Publications by authors named "Anthony Maeder"

Objective: Rehabilitation for adults with traumatic brain injury (TBI) incorporates client-centred goal-setting and motivational support to achieve goals. However, face-to-face rehabilitation is time-limited. New therapy approaches which leverage care are warranted.

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To successfully scale-up telemedicine initiatives (TIs), communities play a crucial role. To empower communities fulfilling this role and increase end users' acceptance of TIs, support tools (from now on entitled artifacts) are needed that include specific measures to implement and scale up telemedicine. Addressing this need, the article introduces the Telemedicine Community Readiness Model (TCRM).

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Background: With the increasing age of the global population, key components of healthy ageing including community, physical, and social participation continue to gain traction. However, management of the COVID-19 pandemic aimed to protect older adults and reduce the spread of the virus, this restricted community participation and reduced the opportunities for social interaction.

Methods: This mixed methods study investigates community dwelling older adults' community participation; physical activity and social interaction prior to, during, and following the COVID-19 lockdown in Adelaide, Australia.

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Background: There is increasing evidence that pre-frailty manifests as early as middle age. Understanding the factors contributing to an early trajectory from good health to pre-frailty in middle aged and older adults is needed to inform timely preventive primary care interventions to mitigate early decline and future frailty.

Methods: A cohort of 656 independent community dwelling adults, aged 40-75 years, living in South Australia, undertook a comprehensive health assessment as part of the Inspiring Health cross-sectional observational study.

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Objective: The objective of this review was to identify how conversational agents are designed and used in rehabilitation for adults with brain-related neurological conditions.

Introduction: Adults with brain-related neurological conditions experience varied cognitive and functional challenges that can persist long term. However, rehabilitation services are time- and resource-limited, and novel rehabilitation approaches are warranted.

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Introduction: Despite extensive evidence of its benefits and recommendation by guidelines, cardiac rehabilitation (CR) remains highly underused with only 20%-50% of eligible patients participating. We aim to implement and evaluate the Country Heart Attack Prevention (CHAP) model of care to improve CR attendance and completion for rural and remote participants.

Methods And Analysis: CHAP will apply the model for large-scale knowledge translation to develop and implement a model of care to CR in rural Australia.

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Background: Non-adherence to Tuberculosis (TB) medication is a serious threat to TB prevention and control programs, especially in resource-limited settings. The growth of the popularity of mobile phones provides opportunities to address non-adherence, by facilitating direct communication more frequently between healthcare providers and patients through SMS texts and voice phone calls. However, the existing evidence is inconsistent about the effect of SMS interventions on TB treatment adherence.

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Healthcare has experienced rapid transformation with the development of digital technologies which aim to make healthcare safer and more efficient. In response, health informatics has evolved, including nursing informatics, which integrates nursing, information and communication technologies (ICT) and professional knowledge to improve patient outcomes. New language has developed to describe informatics and its processes; however, this has generally been poorly understood.

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The number of older adults unable to transfer or ambulate independently is increasing. High support chairs enable people experiencing loss of mobility to be mobile, but current chair designs are associated with global functional loss and pressure ulcers. This pilot study compared the functionality of a traditional design high support chair to a new design of motorised high support chair: 1) a motion laboratory study compared joint angles and pressure at the hip, knee, ankle, elbow and spine when pushing each chair, and 2) a pressure mapping study compared the interface pressure when older people with limited mobility used the chairs.

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Background: Parents juggling caregiving and paid employment encounter a range of barriers in providing healthy food to their families. Mobile apps have the potential to help parents in planning, purchasing, and preparing healthy family food. The utility and acceptability of apps for supporting parents are unknown.

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Introduction: Benefits of community participation and physical activity for the health and wellbeing of older adults are well documented. This review aims to answer the question; "How is community participation considered for older adults in the transition from hospital to home?"

Materials And Methods: This scoping review searched key databases using subject headings and keywords. Two independent reviewers selected studies based on a systematic procedure.

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Effective cardiovascular disease (CVD) prevention relies on timely identification and intervention for individuals at risk. Conventional formula-based techniques have been demonstrated to over- or under-predict the risk of CVD in the Australian population. This study assessed the ability of machine learning models to predict CVD mortality risk in the Australian population and compare performance with the well-established Framingham model.

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Background: With the advancing age of the population, and increasing demands on healthcare services, community participation has become an important consideration for healthy ageing. Low levels of community participation have been linked to increased mortality and social isolation. The extent to which community participation has been measured objectively in older adults remains scarce.

