Can supervise: YES
© 2013 by John Wiley & Sons, Ltd. All rights reserved. Expertly authored by the world's leading specialists in the field, Prevention of Diabetes is the definitive guide for better preventative diabetes care. Using an evidence-based approach, it outlines the very latest in the identification of people at high risk for type 2 diabetes and how best to use interventional methods such as screening at-risk individuals, pharmaceutical intervention and lifestyle changes. In addition, it will provide healthcare professionals with the clinical knowledge required to clearly identify the early symptoms of diabetes, enabling them to provide their patients with better clinical care and helping avoid the onset of full-blown diabetes. Also covered are both the health economics of establishing, and the methods of implement/delivering targeted prevention programmes into clinical and health care practice, based on the vast experience of the editors due to their involvement in such programmes. Prevention of Diabetes provides clear and expert information in a practical, accessible way, and is ideal reading for all those with an interest in the prevention of diabetes and obesity, such as public health workers, specialists in diabetes and obesity, and GP's seeing patients with early onset or pre-diabetes symptoms.
The purpose of this paper is to examine how research teams serve as building blocks for collaboration at a field level, and how these building blocks are assembled by a network of interacting organizations. The field setting is a medical sciences consortium in Australia established to encourage collaborative and entrepreneurial research among government, industry, research centers and university units. This consortium is examined as a case study. The analysis demonstrates how collaboration evolved at three interacting levels: research team, organization and interorganizational field. The main findings are: (1) Intellectual property (IP) acts as the key orienting agent in this field to align the behavior of various stakeholders and leverage collaborative and entrepreneurial activity. (2) Tensions between the different ways that the commercial and public sector actors value IP serve to structure the interfaces among the consortium, the member organizations and the research teams. (3) The consortium is a key infrastructural element in the creation of collaborative capital in the Australian biotechnology field studied. The main contribution of the study is to highlight the nature of collaborative capital at a field level and begin to explore its implications. © 2005 Elsevier Ltd. All rights reserved.
Perceval, M, Kõlves, K, Ross, V, Reddy, P & De Leo, D 2019, 'Environmental factors and suicide in Australian farmers: A qualitative study.', Archives of Environmental and Occupational Health, pp. 1-8.View/Download from: Publisher's site
Farmers and farm workers have been recognized as a group at high risk of suicide in Australia. This study aims to identify and better understand environmental factors associated with suicide among Australian farmers and farm workers. Qualitative analysis was undertaken in accordance with the Consolidated Criteria for Reporting Qualitative Research. Male and female focus groups were conducted separately with people who lived or worked on a farm in six farming communities. Qualitative analyses showed that a number of environmental influences may contribute to the increased risk of suicide: extreme climatic events; isolation; service availability; access to, and frequent use of firearms; death and suffering of animals; government and legislation; technology; and property values. Both the physical and socio-cultural environments in which farmers operate appear to contribute to farmer suicide and need to be considered in suicide prevention.
Kunde, L, Kõlves, K, Kelly, B, Reddy, P & de Leo, D 2018, ''The Masks We Wear': A Qualitative Study of Suicide in Australian Farmers', Journal of Rural Health, vol. 34, no. 3, pp. 254-262.View/Download from: UTS OPUS or Publisher's site
© 2018 National Rural Health Association Purpose: Farmer suicide is a major public issue in Australia. Using the psychological autopsy method, this study aimed to examine the life and death circumstances of Australian male farmers who died by suicide through verbal reports from their close significant others. Methods: Individual semistructured interviews were conducted with 12 relatives of male farmers who had died by suicide in Queensland or New South Wales, Australia (2006-2014). This study followed the COREQ checklist criteria for the reporting of qualitative research. Findings: Six interrelated themes were identified: (1) masculinity, (2) uncertainty and lack of control in farming, (3) feelings of failure in relationships and farming, (4) escalating health problems, (5) maladaptive coping, and (6) acquired capability with access to means. Conclusions: Effective clinical interventions, as well as suicide prevention strategies, need to consider the importance of 3 key issues in suicide among farmers: adherence to masculine norms and socialization; expectations of self in maintaining family traditions and occupation; and a male subtype of depression.
