western Australia in 2004/05 and the social benefitsof public policy measures to reduce smoking prevalence:report prepared for the Cancer Council Western Australia.Perth: Cancer Council Western Australia, 2008.Collins, D.J. and Lapsley, H.M. (2008) The costs oftobacco, alcohol and illicit drug abuse to Australiansociety in 2004/05, National Drug Strategy MonographSeries No. 64, Department of Health and Ageing,Canberra.Marshall, C., Kendall, E. Gover, R. & Banks, M. (Eds).Three Volume Set. Disability: Insights from across Fieldsand Around the World (Working Title) – Contract signedwith Praeger Press.Sunderland, N., Graham, P., Isaacs, P. and McKenna,B. (Eds.) (in press). Towards Humane Technologies:Biotechnology, new media and ethics. Taiwan, Taipei:Sense PublishersSunderland, N. (2008). Biotechnology, society, andecology, In Sunderland, N., Graham, P., Isaacs, P. andMcKenna, B. (2008). Towards Humane Technologies:Biotechnology, New media and ethics. Taiwan, Taipei:Sense PublishersBOOK - CHAPTERSAlricsson, M. & Domalewski, D. (2008). Physical Activity,Health and Prevalence of Overweight and MusculoskeletalComplaints in Young Women In Laura A. Charlington(Ed). Exercise and Women’s Health, Nova PublishersBellamy N. Principles of outcome assessment. In:Rheumatology, 4 th Edition. Ed: Hockberg MC. Elsevier Ltd,London. 2008, Vol 1, Section 1, pp11-20.Bellamy N. Clinical Assessment in OA. In: Rheumatology,4 th Edition. Ed: Hockberg MC. Elsevier Ltd, London. 2008,Vol 2 Section 13, pp 1747-1751.Doig E and Kuipers P. Continuity and change inrehabilitation: The shift towards community-basedservices. In S. Taylor, M Foster and J Fleming (Eds)Healthcare Practice in Australia: Policy, Context andInnovations. Oxford University press, Melbourne.Sterling M. Pain, Transportation issues and whiplash. In:Pain and Injury: Cultural and Clinical Aspects. Ed; RhondaMoore (in press, accepted 13/3/07)). 2008Sterling M. Factores fisicos y psicológicos implicados enel latigazo cervical. (Implied physical and psychologicalfactors in latigazo cervical)In: La Columna Cervical: Síndromes Clínicos y suTratamiento Manipulativa. Volume 2,pp373-388.Vicenzino B, Souvlis T, Sterling M. (2008)Neurophysiological effects of spinal manipulation. In:Diagnosis and management of headache. Eds: CésarFernández de las Peñas, Lars Arendt-Nielsen, RobertGerwin (accepted 28/3/08)JOURNAL ARTICLESAitken L and Hendrikz J. Hypothermia and associatedoutcomes in seriously injured trauma patients in apredominantly sub-tropical climate. Resuscitation. 2008Journal Resuscitation. (Accepted)Bellamy N. The International Forum on DisabilityManagerment (IFDM). International Journal of DisabilityManagement Research, 2008 2.ii DOI 10 1375/jdmr.2.1.iiBellamy N. Take the measure of osteoarthritis. TheRheumatologist 2008;2(2):1,18-19.Bellamy N, Wilson C, Hendrikz J, Patel B and Dennison S.Electronic data capture (EDC) using cellular technology:Implications for clinical trials and practice, and preliminaryexperience with the m-WOMAC® Index in hip and kneeOA patients.Inflammopharmacology 2008 DOI.10.1007/s10787-008-8045-4.Bellamy E, Wilson C and Bellamy N. OsteoarthritisMeasurement in Routine Rheumatology OutpatientPractice (OMIRROP) in Australia: A Survey of practice style,instrument use, responder criteria and state-attainmentcriteria. Journal of Rheumatology 2008 (In Press).Catalano, T., Kendall, E., Vandenberg, A. & Hunter, B.(2009). The experiences of Leaders of Self-managementcourses in Queensland: Exploring Health Professional andPeer-Leaders’ Perceptions of Working Together. Healthand Social Care in the Community, 17(2), 105-115.


