Publications by authors named "Alison Sim"

Purpose: Recovering from compensable injuries can be influenced by a variety of factors including the claimant's experience of distress during the claims process. In order to develop cross-scheme, nation-wide strategies to improve claimants' interactions with the compensation system, reduce claimant distress, and improve claimant outcomes, it is important to understand sources of claims-related distress from the perspective of both claimants and clinicians.

Methods: An exploratory qualitative design was undertaken using semi-structured interviews with 13 claimants and 26 clinicians from four injury compensation schemes in five Australian states.

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  • Gabapentinoids, widely prescribed for pain, have been linked to misuse and dependence, prompting a systematic review of qualitative research on this issue.* -
  • The review analyzed 26 high-quality studies, revealing motives for misuse such as seeking euphoria, self-medicating, and dealing with withdrawal symptoms, along with symptoms of dependence including tolerance and severe withdrawal effects.* -
  • Findings indicate significant public health concerns regarding gabapentinoid use, as misuse can lead to harmful effects like overdose and psychiatric issues, highlighting the need for careful prescribing practices.*
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  • The study investigates the experiences of clinicians in Australia who provide care to patients with compensable injuries, highlighting the challenges they face in this stressful environment.* -
  • Through interviews with 26 clinicians, it was found that they deal with high patient distress and administrative burdens, leading to feelings of emotional exhaustion in some while others find meaning and purpose in their work.* -
  • Positive coping strategies, such as mentoring and continuous education, enhance clinician well-being and improve patient care, stressing the importance of a supportive workplace culture.*
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Background: Musculoskeletal injuries can cause distress, and distress is associated with delayed recovery. Numerous interventions have been developed to facilitate recovery from injury, and several systematic reviews evaluate the efficacy of these interventions for reducing psychological distress.

Objectives: This scoping review aims to map the synthesised evidence for the relationship between treatment interventions and distress-related outcomes following acute injury.

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Introduction: Recent changes in opioid prescribing guidelines have led to an increasing number of patients with chronic pain being recommended to taper. However, opioid tapering can be challenging, and many patients require support.

Objectives: We evaluated the feasibility, acceptability, and potential efficacy of a codesigned digital health intervention to support patients with chronic pain during voluntary prescription opioid tapering.

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Introduction: Recent changes in opioid prescribing guidelines have led to an increasing number of patients with chronic pain being recommended to taper. However, opioid tapering can be challenging, and many patients require support.

Objectives: We evaluated the feasibility, acceptability, and potential efficacy of a co-designed psycho-educational video and SMS text messaging intervention to support patients with chronic pain during prescription opioid tapering.

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Background: People living with chronic pain report that tapering prescribed opioids is challenging and more support is needed. In our formative research, consumers indicated that mobile health (mHealth) technology could be an acceptable form of support for opioid tapering and may improve tapering self-efficacy.

Objective: We aimed to evaluate and improve the content of an mHealth intervention before pilot-testing, based on consumer and clinician feedback.

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Introduction: Opioid medications are no longer recommended as long-term therapy for chronic non-cancer pain, and many patients are advised to reduce or discontinue opioid medications. Many patients report difficulties in tapering opioid medications, necessitating supporting interventions. This protocol describes a pilot randomised controlled trial (RCT) to investigate the acceptability, feasibility and potential efficacy of a mobile health intervention to improve the opioid tapering self-efficacy of patients with chronic non-cancer pain.

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Decentralized water recycling systems (DWRS) have emerged as a viable option for incrementally augmenting water supply in water-stressed regions, but DWRS are generally more energy-intensive than traditional centralized water treatment systems. When DWRS are deployed incrementally in small batches, the marginal energy intensity (MEI) of water supply quantifies the location-specific energy footprint of centralized water supply and serves as a robust metric measuring the energy implications of replacing centralized supply with DWRS supply. This research develops and applies a MEI-based decision framework that identifies the energy-optimal siting of DWRS to minimize the overall system operational energy consumption given a target fraction of water demand to be met by newly deployed DWRS.

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Point-of-use (POU) devices with satisfactory lead (Pb) removal performance are urgently needed in response to recent outbreaks of lead contamination in drinking water. This study experimentally demonstrated the excellent lead removal capability of two-dimensional (2D) MoS nanosheets in aqueous form and as part of a layer-stacked membrane. Among all materials ever reported in the literature, MoS nanosheets exhibit the highest adsorption capacity (740 mg/g), and the strongest selectivity/affinity toward Pb with a distribution coefficient that is orders of magnitude higher than that of other lead adsorption materials (5.

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We investigated the removal of heavy metals from water by two-dimensional MoS nanosheets suspended in aqueous solution, and restacked as thin film membranes, respectively. From these studies we elucidated a new heavy metal ion removal mechanism that involves a reduction-oxidation (redox) reaction between heavy metal ions and MoS nanosheets. Ag was used as a model species and MoS nanosheets were prepared via chemical exfoliation of bulk powder.

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