Wilhelm, K, Handley, T & Reddy, P 2018, 'A case for identifying smoking in presentations to the emergency department with suicidality.', Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, vol. 26, no. 2, pp. 176-180.View/Download from: UTS OPUS or Publisher's site
The aim of this study was to identify mental health and lifestyle factors predicting smoking among people at high risk of suicidal behaviour.Participants ( n = 363) completed self-report mental health and lifestyle measures at first appointment in a hospital clinic following presentation to the emergency department for deliberate self-harm or suicidal ideation.The rate of daily smoking in this group, 61.4%, is more than four times the rate observed in the general population. Those with a history of previous deliberate self-harm were twice as likely to be smokers. Each one-point increase in poor health behaviours increased the odds of smoking by 22%.Identifying and managing smoking and related lifestyle behaviours are important considerations in routine clinical assessments.
Aziz, Z, Riddell, MA, Absetz, P, Brand, M, Oldenburg, B, Dunbar, JA, Reddy, P, Hagger, V, Johnson, G, De Courten, M, Wolfe, R, Carter, R & Zaini, A 2018, 'Peer support to improve diabetes care: An implementation evaluation of the Australasian Peers for Progress Diabetes Program', BMC Public Health, vol. 18, no. 1.View/Download from: Publisher's site
© 2018 The Author(s). Background: Several studies have now demonstrated the benefits of peer support in promoting diabetes control. The aim of this study is to evaluate the implementation of a cluster randomised controlled trial of a group-based, peer support program to improve diabetes self-management and thereby, diabetes control in people with Type 2 Diabetes in Victoria, Australia. Methods: The intervention program was designed to address four key peer support functions i.e. 1) assistance in daily management, 2) social and emotional support, 3) regular linkage to clinical care, and 4) ongoing and sustained support to assist with the lifelong needs of diabetes self-care management. The intervention participants attended monthly group meetings facilitated by a trained peer leader for 12 months. Data was collected on the intervention's reach, participation, implementation fidelity, groups' effectiveness and participants' perceived support and satisfaction with the intervention. The RE-AIM and PIPE frameworks were used to guide this evaluation. Results: The trial reached a high proportion (79%) of its target population through mailed invitations. Out of a total of 441 eligible individuals, 273 (61.9%) were willing to participate. The intervention fidelity was high (92.7%). The proportion of successful participants who demonstrated a reduction in 5 years cardiovascular disease risk score was 65.1 and 44.8% in the intervention and control arm respectively. Ninety-four percent (94%) of the intervention participants stated that the program helped them manage their diabetes on a day to day basis. Overall, attending monthly group meetings provided 'a lot of support' to 57% and 'moderate' support to 34% of the participants. Conclusion: Peer support programs are feasible, acceptable and can be used to supplement treatment for patients motivated to improve behaviours related to diabetes. However, program planners need to focus on the participation component in designing f...
Perceval, M, Ross, V, Kõlves, K, Reddy, P & De Leo, D 2018, 'Social factors and Australian farmer suicide: A qualitative study', BMC Public Health, vol. 18, no. 1.View/Download from: UTS OPUS or Publisher's site
© 2018 The Author(s). Background: Farmers and farm workers have been recognised as a group at high risk of suicide in Australia; however this risk is not without geographic and demographic variation. This study aims to identify and better understand the complex interplay of risk and protective factors surrounding farmer suicide, with an emphasis on social influences, so as to inform tailored and effective suicide prevention initiatives. Methods: Focus groups were conducted in three diverse sites across two states in Australia with men and women separately to gain perceptions about suicide risk and protective factors and attitudes towards suicide and help seeking. The three communities in each state represented areas with a suicide rate similar to, above, and below the state average. The communities were also diverse in their population, types of farming, geographic location, distance from and access to services. There were a total of 33 female and 30 male participants. Results: Qualitative analysis indicated three major interrelated social factors: (1) changing rural communities, (2) community attitudes and stigma and (3) relationship issues. Conclusions: The biopsycho-ecological model is considered useful to better understand and address social, as well as individual and environmental factors, pertaining to farmer suicide.