2008 CONROD ANNUAL REPORT52PUBLICATIONSCONTINUEDPUBLICATIONSCONTINUEDChien A, Eliav E and Sterling M (2008): Whiplash (GradeII) and Cervical Radiculopathy share a similar sensorypresentation: An investigation using quantitative sensorytesting. Clinical Journal of Pain 2008;24(7):595-603.Chien A, Eliav E, Sterling M (2008) Hypoaesthesia Occurs InAcute Whiplash Irrespective Of Pain and Disability Levels andthe Presence of Sensory Hypersensitivity. Clinical Journal ofPain 24:759-766.Chien A, Eliav E and Sterling M (2008): Hypoaesthesiaoccurs with sensory hypersensitivity in chronic whiplash:indication of a minor neuropathy. Manual Therapy 2008.(Accepted)Cibere J, Thorne A, Bellamy N, Greidanus N, ChalmersA, Mahomed N, Shojania K, Kopec J, Esdaile J. (2008)Reliability of the hip examination in osteoarthritis:Effect of standardization. Arthritis Care and Research2008;59(3):373-381.Cochran P, Garcia-Downing C, Marshall C, Kendall E,McCubbin L and Gover RM. 92008) Indigenous waysof knowing: Implications for participatory researchand community. American Journal of Public Health,2008:98(1):22-27.Connelly, L.B. (2008) The Economic Characteristics ofRegistries and their Policy Implications, Journal of Trauma.(In press. Accepted 19 December 2007).Cox, C.M., Kenardy, J.A., & Hendrikz, J. K. (2008). Ameta-analysis of risk factors that predict psychopathologyfollowing accidental trauma. Journal for Specialists inPediatric Nursing, 13 (2), 98-110.Cross M, Lapsley H, Barencilla A, Brooks P, and March L.Association between measures of fatigue and health-relatedquality of life in rheumatoid arthritis and osteoarthritis. ThePatient 2008;2:97-104.Elliott J, Noteboom J, Flynn T, Sterling M. Characterizationof Acute and Chronic Whiplash Associated Disorders- JOSPTacceptedfor publication.Elliott J, Sterling M, Noteboom T, Darnell R, Galloway G,Jull G. Fatty infiltrate in the cervical extensor muscles isnot a feature of chronic insidious onset neck pain. ClinicalRadiology 2008;63:681-687.Ehrlich, C., Kendall, E., Muenchberger, H., Armstrong, K. (inpress). Coordinated care: what does that really mean? Healthand Social Care in the Community. Accepted 27/2/09.Irie F, Masaki KH, Petrovitch H, Abbott RD, Ross GW, TaaffeDR, Launer LJ, White LR. Apolipoprotein E ε4 allele genotypemodifies the effect of depressive symptoms on the risk ofdementia in men: The Honolulu-Asia Aging Study. Archivesof General Psychiatry 2008;65:906-912.Kamper S, Maher C, Rebbeck T, Macauley J,Sterling M (2008). Course and prognostic factors ofwhiplash: a systematic review and meta-analysis. Pain2008;138(3):617-629.Kenardy, J., Thompson, K., Le Brocque, R. & Olsson, K.Information provision intervention for children and theirparents following pediatric accidental injury. European Childand Adolescent Psychiatry. 2008, xx:1-10 DOI 10.1007/s00787-007-0673-5.Kendall, E. & Muenchberger, H. (2009). Stressors andsupports across work and non-work domains: The impacton mental health in the workplace. Work. Special Edition –Occupational Concerns and Workplace Well-Health, 32(1).Kendall, E., & Muenchberger, H. (2009). Stress at Work:Using a Process Model to Understand the Trajectory. Work.Special Edition – Occupational Concerns and WorkplaceWell-health, 32(1).Kendall, E. & Terry, D. (2009). Understanding the adjustmentfollowing traumatic brain injury: is the goodness of fitcoping hypothesis useful? Social Science and Medicine, 67,1217-1224.Kendall, E. (2008). Predicting adjustment following closedhead injury. Rehabilitation Psychology. Accepted 12.6.06.Kendall, E., Cooper, J. Wright, J., Prout, S. & Cibilic, G.