Publications by authors named "Lin Perry"
Article Synopsis
- Increasing numbers of women are pursuing itinerant lifestyles in Australia, challenging traditional views of women as they age and expanding their ambitions beyond conventional roles.
- The study involved interviews with 29 women who traveled alone or with other women, and focused on four narratives that illustrate key themes such as adventure, self-exploration, and life control.
- The stories highlight the richness and diversity of these women's experiences, showcasing their journeys toward personal growth, independence, and a redefinition of aging.
Background: Offering organ donation is part of routine end-of-life care in critical care. Families describe feeling emotionally overwhelmed, which reduces their ability to understand complex medical information necessary to make informed decisions about organ donation. Late decisional regret is more common among families who decline donation.
View Article and Find Full Text PDFAim: To describe the pre-implementation context and implementation approach, for a clinician researcher career pathway.
Background: Clinician researchers across all health disciplines are emerging to radically influence practice change and improve patient outcomes. Yet, to date, there are limited clinician researcher career pathways embedded in clinical practice for nurses and midwives.
Aim: To identify and describe self-care behaviours performed by Chinese immigrants living with cardiovascular disease in Australia, and factors perceived as barriers and facilitators to evidence-based cardiac self-care.
Design: A qualitative descriptive design.
Methods: Individual semi-structured phone interviews were conducted among participants meeting the following criteria: (1) first-generation Chinese immigrants to Australia, born in Mainland China, Hong Kong, Macao or Taiwan; (2) Australian permanent residents or citizens; (3) self-reported or medically diagnosed with coronary heart disease, stroke or heart failure; (4) able to speak English or Mandarin; (5) able to provide informed consent, excluding those with history or evidence of impaired cognition such as dementia.
Background: Regular contact with specialist care has been linked to better diabetes outcomes for young people with type 1 diabetes (YPwT1D), but evidence is limited to population-based service usage and outcomes.
Aims: This observational 5-year study sought to capture YPwT1D living in the study catchment area (covering metropolitan, regional and rural Australia) as they transitioned to adult-based diabetes healthcare services and to describe their glycaemic control and complication rates, service usage and associated factors.
Methods: Records between 2010 and 2014 in a public healthcare specialist diabetes database were extracted, care processes and outcomes were described, and associations were sought between episodes of care (EOC) and potentially predictive variables.
Article Synopsis
- Coordinating care between fracture liaison services (FLS) and primary care providers is difficult; this study used the Delphi technique to establish 34 consensus statements aimed at improving this coordination for patients with osteoporotic fractures.
- The study identified a lack of evidence supporting optimal care coordination strategies, prompting the development of these statements to enhance clinical practice consistency and benchmarking as patients transition from FLS to primary care.
- While consensus was reached on key areas like patient education and communication, experts showed differing opinions on clinician roles and long-term management responsibilities, highlighting ongoing concerns about primary care's ability to manage osteoporosis effectively.
Article Synopsis
- - The study aimed to understand the perspectives of policy actors on the development and implementation of Australian policies focused on the health and wellbeing of young people aged 10 to 25.
- - Interviews with 19 participants revealed barriers to policy development and implementation, such as limited resources, low prioritization in health systems, and challenges with interagency collaboration.
- - To enhance outcomes for young people, the study suggests creating better policy implementation strategies, ensuring proper funding, and improving engagement with young people in the policy process.
Introduction: Supportive cancer care is vital to reducing the current disparities in cancer outcomes in Sub-Saharan Africa (SSA), including poor survival and low quality of life, and ultimately achieving equity in cancer care. This is the first review aimed to evaluate the extent of unmet supportive care needs and identify their contributing factors among patients with cancer in SSA.
Methods: Six electronic databases (CINAHL, Embase, Medline [Ovid], PsycINFO, PubMed, and Cochrane Library of Databases] were systematically searched.
Article Synopsis
- Adolescent sexual and reproductive health poses significant challenges in low-and middle-income countries, particularly concerning the effectiveness of policies aimed at reducing adolescent pregnancy in Ghana.
- A qualitative study involving interviews with 30 professionals revealed that only a small number had awareness of these policies, while many were informed about related programs and their activities.
- To improve policy awareness and implementation, it is essential to engage stakeholders in policy development and disseminate information through community-based media in local languages.
Introduction: Minimal trauma fractures (MTFs) often occur in older patients with osteoporosis and may be precipitated by falls risk-increasing drugs. One category of falls risk-increasing drugs of concern are those with sedative/anticholinergic properties. Collaborative medication management services such as Australia's Home Medicine Review (HMR) can reduce patients' intake of sedative/anticholinergics and improve continuity of care.