Gupta, Y, Kapoor, D, Desai, A, Praveen, D, Joshi, R, Rozati, R, Bhatla, N, Prabhakaran, D, Reddy, P, Patel, A & Tandon, N 2017, 'Conversion of gestational diabetes mellitus to future Type 2 diabetes mellitus and the predictive value of HbA1c in an Indian cohort.', Diabetic medicine : a journal of the British Diabetic Association, vol. 34, no. 1, pp. 37-43.View/Download from: UTS OPUS or Publisher's site
To investigate the distribution of and risk factors for dysglycaemia (Type 2 diabetes and prediabetes) in women with previous gestational diabetes mellitus in India.All women (n = 989) from two obstetric units in New Delhi and Hyderabad with a history of gestational diabetes were invited to participate, of whom 366 (37%) agreed. Sociodemographic, medical and anthropometric data were collected and 75-g oral glucose tolerance test were carried out.Within 5 years (median 14 months) of the pregnancy in which they were diagnosed with gestational diabetes, 263 (72%) women were dysglycaemic, including 119 (32%) and 144 (40%) with Type 2 diabetes and prediabetes, respectively. A higher BMI [odds ratio 1.16 per 1-kg/m2 greater BMI (95% CI 1.10, 1.28)], presence of acanthosis nigricans [odds ratio 3.10, 95% CI (1.64, 5.87)], postpartum screening interval [odds ratio 1.02 per 1 month greater screening interval 95% CI (1.01, 1.04)] and age [odds ratio 1.10 per 1-year older age 95% CI (1.04, 1.16)] had a higher likelihood of having dysglycaemia. The American Diabetes Association-recommended threshold HbA1c value of 48 mmol/mol (6.5%) had a sensitivity and specificity of 81.4 and 90.7%, respectively, for determining the presence of Type 2 diabetes postpartum.The high post-pregnancy conversion rates of gestational diabetes to diabetes reported in the present study reinforce the need for mandatory postpartum screening and identification of strategies for preventing progression to Type 2 diabetes. Use of the American Diabetes Association-recommended HbA1c threshold for diabetes may lead to significant under-diagnosis.
Kunde, L, Kõlves, K, Kelly, B, Reddy, P & De Leo, D 2017, 'Pathways to suicide in Australian farmers: A life chart analysis', International Journal of Environmental Research and Public Health, vol. 14, no. 4.View/Download from: UTS OPUS or Publisher's site
© 2017 by the authors. Licensee MDPI, Basel, Switzerland. Farmers have been found to be at increased risk of suicide in Australia. The Interpersonal-Psychological Theory of Suicidal Behaviour suggests that the proximal factors leading to the suicidal desire or ideation include an individual's experiences of both perceived burdensomeness and thwarted belongingness. Suicidal desire with acquired capability to engage in lethal self-injury is predictive of suicidal behaviour. This study investigates the pathways to suicide of 18 Australian male farmers in order to understand the suicidal process and antecedents to suicide in Australian male farmers. The psychological autopsy (PA) method was used to generate life charts. Two pathways with distinct suicidal processes were identified: acute situational (romantic relationship problems and financial concerns/pending retirement) and protracted (long-term psychiatric disorder). Long working hours, interpersonal conflicts, physical illnesses and pain, alcohol abuse, access to firearms, and exposure to drought were additional common factors identified. An understanding of the interrelatedness of diverse distal and proximal risk factors on suicidal pathways in the wider environmental context for male farmers is required when developing and implementing rural suicide prevention activities.