(2008). Hypotheses about the psychological benefits ofhorse-riding for people with disabilities. Society & Animals.Accepted 27.2.06.Kendall, E., Marshall, C., Catalano, T. & Barnett, L. TheSpaces Between: Partnerships between Women Researchersand Indigenous Women with Disabilities. Disability andRehabilitation, 2008;30(3):191-201.Kendall, E. Sunderland, N. Muenchberger, H., Armstrong,K. (in press). When guidelines need guidance. Journal ofEvaluation in Clinical Practice. Accepted 10/11/08.Kendall, E. Predicting Emotional Well-Being FollowingTraumatic Brain Injury: The Mediating or ModeratingRole of Appraisal (in press). Rehabilitation Psychology.Accepted 12/6/06Kendall, E. (in press). Predicting adjustment followingclosed head injury. Social Science and Medicine.Kendall, E., Muenchberger, H. & Catalano, T. (in press).The Move Towards Community Rehabilitation: Are WeEquipped for the Challenge? Disability and Rehabilitation.Accepted 08/09/08.Kitchener N, Roberts N and Kenardy J. ystematic reviewand meta-analysis of multiple session early interventionsfollowing traumatic events. The American Journal ofPsychiatry 2008 AJP-08-04-0590.R2. (Accepted)Kuipers, P, Foster, M, Smith, S and Fleming, J. UsingICF-Environment factors to enhance the continuumof outpatient ABI rehabilitation: An exploratorystudy. Disability and Rehabilitation, 2008:1-8.DOI:10.1080/01674820701817938.Lewis C, Souvlis T, Sterling M (2008). Digitally tenderpoints: their significance n physiotherapy. Physical TherapyReviews (accepted 7/12/07)March LM, Barcenilla AL, Cross MJ, Lapsley H, Parker D,Brooks PM. Costs and outcomes of total hip and kneejoint replacement for rheumatoid arthritis. Clin Rheumatol2008;27:1235-1242.Marshall D, Pericak D, Grootendorst P, Gooch K, FarisP, Frank C, Bellamy N, Torrance G, Feeny D. Validationof a Prediction Model to estimate Health Utilities IndexMark 3 Utility Scores from WOMAC Index Scores inpatients with osteoarthritis of the hip. Value in Health2008;11(3):470-477.Muenchberger, H., Kendall, E., & Neal, R. (2009). Identitytransition following traumatic brain injury: A dynamicprocess of contraction, expansion and tentative balance.Brain Injury, 22(12), 979-992.Olsson, K.A., Kenardy, J.A., De Young, A.C., & Spence,S.H. (in press). Predicting children’s posttraumatic stresssymptoms following hospitalization for accidental injury:Combining the Child Trauma Screening Questionnaireand heart rate. Journal of Anxiety Disorders. 2008,doi:10.1016/j.janxdis.2008.02.007.Peel, N.M, Wilson, C. (2008) Frail Older People asParticipants in Research. Educational Gerontology2008;34(5):407-417.Rowell, D. and Connelly, L.B. Personal Assistance, Incomeand Employment: The Spinal Injuries Survey Instrument(SISI) and its Application in a Sample of People withQuadriplegia, Spinal Cord advance online publication,Spinal Cord 2008;46:417-424.Sterling M and Kenardy J. Physical and psychologicalaspects of whiplash: Important considerations for primarycare assessment. Manual Therapy 2008;13(2):93-102.Sterling M and Pedler A. A neuropathic pain componentis common in acute whiplash and associated with amore complex clinical presentation. Manual Therapy.Advance on line publication. 2008 doi:10.1016/j.math.2008.01.009.Sterling M, Hodkinson E, Pettiford C, Souvlis T andCuratolo M. Psychologic factors are related to someSensory Pain Thresholds but not Nociceptive FlexionReflex Threshold in chronic whiplash. Clin J Pain2008;24(2):124-130.Sterling M. Physical and psychological aspects ofwhiplash: important considerations for primary careassessment, Part 2 – Case studies. 2008; Manual Therapy.Doi:10.1016/j.math.2008.03.004.Sterling, M. The Impact of Event Scale (IES) Aust JPhysiotherapy 2008;54(1):78.Sterling M. Testing for Sensory Hypersensitivity or CentralHyperexcitability in the Cervical Spine. JMPT (accepted22/3/08).Stone A and Sterling M. The brachial plexus provocationtest. 2008. Aust J Physiotherapy:54(2):146. epublication.Sunderland, N., Kendall, E., & Catalano, T. (in press).Missing Discourses: Concepts of Joy and Happiness inDisability. Disability & Society. Accepted 7/10/08.Sunderland, N. (in press). Virtuous or vicious? Agency andrepresentation in biotechnology’s virtuous cycle. Journalof Technical Writing and Communication. Accepted29/08/08.Taaffe DR, Irie F, Masaki KH, Abbott RD, Petrovitch H,Ross GW, White LR. Physical activity, physical function,and incident dementia in elderly men: The Honolulu-AsiaAging Study. Journal of Gerontology Medical Sciences2008;63A,5:529-535.