View Article and Find Full Text PDFAim: To compare HbA1c and clinical outcomes in adolescents and young adults with type 1 diabetes (T1D), with or without celiac disease (CD).
Methods: Longitudinal data were extracted from ADDN, a prospective clinical diabetes registry. Inclusion criteria were T1D (with or without CD), ≥ 1 HbA1c measurement, age 16-25 years and diabetes duration ≥ 1 year at last measurement.
Unlabelled: This qualitative study interviewed general practitioners, patients, and FLS clinicians and identified key challenges facing stakeholders seeking to improve post-fracture osteoporosis care. Local policies and care pathways as an initial strategy may address information and service delivery issues across the acute-primary care divide.
Introduction: Fracture liaison services (FLS) can be effective for secondary fracture prevention, but long-term adherence to therapies remains suboptimal.
Purpose: This review aimed to determine what methods are used to assess nutritional status, the levels of nutritional status, determinants of undernutrition, and nutritional interventions employed for adolescents with HIV on Anti-Retroviral Therapy follow-up in Low- and Middle-Income countries.
Methods: Established methods were used to systematically identify and retrieve studies published in five databases between January 2000 to May 2021, and citation searching. Quality was appraised and findings were synthesized using narrative analysis and meta-analysis.
Aim: Hypertension increases complication risk in type 1 diabetes (T1D). We examined blood pressure (BP) in adolescents and young adults with T1D from the Australasian Diabetes Data Network, a prospective clinical diabetes registry in Australia and New Zealand.
Methods: This was a longitudinal study of prospectively collected registry data.
Unscheduled emergency department presentations with diabetes: Identifying high risk characteristics.
Australas Emerg Care
September 2023
Background: Unscheduled emergency department (ED) presentation by patients with diabetes has seldom been examined. This study aimed to determine the frequency and associated characteristics of presentations in this population.
Methods: Using a prospective cross-sectional design, data were collected from patients with diabetes presenting and/or admitted to a tertiary metropolitan hospital in New South Wales, Australia (December 2016-September 2017).
This integrative review investigated reports of psychological impact and sequelae of traumatic hand injuries. A systematic search using Medline, PsychINFO, PubMed, EMBASE, CINAHL and hand-searching methods was conducted from 2008 to 2020. Nine included articles with a total of 503 participants were reported in prospective cross-sectional or longitudinal cohort studies.
View Article and Find Full Text PDFObjectives: This study explored the perceived barriers and facilitators regarding the implementation of policies and programmes aimed at reducing adolescent pregnancy among health and education professionals ('professionals'), grassroots workers and adolescent girls in Ghana.
Design And Setting: We employed an exploratory qualitative study design involving interviews with professionals, grassroots workers and adolescent girls in the Central Region of Ghana.
Participants: This study involved 15 professionals employed in government or non-governmental organisations, 15 grassroots workers and 51 pregnant/parenting and non-pregnant adolescent girls.
Hospital presentations with diabetic ketoacidosis: A retrospective review.
Australas Emerg Care
March 2023
Background: Diabetic ketoacidosis (DKA) is a significant source of preventable episodes of care and cost. This study aimed to describe the demographic and clinical characteristics of people with type 1 diabetes (T1D) presenting to the Emergency Department (ED) with DKA in an area of socio-economic deprivation in metropolitan Queensland, Australia, and to describe factors associated with hospital admission and re-presentation in this population.
Methods: This was a retrospective descriptive analysis of routine healthcare record data for January 2015-December 2019.
Predicting Return to Work Following Myocardial Infarction: A Prospective Longitudinal Cohort Study.
Int J Environ Res Public Health
June 2022
This study aimed to determine the proportion of patients who returned to work within three months post-myocardial infarction and the factors that predicted return to work. A total of 136 participants with myocardial infarction completed the study questionnaires at baseline and three months post-discharge between August 2015 and February 2016. At the three-month follow-up, 87.
View Article and Find Full Text PDFAims: To examine the patient-related factors that have been linked to glycaemic control in people living with type 2 diabetes mellitus in Middle Eastern countries.
Design: A systematic review and meta-analysis.
Data Sources: A computerized search was conducted using the databases MEDLINE (via PubMed and Ovid), EMBASE, Scopus and CINAHL to identify peer-reviewed articles published in English between 1 January 2010 and 21 May 2020.
Background: Competing challenges in adolescence and young adulthood can distract from optimal type 1 diabetes (T1D) self-management, and increase risks of premature morbidity and mortality. There are limited data mapping the glycemic control of people with T1D in this age group, across Australasia.
Research Design And Methods: Clinical data were extracted from the Australasian Diabetes Data Network, a prospective clinical diabetes registry.