Perceval, M, Kõlves, K, Reddy, P & De Leo, D 2017, 'Farmer suicides: a qualitative study from Australia.', Occupational medicine (Oxford, England), vol. 67, no. 5, pp. 383-388.View/Download from: UTS OPUS or Publisher's site
Farmers in Australia, in general, have poorer health outcomes, including higher rates of suicide.To investigate risk and protective factors and attitudes towards suicide and help-seeking among farmers living and working in New South Wales and Queensland in Australia.A qualitative study in which three farming sites were selected in each state to represent an area with a suicide rate equal to, below and above the state average. Focus groups were conducted with men and women separately.Focus groups involved 30 men and 33 women. Inductive thematic analysis showed three broad themes characterized responses: environment and society; community and relationships; and individual factors. There was considerable overlap and dynamic interaction between themes. A combination of individual factors, as well as social and environmental stressors, was described as most likely to increase risk of suicide death and reduce help-seeking. The vast majority of known farmer suicides described involved men and many of the issues discussed pertained specifically to male farmers. Participants found suicide as an act complex, intertwined with many factors, and hard to fathom. A common belief was that an individual must feel a complete lack of hope and perceive their situation vastly differently from others to contemplate suicide.Future suicide prevention efforts for farmers should take a biopsycho-ecological approach. Physical, psychological and cultural isolation could be addressed with education and training programmes and public campaigns. These could also improve people's ability to recognize possible suicidality.
Wilhelm, K, Korczak, V, Tietze, T & Reddy, P 2017, 'Clinical pathways for suicidality in emergency settings: A public health priority', Australian Health Review, vol. 41, no. 2, pp. 182-184.View/Download from: UTS OPUS or Publisher's site
© 2017 AHHA. Rates of self-harm in Australia are increasing and constitute a concerning public health issue. Although there are standard treatment pathways for physical complaints, such as headache, abdominal pain and chest pain, in Emergency Medicine, there is no national pathway for self-harm or other psychiatric conditions that present to the emergency department. Herein we outline the difference between clinical practice guidelines and clinical pathways, discuss pathways we have identified on self-harm in Australia and overseas and discuss their applicability to the Australian context and the next steps forward in addressing this public health issue.
Handley, TE, Ventura, AD, Browne, JL, Rich, J, Attia, JR, Reddy, P, Pouwer, F & Speight, J 2016, 'Suicidal ideation reported by adults with Type 1 or Type 2 diabetes: results from Diabetes MILESAustralia', DIABETIC MEDICINE, vol. 33, no. 11, pp. 1582-1589.View/Download from: Publisher's site
Wilhelm, K, Handley, T & Reddy, P 2016, 'Exploring the validity of the Fantastic Lifestyle Checklist in an inner city population of people presenting with suicidal behaviours', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, vol. 50, no. 2, pp. 128-134.View/Download from: Publisher's site
Riddell, MA, Dunbar, JA, Absetz, P, Wolfe, R, Li, H, Brand, M, Aziz, Z & Oldenburg, B 2016, 'Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes', BMC PUBLIC HEALTH, vol. 16.View/Download from: UTS OPUS or Publisher's site
© 2016 APA, all rights reserved).Objective: Poor sleep quality could be a risk factor for obesity. This article utilized a person-centered approach to investigate whether distinct sleep quality subtypes were associated with obesity directly, and indirectly via physical activity. Method: The sample included 8,932 Australian employees who participated in the Household, Income and Labor Dynamics in Australia Survey. Structured interviews and self-report questionnaires collected information on sleep quality, obesity, and relevant demographic, health, and work-related variables. Latent class analysis identified distinct subtypes of sleep quality. General linear modeling examined the associations of sleep quality subtypes with body mass index (BMI) and waist circumference. Multicategorical mediation models examined indirect paths linking sleep quality classes with obesity via physical activity. Results: Five distinct sleep quality subtypes were identified: Poor Sleepers (20.0%), Frequent Sleep Disturbances (19.2%), Minor Sleep Disturbances (24.5%), Long Sleepers (9.6%), and Good Sleepers (26.7%). BMI, waist circumference, and physical activity differed among the sleep quality subtypes, with similar results observed for males and females. For example, Poor Sleepers had the highest BMIs, followed by Frequent Sleep Disturbances and Minor Sleep Disturbances; Long Sleepers and Good Sleepers had the lowest BMIs. Mediation analyses indicated that low levels of physical activity linked the Poor Sleep, Frequent Sleep Disturbance, and Long Sleep classes with higher BMI. Conclusions: These results provide new insights into the nature of sleep quality in employees. In particular, distinct sleep quality patterns had differing associations with measures of obesity, suggesting the need for tailored workplace interventions. (PsycINFO Database Record