2008 CONROD ANNUAL REPORT54PUBLICATIONSCONTINUEDPUBLICATIONSCONTINUEDTurk DC, Dworkin RH, McDermott MP, Bellamy N, etal. Analyzing multiple endpoints in clinical trials ofpain treatments: IMMPACT recommendations. Pain2008;139:485-493.Uthaikup S, Sterling M, Jull G (2008) Headache inthe elderly: The association with features of cervicalmusculoskeletal impairment. Manual Therapy (acceptedpending Nov 28 2008)Uthaikup S, Sterling M, Jull G (2008) Psychological,cognitive and quality of life features in the elderly withchronic headache. Gerontology (accepted Nov 13 2008)Zacher J, Altman R, Bellamy N, Brühlmann P, Da Silva J,Huskisson E, Taylor RS. Topical diclofenac and its role inpain and inflammation: an evidence-based review. CurrentMedical Research and Opinion. 2008;24(4):925-950.DISCUSSION PAPERSConnelly, L.B. and Brown, H.S. III “Lifetime Fairness? Taxes,Subsidies, Age-Based Penalties, and the Price of HealthInsurance in Australia”, Australian Centre for EconomicResearch on Health (ACERH) Working Paper Series,Working Paper No.1, ACERH, Canberra, June 2008,http://www.acerh.edu.au/publications/ACERH_WP1.pdfKhanam, R., Nghiem, H.S. and Connelly “Child Healthand the Income Gradient: Evidence from Australia”,Australian Centre for Economic Research on Health(ACERH) Working Paper Series, Working Paper No.3,ACERH, Canberra, November 2008,http://www.acerh.edu.au/publications/ACERH_WP3.pdfQUEENSLAND TRAUMA REGISTRYREPORTSLang J, Bellamy N and Pollard C. Queensland TraumaRegistry: Description of Serious Injury throughoutQueensland 2006. Herston: Centre of National Researchon Disability and Rehabilitation Medicine, 2008.Dallow N, Lang J. Bellamy N, Pollard C. QueenslandTrauma Registry: A Summary of Paediatric Injuries treatedin Queensland. Herston: Centre of National Research onDisability and Rehabilitation Medicine, 2008.Dallow N, Lang J, Bellamy N, Pollard C. QueenslandTrauma Registry: Serious Injury due to road trafficcrashes in Queensland 2006. Herston: Centre of NationalResearch on Disability and Rehabilitation Medicine, 2008.Dallow N, Hanby J, Lang J, Bellamy N and Pollard C.Queensland Trauma Registry: A summary of injuriestreated at Cairns Base Hospital 2006. Herston: Centreof National Research on Disability and RehabilitationMedicine, 2008.Lang J, Jennekens C, Bellamy Nm Pollard C. QueenslandTrauma Registry: A summary of injuries treated atGold Coast Hospital 2006. Herston: Centre of NationalResearch on Disability and Rehabilitation Medicine, 2008.Dallow N, Shepherd S, Lang J, Bellamy N, Pollard C.Queensland Trauma Registry: A summary of injuriestreated at Ipswich Hospital 2006. Herston: Centreof National Research on Disability and RehabilitationMedicine, 2008.Dallow N, Muscat T, Lang J, Bellamy N, Pollard C.Queensland Trauma Registry: A summary of injuriestreated at Mackay Base Hospital 2006. Herston: Centreof National Research on Disability and RehabilitationMedicine, 2008.Jukes D, Rasmussen L, Lang J, Bellamy N, Pollard C.Queensland Trauma Registry: A summary of injuriestreated at Nambour General Hospital 2006. Herston:Centre of National Research on Disability andRehabilitation Medicine, 2008.Dallow N, Mason D, Ward, J, Conroy J, Lang J, BellamyN, Pollard C. Queensland Trauma Registry: A summary ofinjuries treated at the Princess Alexandra Hospital 2006.Herston: Centre of National Research on Disability andRehabilitation Medicine, 2008.Lang J, O’Brien D, Bellamy N, Pollard C. QueenslandTrauma Registry: A summary of injuries treated at theRedcliffe & Caboolture Hospitals 2006. Herston: Centreof National Research on Disability and RehabilitationMedicine, 2008.Jukes D, Oliver V, Lang J, Bellamy N, Pollard C.Queensland Trauma Registry: A summary of injuriestreated at the Rockhampton Hospital 2006. Herston:Centre of National Research on Disability andRehabilitation Medicine, 2008.Lang J, Jukes D, Dale M, Spanagel C, Bellamy N, PollardC. Queensland Trauma Registry: A summary of injuriestreated at the Royal Brisbane & Women’s Hospital 2006.Herston: Centre of National Research on Disability andRehabilitation Medicine, 2008.Lang J, Brennan J, Bellamy N, Pollard C. QueenslandTrauma Registry: A summary of injuries