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In Australia, telehealth services were used as an alternative method of health care delivery during the COVID-19 pandemic. Through a realist analysis of a survey of health professionals, we have sought to identify the underlying mechanisms that have assisted Australian health services adapt to the physical separation between clinicians and patients. Using a critical realist ontology and epistemology, we undertook an online survey of health professionals subscribing to the Australian Telehealth Society newsletter.

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Objective: The objective of the review is to identify peer-reviewed literature reporting the design and use of conversational agents in rehabilitation for adults with brain injury, disease, or stroke.

Introduction: Rehabilitation for adults with brain injury, disease, or stroke provides goal-directed care to overcome functional impairments and reduced independence. However, recovery can be impacted due to rehabilitation being time-limited.

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Background: Tuberculosis (TB) is a major global public health problem and one of the leading causes of death among infectious diseases. Although TB can be cured with first-line antibiotics treatment of 6 months regimen, non-adherence to the treatment remains the main challenge for TB prevention and control. Interventions to promote adherence need to address multiple underlying factors linked to non-adherence, which requires a synthesis of studies to understand these factors in the local context.

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Article Synopsis
  • - The study explores how digital health technologies could help reduce disparities in cancer care, emphasizing the importance of users' digital health literacy, which combines health knowledge and digital skills.
  • - Through focus groups with various stakeholders, the research identified barriers to using digital health technologies, particularly for specific demographics, including older, younger, and disadvantaged populations.
  • - To effectively implement digital health in cancer care, it's essential to tailor approaches that consider diverse literacy levels, ensuring strategic implementation in health policy to improve access and engagement.
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We propose a framework for discourse on digital solutions to support consumers and carers in delivery of health care and services for aged persons, based on a major needs analysis conducted across 56 diverse business entities in Australia. The resulting framework was based on two major identified domains: "Ageing in Place" for independent living situations, and "Ageing with Care" for managed aged care facilities. The paper describes the process used and the intermediate outcomes which enabled the framework to be synthesized.

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The paper provides a narrative overview of trends in digital technology related innovations for supporting ageing subjects to live independently with assistance, synthesized from selected scoping reviews and informed by subsequent analysis of peer reviewed literature appearing in the past 10 years. Four categories of trends are identified: assistive and supportive technologies; monitoring devices and systems; communications and connection technologies; and intelligent health information systems. For each of these categories, a synthesis commentary and illustrative examples are provided, concluding with a summary discussion on future directions.

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Maintain Your Brain (MYB)i is a randomised controlled trial (RCT) of multiple online interventions designed to target modifiable risk factors for Alzheimer's disease and dementia. Traditional clinical trial management systems (CTMS) requirements consist of features such as management of the study, site, subject (participant), clinical outcomes, external and internal requests, education, data extraction and reporting, security, and privacy. In addition to fulfilling these traditional requirements, MYB has a specific set of features that needs to be fulfilled.

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In health and behavioural sciences, there has been a shift towards use of mobile, wearable and IoT based frequent granular data collection strategies to capture temporal patterns and environmental changes. There are a wide range of free and easy-to-use services that allow researchers to design and deploy intermittent assessments and surveys. However, there is a lack of tools suitable for frequent or real-time data collection.

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Health behaviour change programs that utilise IT-based delivery have great potential to improve health. Whilst more static Web 1.0 technologies have been somewhat effective, they often failed to promote longer-term user engagement required for greater health promotion impact.

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Introduction: Motivating behavioural change during client consultations is of crucial importance across all health professions to address the growing burden of chronic conditions. Yet health professionals often lack the skills and confidence to use evidence-based counselling interventions to support clients' behavioural change and mobilise clients' resources and self-efficacy for change to address their long-term needs.

Aims: This pre-post pilot study will develop a motivational interviewing (MI) virtual client training tool for health professionals and test the effectiveness of the educational content and usability of the virtual client interaction.

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Background: There are growing concerns over the health impacts of occupational sedentary behaviour on office-based workers and increasing workplace recognition of the need to increase physical activity at work. Social ecological models provide a holistic framework for increasing opportunities for physical activity at work. In this paper we propose a social ecological model of office-based physical activity and map it against the Capability Motivation Opportunity (COM-B) framework to highlight the mechanisms of behaviour change that can increase levels of physical activity of office-based workers.

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Background: More than one-fourth of Australian adolescents are overweight or obese, with obesity in adolescents strongly persisting into adulthood. Recent evidence suggests that the mid-teen years present a final window of opportunity to prevent irreversible damage to the cardiovascular system. As lifestyle behaviors may change with increased autonomy during adolescence, this life stage is an ideal time to intervene and promote healthy eating and physical activity behaviors, well-being, and self-esteem.

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