Arnautovska, U, McPhedran, S, Kelly, B, Reddy, P & De Leo, D 2016, 'Geographic variation in suicide rates in Australian farmers: Why is the problem more frequent in Queensland than in New South Wales?', DEATH STUDIES, vol. 40, no. 6, pp. 367-372.View/Download from: Publisher's site
Coombe, J, Mackenzie, L, Munro, R, Hazell, T, Perkins, D & Reddy, P 2015, 'Teacher-Mediated Interventions to Support Child Mental Health Following a Disaster: A Systematic Review.', Plos Currents, vol. 7.View/Download from: UTS OPUS or Publisher's site
OBJECTIVES: This review sought to identify, describe and assess the effectiveness of teacher-mediated interventions that aim to support child and adolescent recovery after a natural or man-made disaster. We also aimed to assess intervention applicability to rural and remote Australian school settings. METHOD: A systematic search of the academic literature was undertaken utilising six electronic databases (EBSCO, Medline, PsycINFO, Embase, ERIC and CINAHL) using terms that relate to: teacher-mediated and school-based interventions; children and adolescents; mental health and wellbeing; natural disasters and man-made disasters. This was supplemented by a grey literature search. RESULTS: A total of 20 articles reporting on 18 separate interventions were identified. Nine separate interventions had been evaluated using methodologically adequate research designs, with findings suggesting at least short-term improvement in student wellbeing outcomes and academic performance. CONCLUSIONS: Although none of the identified studies reported on Australian-based interventions, international interventions could be adapted to the Australian rural and remote context using existing psychosocial programs and resources available online to Australian schools. Future research should investigate the acceptability, feasibility and effectiveness of implementing interventions modelled on the identified studies in Australian schools settings.
Coombe, J, Rich, J, Booth, A, Rowlands, A, Mackenzie, L & Reddy, P 2015, 'Supporting Rural Australian Communities after Disaster: the Warrumbungle Bushfire Support Coordination Service.', Plos Currents, vol. 7, no. 1.View/Download from: UTS OPUS or Publisher's site
AIM: Natural disasters inflict significant trauma upon the individuals and communities in which they occur. In order to gain an understanding of the role of community-based disaster recovery support services in the post-disaster environment, we assessed the acceptability and perceived effectiveness of the Warrumbungle Bushfire Support Coordination Service (BSCS) implemented in response to the January 2013 bushfires in the Warrumbungle Shire, New South Wales, Australia. METHOD: A mixed-methods approach was taken to explore the perspectives of former BSCS users and key stakeholders involved with the service. A survey was distributed to former services users (in both paper and online modalities) and included closed and open-ended questions. Semi-structured interviews were conducted with key stakeholders (face to face or via telephone). RESULTS: A total of 14 former BSCS users and six key stakeholders participated in the research. Almost half of the former service users had accessed the BSCS for more than six months. Regardless of the duration of their use of the service, most reported that the decision to use the service stemmed from the need for 'help'. The majority of former service users were satisfied with the support provided by the BSCS and would recommend the service to others. Although most indicated that the BSCS informed them about where to get support, just over half were confident that they could access appropriate recovery services without the BSCS. Key themes arising from the former service use surveys were connectedness and support, whilst key themes in the interviews with key stakeholders were connectedness and the operation of the service. Both former service users and key stakeholders reported that the BSCS played an important role in facilitating community connectedness in the post-disaster period. Key stakeholders also identified challenges for the BSCS, including finding an appropriate agency and location to oversee the service and made suggesti...