treated at TheTownsville Hospital 2006. Herston: Centre of NationalResearch on Disability and Rehabilitation Medicine, 2008.Dallow N, Giles C, Thomas G, Lang J, Bellamy N, PollardC. Queensland Trauma Registry: A summary of injuriestreated at Toowoomba Hospital 2006. Herston: Centreof National Research on Disability and RehabilitationMedicine, 2008.INDUSTRY REPORTSDorsett, P., Kendall, E. & Muenchberger, H. (2008). Reviewof the Spinal Cord Injuries Response. Disability ServicesQueensland & Griffith Abilities Research Programme.Kendall, E., Muenchberger, H., Ehrlich, C., Neal, R.,Sunderland, N., Domalewski, D. Guidelines. GP Queensland& Griffith Abilities Research Programme. x7 PartnershipEhrlich, C., Kendall, E., Muenchberger, H. & Armstrong, K.(2008). Coordinated Care: What does that really mean? GPQueensland & Griffith Abilities Research Programme.Kendall, E., Muenchberger, H., Ehrlich, C., & Armstrong, K.(2008). Supporting self-management in general practice:an overview. GP Queensland & Griffith Abilities ResearchProgramme.Muenchberger, H. & Kendall, E. (2008). Determinants ofavoidable hospitalisation in chronic disease: Developmentof a predictor matrix. GP Queensland & Griffith AbilitiesResearch Programme.Kendall, E., Muenchberger, H., Ehrlich, C., Neal, R.,McFarlane, K., & Armstrong, K. (2008). A practicebasedmodel of care coordination for chronic diseasemanagement: The role of nurses in general practice. GPQueensland & Griffith Abilities Research Programme.Muenchberger, H. Acquired Brain Injury Outreach Service.Process Analysis. ABIOS & Griffith Abilities ResearchProgramme.Muenchberger, H. Acquired Brain Injury Outreach Service.Final Quantitative Report. ABIOS & Griffith AbilitiesResearch Programme.Muenchberger, H. Wesley Mission. Interim report:Youngcare Evaluation. Wesley Mission & Griffith AbilitiesResearch Programme.ABSTRACTSBellamy E, Wilson C and Bellamy N. OsteoarthritisMeasurement In Routine Rheumatology OutpatientPractice (OMIRROP) in Australia: A Survey of practice style,instrument use, responder criteria and state-attainmentcriteria. Internal Medicine Journal 2008; 38 (Suppl. 2): A29.Australian Rheumatology Association in conjunction withRheumatology Health Professionals Association 50 th annualScientific Meeting, Adelaide, Australia 17-21 May 2008.Bellamy E, Wilson C and Bellamy N. OsteoarthritisMeasurement in Routine Rheumatology OutpatientPractice (OMIRROP) in Australia: A Survey of practice style,instrument use, responder criteria and state-attainmentcriteria. EULAR Congress 2008, Paris, France. Annals ofthe Rheumatic Diseases 2008;67(Suppl II):228.Bellamy N, Wilson C and Hendrikz J. Community-basednormative values for pain, stiffness and disability derivedfrom the AUSCAN NRS 3.1 Index. Internal MedicineJournal 2008; 38 (Suppl. 2): A29. Australian RheumatologyAssociation in conjunction with Rheumatology HealthProfessionals Association 50th annual Scientific Meeting,Adelaide, Australia 17-21 May 2008.Bellamy N, Wilson C and Hendrikz J. Community-basednormative values for pain, stiffness and disability derivedfrom the AUSCAN NRS 3.1 Index. EULAR Congress2008, Paris, France. Annals of the Rheumatic Diseases2008;67(Suppl II):228-229.Bellamy N, Wilson C, Hendrikz J. Community-basednormative values for pain, stiffness and disability derivedfrom the WOMAC NRS 3.1 Index. Internal MedicineJournal 2008; 38 (Suppl. 2): A30 Australian RheumatologyAssociation in conjunction with Rheumatology HealthProfessionals Association 50th annual Scientific Meeting,Adelaide, Australia 17-21 May 2008.Bellamy N, Wilson C, Hendrikz J. Community-basednormative values for pain, stiffness and disability derivedfrom the WOMAC NRS 3.1 Index. EULAR Congress2008, Paris, France. Annals of the Rheumatic Diseases2008;67(Suppl II):228.Bellamy N, Wilson C, Kennedy P, Hendrikz J, Patel B andDennison S Electronic Data Capture (EDC) using theWOMACä NRS 3.1 Index (m-WOMACä): A pilot study ofcellular technology in OA. Internal Medicine Journal 2008;38 (Suppl. 2): A29. Australian Rheumatology Associationin conjunction with Rheumatology Health ProfessionalsAssociation 50th annual Scientific Meeting, Adelaide,Australia 17-21 May 2008.