Gillison, F, Stathi, A, Reddy, P, Perry, R, Taylor, G, Bennett, P, Dunbar, J & Greaves, C 2015, 'Processes of behavior change and weight loss in a theory-based weight loss intervention program: a test of the process model for lifestyle behavior change', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, vol. 12.View/Download from: UTS OPUS or Publisher's site
Greaves, C, Gillison, F, Stathi, A, Bennett, P, Reddy, P, Dunbar, J, Perry, R, Messom, D, Chandler, R, Francis, M, Davis, M, Green, C, Evans, P & Taylor, G 2015, 'Waste the waist: a pilot randomised controlled trial of a primary care based intervention to support lifestyle change in people with high cardiovascular risk', International Journal of Behavioral Nutrition and Physical Activity, vol. 12.View/Download from: UTS OPUS or Publisher's site
Hussain, R, Maple, M, Hunter, SV, Mapedzahama, V & Reddy, P 2015, 'The Fly-in Fly-out and Drive-in Drive-out model of health care service provision for rural and remote Australia: benefits and disadvantages.', Rural and Remote Health, vol. 15, no. 3, pp. 3068-3068.View/Download from: UTS OPUS
CONTEXT: Rural Australians experience poorer health and poorer access to health care services than their urban counterparts, and there is a chronic shortage of health professionals in rural and remote Australia. Strategies designed to reduce this rural-urban divide include fly-in fly-out (FIFO) and drive-in drive-out (DIDO) services. The aim of this article is to examine the opportunities and challenges involved in these forms of service delivery. This article reviews recent literature relating to FIFO and DIDO healthcare services and discusses their benefits and potential disadvantages for rural Australia, and for health practitioners. ISSUES: FIFO and DIDO have short-term benefits for rural Australians seeking healthcare services in terms of increasing equity and accessibility to services and reducing the need to travel long distances for health care. However, significant disadvantages need to be considered in the longer term. There is a potential for burnout among health professionals who travel long distances and work long hours, often without adequate peer support or supervision, in order to deliver these services. A further disadvantage, particularly in the use of visiting medical practitioners to provide generalist services, is the lack of development of a sufficiently well-resourced local primary healthcare system in small rural communities. LESSONS LEARNED: Given the potential negative consequences for both health professionals and rural Australians, the authors caution against the increasing use of FIFO and DIDO services, without the concurrent development of well-resourced, funded and staffed primary healthcare services in rural and remote communities.
Hinman, RS, McCrory, P, Pirotta, M, Relf, I, Forbes, A, Crossley, KM, Williamson, E, Kyriakides, M, Novy, K, Metcalf, BR, Harris, A, Reddy, P, Conaghan, PG & Bennell, KL 2014, 'Acupuncture for Chronic Knee Pain A Randomized Clinical Trial', JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, vol. 312, no. 13, pp. 1313-1322.View/Download from: UTS OPUS or Publisher's site
Butterworth, P, Handley, TE, Lewin, TJ, Reddy, P & Kelly, BJ 2014, 'Psychological distress in rural Australia: regional variation and the role of family functioning and social support', JOURNAL OF PUBLIC HEALTH-HEIDELBERG, vol. 22, no. 6, pp. 481-488.View/Download from: UTS OPUS or Publisher's site
Dixon, JB, Browne, JL, Lambert, GW, Jones, KM, Reddy, P, Pouwer, F & Speight, J 2013, 'Severely obese people with diabetes experience impaired emotional well-being associated with socioeconomic disadvantage: Results from diabetes MILES - Australia', DIABETES RESEARCH AND CLINICAL PRACTICE, vol. 101, no. 2, pp. 131-140.View/Download from: UTS OPUS or Publisher's site
Morgan, MAJ, Coates, MJ, Dunbar, JA, Reddy, P, Schlicht, K & Fuller, J 2013, 'The TrueBlue model of collaborative care using practice nurses as case managers for depression alongside diabetes or heart disease: a randomised trial', BMJ OPEN, vol. 3, no. 1.View/Download from: UTS OPUS or Publisher's site