2008 CONROD ANNUAL REPORT56PUBLICATIONSCONTINUEDPUBLICATIONSCONTINUEDCox C , Kenardy J and Keogh S. A web based earlyintervention for children and their parents followingunintentional trauma. 15th Australian Conference onTraumatic Stress 11th-13th September, 2008, Melbourne,Australia. Abstract Book p.20.PRESENTATIONSBellamy N. Electronic data capture using cellulartechnology: implications for clinical trials and practice.Inflammopharmacology 2008, Cambridge UK, 8-10September, 2008. (Invited Speaker).Cox C , Kenardy J and Keogh S. A web based earlyintervention for children and their parents followingunintentional trauma. 15th Australian Conferenceon Traumatic Stress 11th-13th September, 2008,Melbourne, Australia.Elliott J, Sterling M, Noteboom T, Darnell R, GallowayG, Jull G. (MRI) Signal Intensity Change in the cervicalextensor muscles is not a feature of persistent idiopathicneck pain. Australian Pain Society Annual Meeting, PerthApril 2008De Young A and Kenardy J. Psychosocial impact of burninjuries on young children and families. 15th AustralianConference on Traumatic Stress 11th-13th September,2008, Melbourne, Australia. Abstract Book p.20.Hendrikz J, Le Brocque R and Kenardy J. The Courseof Post Traumatic Stress Disorder in Children andtheir Parents: An Examination of Recovery TrajectoriesFollowing Traumatic Injury. 20th Biennial conferenceof the ISSBD International Society for the Study ofBehavioural Development , July 13-17 2008, Würzburg,Germany. (Poster)Irie F and Bellamy N. Characteristics and outcomes ofinjury patients in an Aboriginal and Torres Strait Islander(ATSI) population. Population Health Congress 2008,Programme and Abstracts Book, p136.Irie F, Dallow N and Bellamy N. Road traffic crash-relatedinjury: Mortality and burden on hospital resourcesin Queensland. Population Health Congress 2008,Programme and Abstracts Book, p196.Lang J, Irie F and Bellamy N. The characteristics of roadtraffic crash-related injury across different geographicareas in Queensland. Population Health Congress 2008,Programme and Abstracts Book, p196.Olsson K, Kenardy J, de Young A and Spence S.Predicting children’s posttraumatic stress symptomsfollowing hospitalization for accidental injury:Combining the Child Trauma Screening Questionnaireand heart rate. 15th Australian Conference on TraumaticStress 11th-13th September, 2008, Melbourne,Australia. Abstract Book p.20.Wilson CM, Bellamy E, Bellamy N. Osteoarthritismeasurement in routine rheumatology outpatientpractice (OMIRROP) in Australia: A survey of practicestyle, instrument use, responder criteria and stateattainmentcriteria. Osteoarthritis and Cartilage; 2008,Vol 16, Suppl 4, S116.Chien A, Eliav E, Sterling M. Hypoaesthesia OccursIn Acute Whiplash Irrespective Of Pain and DisabilityLevels and the Presence of Sensory Hypersensitivity. IASPconference, Glasgow, Uk, August 2008.Chien A, Eliav E, Sterling M. Sensory changes in acutewhiplash. TracSa conference on Neck Pain, Adelaide,November, 2008Connelly L. Personal values with acquired disability:Some Economic Issues. Australian Society ofRehabilitation Counsellors (ASORC), National Conference2008 Survival to Revival – Energising Rehabilitation, 10-12 September, Rydges Lakeside Hotel Canberra. (InvitedPlenary Address).Connelly, L.B. (2008) “Changing Ownership in AustralianPrivate Health Insurance Markets: Demutualisation”,Abacus - Melbourne Centre for Financial Studies:Research Workshop on Financial Mutuals, Sydney, 28April 2008. (Invited Paper).Connelly, L.B. (2008) Health Insurance, ProductInnovation and Marketing Conference, Sydney 27-28November 2008. (Invited Keynote Address).Connelly, L.B. and Brown III, H.S. (2008) “LifetimeFairness? Taxes, Subsidies, Age-Based Penalties and thePrice of Private Health Insurance in Australia”, EuropeanConference of Health Economists, Rome, 23-26 July2008.Connelly, L.B. and Brown III, H.S. (2008) “LifetimeFairness? Taxes, Subsidies, Age-Based Penalties and thePrice of Private Health Insurance in Australia”, School ofEconomics Seminar Series, The University of Queensland,12 March 2008.Connelly, L.B. and Nghiem, H.S. (2008) “Effects ofLegislative Reforms on Claims Processes and Outcomes:Evidence from Queensland Compulsory Third PartyInsurance Claims”, A Paper Presented at the BetterChoices Better Health Conference, Adelaide, 24-26November 2008.Cox C and Kenardy J. A web based early interventionfor children and their parents following unintentionaltrauma. International Society on Traumatic Stress Studies,November 12th-15th, 2008, Chicago, USA.De Young A and Kenardy J. Psychosocial impact of burninjuries on young children and families. 15th AustralianConference on Traumatic Stress 11th-13th September,2008, Melbourne, Australia.De Young, A., Kenardy, J., Kimble, R., Keogh, S.,Cobham, V. Psychosocial impact of burn injury in youngchildren and their families. Paper presented at the 15thAustralasian Conference on Traumatic Stress (ACOTS),Melbourne, September 2008.De Young, A., Kenardy, J., Kimble, R., Keogh, S., Cobham,V. Psychosocial impact of burn injury in young childrenand their families. Paper presented at the Australian andNew Zealand Burn Association (ANABA) Conference,Melbourne, September 2008.De Young, A., Kenardy, J., Kimble, R., Keogh, S., Cobham,V. Psychosocial impact of burn injury in young children &their families. Poster to be presented at the InternationalSociety for Traumatic Stress Studies Annual Meeting,Chicago, November 2008.Dorsett, P., Kendall, E. & Muenchberger, H. LiteratureReview: Spinal Cord Injuries Response. DisabilityServices Queensland & Griffith Abilities ResearchProgramme. July, 2008.Ehrlich, C. Active Care Management: A model of practicebasedcare coordination. Presented at the 6th NationalGeneral Practice Nurse Conference, Coffs Harbour, 26thNovember, 2008.Ehrlich, C. Using specialised nurse educators to assistPractice Nurses bridge the divide between Primary andAcute Care. Presented at the 6th National GeneralPractice Nurse Conference, Coffs Harbour, 26thNovember, 2008.Elliott J. Fatty Infiltrate in the Cervical Extensors inWhiplash-poster Australian Spine Society- AnnualMeeting- Adelaide, SA, Australia, August, 2008.Elliott J. Fatty Infiltrate is not a feature of chronic insidiousonset neck pain- platform. Australian Pain SocietyConference- Perth, WA, Australia, August, 2008.Elliott J. Fatty Infiltrate is not a feature of non-traumaticneck disorders but is present following trauma to theneck-platform Adelaide Centre for Spinal Research(ACSR)- Medtronic- Adelaide, SA, Australia, August,2008.Irie F. Characteristics and outcomes of injury patients inan Aboriginal and Torres Strait Islander (ATSI) population.Population Health Congress 2008, Brisbane ConventionCentre, 6-9 July, 2008.Irie F. Road traffic crash-related injury: Mortality andburden on hospital resources in Queensland. PopulationHealth Congress 2008, Brisbane Convention Centre, 6-9July, 2008.Irie F., Bellamy N. The presence of complicationsis associated with increased fatal outcomes in themiddle-aged elderly trauma patients- QueenslandTrauma Registry, Australia. Population Health Congress2008, A Global World-Practical Action for Health andWell-being, Brisbane, 6-9 July, 2008Jackson, T., Nghiem, H.S. and Rowell, D. (2008),“Setting economic priorities for patient safetyprogrammes”, a paper presented at the 30thConference of the Australian Conference of HealthEconomists, Adelaide, 2-3 October 2008.Kenardy J. Medical traumatic stress in children and theirparents following PICU admission: A new research project.Child and Youth Mental Health in the Royal Children’sHospital Health Service District (CYMHS RCH HSD),Brisbane, Australia. Research Seminar, 3 July, 2008. (OralPresentation).


2008 CONROD ANNUAL REPORT58PUBLICATIONSCONTINUEDPUBLICATIONSCONTINUEDKenardy, J. Paediatric Medical traumatic Stress: Prevalence,Risk and Prevention. Royal Children’s Hospital GrandRounds, 2008, October, Brisbane.Kenardy, J. Paediatric Medical traumatic Stress: Prevalence,Risk and Prevention. Stanford University Psychiatry GrandRounds, 2008, November, Stanford, California.Kenardy, J. Symposium on Paediatric Medical TraumaticStress. National Conference of Australian Society forTraumatic Stress Studies, 2008, September, Melbourne.Kenardy, J., Anderson, V., McKinlay, L., Le Brocque, R. PTSDand Traumatic Brain Injury in the prediction of Child HealthStatus. International Society for Traumatic Stress StudiesAnnual Conference, 2008, November, Chicago, Illinois.Kenardy, J., Olsson, K., De Young, A. Spence, S. Combiningthe Child Trauma Screening Questionnaire and Heart Ratein the prediction of PTSD. National Conference of theAustralian Psychological Society, 2008, September, Hobart.Kenardy, J., Olsson, K., De Young, A. Spence, S.Combining the Child Trauma Screening Questionnaireand Heart Rate in the prediction of PTSD. Child HealthPsychology Conference, 2008, February, Miami, Florida.Kendall, E. Trauma and Injury. Presented at the AustralianHealth and Medical Research Congress, BrisbaneConvention Centre, Brisbane, 16 th -21 st November, 2008.Kendall, E. The workplace – an untapped opportunity.Presented at the International Congress on Chronic DiseaseSelf Management, Melbourne, 27-28 th November, 2008.Kendall, E., Muenchberger, H., Ehrlich, C., Neal, R.,Sunderland, N., Domalewski, D. Guidelines. GP Queensland& Griffith Abilities Research Programme, August, 2008.Kendall, E., Muenchberger, H., Ehrlich, C., Neal, R.,Sunderland, N., Domalewski, D. Self-Management. GPQueensland & Griffith Abilities Research Programme,August, 2008.Khanam, R., Nghiem, H.S. and Connelly (2008) ChildHealth and the Income Gradient: Evidence from Australia,A Paper Presented at the 30th Australian Conference ofHealth Economists, Adelaide, 2-3 October 2008.Lang J. The characteristics of road traffic crash-relatedinjury across different geographic areas in Queensland.Population Health Congress 2008, Brisbane ConventionCentre, 