Hinman, RS, McCrory, P, Pirotta, M, Relf, I, Crossley, KM, Reddy, P, Forbes, A, Harris, A, Metcalf, BR, Kyriakides, M, Novy, K & Bennell, KL 2012, 'Efficacy of acupuncture for chronic knee pain: protocol for a randomised controlled trial using a Zelen design', BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE, vol. 12.View/Download from: UTS OPUS or Publisher's site
Mc Namara, KP, Dunbar, JA, Philpot, B, Marriott, JL, Reddy, P & Janus, ED 2012, 'Potential of pharmacists to help reduce the burden of poorly managed cardiovascular risk.', Australian Journal of Rural Health, vol. 20, no. 2, pp. 67-73.View/Download from: UTS OPUS or Publisher's site
INTRODUCTION: Rural areas require better use of existing health professionals to ensure capacity to deliver improved cardiovascular outcomes. Community pharmacists (CPs) are accessible to most communities and can potentially undertake expanded roles in prevention of cardiovascular disease (CVD). OBJECTIVE: This study aims to establish frequency of contact with general practitioners (GPs) and CPs by patients at high risk of CVD or with inadequately controlled CVD risk factors. DESIGN, SETTING AND PARTICIPANTS: Population survey using randomly selected individuals from the Wimmera region electoral roll and incorporating a physical health check and self-administered health questionnaire. Overall, 1500 were invited to participate. RESULTS: The participation rate was 51% when ineligible individuals were excluded. Nine out of 10 participants visited one or both types of practitioner in the previous 12 months. Substantially more participants visited GPs compared with CPs (88.5% versus 66.8%). With the exception of excess alcohol intake, the median number of opportunities to intervene for every inadequately controlled CVD risk factor and among high risk patient groups at least doubled for the professions combined when compared with GP visits alone. CONCLUSION: Opportunities exist to intervene more frequently with target groups by engaging CPs more effectively but would require a significant attitude shift towards CPs. Mechanisms for greater pharmacist integration into primary care teams should be investigated.
Walker, C, Hernan, A, Reddy, P & Dunbar, JA 2012, 'Sustaining modified behaviours learnt in a diabetes prevention program in regional Australia: the role of social context', BMC HEALTH SERVICES RESEARCH, vol. 12.View/Download from: UTS OPUS or Publisher's site
Laatikainen, T, Philpot, B, Hankonen, N, Sippola, R, Dunbar, JA, Absetz, P, Reddy, P, Davis-Lameloise, N & Vartiainen, E 2012, 'Predicting changes in lifestyle and clinical outcomes in preventing diabetes: the Greater Green Triangle Diabetes Prevention Project.', Preventive Medicine, vol. 54, no. 2, pp. 157-161.View/Download from: UTS OPUS or Publisher's site
OBJECTIVES: To analyse how psychosocial determinants of lifestyle changes targeted in the Greater Green Triangle Diabetes Prevention Project conducted in Southeast Australia in 2004-2006 predict changes in dietary behaviour and clinical risk factors. METHODS: A longitudinal pre-test and post-test study design was used. The group program was completed by 237 people at high risk of type 2 diabetes. Associations between changes in the variables were examined by structural equation modelling using a path model in which changes in psychological determinants for lifestyle predicted changes in dietary behaviours (fat and fibre intake), which subsequently predicted changes in waist circumference and other clinical outcomes. Standardised regression weights are presented, with =±0.1 and =±0.3 representing small and medium associations, respectively. RESULTS: Improvements in coping self-efficacy and planning predicted improvements in fat (=-0.15, p<0.05 and =-0.32, p<0.001, respectively) and fibre intake (=0.15, p<0.05 and =0.23, p<0.001, respectively) which in turn predicted improvements in waist circumference (=0.18, p<0.01 and =-0.16, p<0.05, respectively). Improvements in waist circumference predicted improvements in diastolic blood pressure (=0.13, p<0.05), HDL (=-0.16, p<0.05), triglycerides (=0.17, p<0.01), and fasting glucose (=0.15, p<0.05). CONCLUSIONS: Psychological changes predicted behaviour changes, resulting in 12-month biophysical changes. The findings support the theoretical basis of the interventions.