7-9 July, 2008.Lapsley, H.M. (2008) “Medical Regulation in Australia:International Implications”, International Health Policyand Management Institute, Bucharest Romania, 1-3September 2008. (Invited Paper).Lapsley, H.M. and Collins, D.J. (2008) “MethodologicalIssues in Cost Measurement”, West Australian CancerCouncil, 18 September 2008.Le Brocque R. Medical traumatic stress in children andtheir parents after paediatric intensive care admission.Mater PICU Intensivists re the new research project aboutto start, Brisbane, Australia, 12 May, 2008.Le Brocque R. The course of post traumatic stress disorder:An exploration of recovery trajectories of children andtheir parents following accidental injury, CYMHS ResearchInterest Group, Brisbane, Australia. 6th June, 2008. (OralPresentation).Muenchberger, H. ComCare: National Conference inWork Disability. Canberra, November, 2008.Muenchberger, H. Place-Based Initiative /GIS. Logan CityCouncil in March, 2008.Muenchberger, H. Place-Based Initiative/GIS. PBI Board inMay, 2008.Muenchberger, H. YoungCare Project Report Presentation.Wesley Mission Brisbane Board in May, 2008.Muenchberger, H., Kendall, E., Dorsett, P. (2008,September). Review of the Spinal Cord Injuries Response.Disability Services Queensland & Griffith Abilities ResearchProgramme, September, 2008.Nghiem, H. S., Coelli, T. and S. Barber (2008),“Productivity growth in health services: Evidence fromQueensland public hospitals”, a paper presented at the30th Conference of the Australian Conference of HealthEconomists, Adelaide, 2-3 October 2008.Olsson K, Kenardy J, de Young A and Spence S. Predictingchildren’s posttraumatic stress symptoms followinghospitalization for accidental injury: Combining the ChildTrauma Screening Questionnaire and heart rate. 15thAustralian Conference on Traumatic Stress 11th-13thSeptember, 2008, Melbourne, Australia.Pollard C. Dimensions of Current and Future TraumaCare’; Medical Administration of Trauma Care. RoyalAustralasian College of Surgeons (RACS), Melbourne20 November, 2008.Pollard C. Presentation: Future of a National TraumaRegistry. Workshop on Trauma Research Methodsand Practice Workshop; University of Melbourne. 20November, 2008.Pollard C. Thoracic Trauma, Lismore Trauma Conference;Lismore NSW, 5 December, 2008.Pollard C. Trauma: A multidisciplinary approach – is itworking?; Royal Australasian College of Surgeons (RACS)Annual State Meeting, Novotel Twin Waters, Coolum,Australia. 13 July, 2008.Rivest K, Cote J, Dumas J-P, Sterling M, de Serres S. Thermalsensitivity and catastrophising but not pressure sensitivitymay be used as predictors of pain and disability in acutewhiplash. IASP conference, Glasgow, Uk, August 2008.Rowell, D., Nghiem, H.S. and T. Jackson (2008), “Costs ofinpatient malnutrition: Evidence from Victoria, Australia2003-2004”, a paper presented at the 30th Conferenceof the Australian Conference of Health Economists,Adelaide, 2-3 October 2008.Sterling M, Hodkinson E, Pettiford C, Curatolo. Sensoryhypersensitivity and psychological distress in chronicwhiplash: Is there a relationship? Australian Spine Societyconference, Adelaide, April, 2008Sterling M. Clinical implications of hyperalgesia forspinal pain. Canberra Pain Day, November, 2008(Invited speaker).Sterling M. Physical and sensory manifestation ofwhiplash. TracSa conference on Neck Pain, Adelaide,November, 2008Sterling M. Psychological Processes in Daily Life withChronic Whiplash: Relations of Post-traumatic StressSymptoms and Fear-of-pain to Same Day Pain and Activity.IASP conference, Glasgow, August 2008Sterling M. Sequelae of whiplash as a model for spinalpain. Canberra Pain Day, November, 2008 (Invited speaker)Sterling M. The Heterogeneity of Whiplash: Roles ofCentral Hyperexcitability and Psychological Distress.Australian Pain Society Annual Meeting, Perth April 2008(Invited Speaker)Sterling M. The roles of central hyperexcitability andpsychological distress in whiplash pain. ASPR conference,Newcastle, December 2008.Wilson CM, Bellamy E, Bellamy N. Osteoarthritismeasurement in routine rheumatology outpatient practice(OMIRROP) in Australia: A survey of practice style,instrument use, responder criteria and state-attainmentcriteria. OARSI World Congress 2008, 18-21 September,2008, Rome, Italy. (Poster Presentation).EDUCATIONCliff Pollard29 - 31 August 2008:- Senior Instructor: Early Management of SevereTrauma (EMST), Royal Australasian College ofSurgeons (RACS), Melbourne,18 and 19 November 2008:- Instructor: Definitive Surgical Trauma Course(DSTC); Royal Australasian College of Surgeons(RACS), Melbourne21 - 23 November 2008:- Senior Instructor: Early Management of Severe Trauma(EMST), Royal Australasian College of Surgeons (RACS),Royal Brisbane and Women’s Hospital, Brisbane


Level 3, Mayne Medical School,The University of Queensland,Herston Rd, Brisbane Qld 4006Phone 61 7 3365 5560Fax 61 7 3346 4603www.conrod.uq.edu.au

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