Reddy, P, Hernan, AL, Vanderwood, KK, Arave, D, Niebylski, ML, Harwell, TS & Dunbar, JA 2011, 'Implementation of diabetes prevention programs in rural areas: Montana and south-eastern Australia compared', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 19, no. 3, pp. 125-134.View/Download from: UTS OPUS or Publisher's site
Oldenburg, B, Absetz, P, Dunbar, JA, Reddy, P & O'Neil, A 2011, 'The spread and uptake of diabetes prevention programs around the world: a case study from Finland and Australia', TRANSLATIONAL BEHAVIORAL MEDICINE, vol. 1, no. 2, pp. 270-282.View/Download from: UTS OPUS or Publisher's site
Reddy, P, Rankins, D, Timoshanko, A & Dunbar, JA 2011, 'Life! in Australia: Translating prevention research into a large-scale intervention', British Journal of Diabetes and Vascular Disease, vol. 11, no. 4, pp. 193-197.View/Download from: UTS OPUS or Publisher's site
The increasing prevalence of type 2 diabetes is of great public health concern. In the state of Victoria, Australia, a group-based lifestyle intervention programme, Life!-Taking Action on Diabetes, was developed for people over the age of 50 years who are at high risk of diabetes. It aims to reduce the risk of diabetes by providing practical skills, including goal setting and problem solving, to encourage participants to adopt a healthy diet and active lifestyle. The programme is delivered by specially trained facilitators who have undergone an accredited three-stage training programme. A quality assurance process is also in place to ensure that it is delivered to a consistently high standard. The Life! program is a direct progression from the Finnish randomised controlled trial and the Greater Green Triangle Diabetes Prevention Project implementation trial. This paper describes how a diabetes prevention programme was implemented at a state-wide level and the training of facilitators to conduct the group sessions. Future studies are needed to examine the cost effectiveness and development of specific programmes for diverse population groups. © 2011 SAGE Publications.
McAllister, M, Morrissey, S, McAuliffe, D, Davidson, G, McConnell, H & Reddy, P 2011, 'Teaching ideas for generating critical and constructive insights into well-functioning multidisciplinary mental health teams', JOURNAL OF MENTAL HEALTH TRAINING EDUCATION AND PRACTICE, vol. 6, no. 3, pp. 117-127.View/Download from: UTS OPUS or Publisher's site
Hernan, A, Philpot, B, Edmonds, A & Reddy, P 2010, 'Healthy minds for country youth: help-seeking for depression among rural adolescents.', The Australian journal of rural health, vol. 18, no. 3, pp. 118-124.View/Download from: Publisher's site
OBJECTIVE: To assess depression recognition, barriers to accessing help from health professionals and potential sources of help for depression among rural adolescents. DESIGN: Cross-sectional survey. SETTING: Two rural secondary schools in south-east South Australia. PARTICIPANTS: Seventy-four secondary school students aged 14 to 16 years. MAIN OUTCOME MEASURE(S): Depression recognition was measured using a depression vignette. Helpfulness of professionals, barriers to seeking help and help-seeking behaviours for depression were assessed by self-report questionnaire. RESULTS: Depression was identified in the vignette by 73% (n = 54) of participants. Participants indicated that it would be more helpful for the vignette character to see other health professionals (98.6%, 95% CI, 92.0-100.0%) than a doctor (82.4%, 72.1-89.6%). Barriers to seeking help from doctors and other health professionals were categorised into logistical and personal barriers. Participants agreed more strongly to personal (mean = 2.86) than logistical barriers (mean = 2.67, P < 0.05) for seeing a doctor. Boys and girls responded differently overall, and to personal barriers to seeing an other health professional. Sources of help were divided into three categories: formal, informal and external. Informal sources of help (mean = 4.02) were identified as more helpful than both formal (mean = 3.66) and external sources (mean = 3.72, P < 0.001). Gender differences were observed within and between the three sources of help categories. CONCLUSIONS: Recognising symptoms of depression was demonstrated in this study. Helpfulness of professionals, barriers to seeking help and potential sources of help for depression were identified. More work is required for improving depression literacy and providing effective interventions specifically for rural adolescents.
Dunbar, JA, Reddy, P, McNamara, K & Janus, ED 2010, 'Diabetes research and clinical practice.', Diabetes research and clinical practice, vol. 90, no. 1, pp. e11-e12.View/Download from: Publisher's site
Dunbar, JA, Davis-Lameloise, N, Philpot, B, Reddy, P, Bunker, S, Heistaro, S, Laatikainen, T & Janus, ED 2010, 'Sustained gains from a diabetes prevention program and the role of telephone support', International Journal of Diabetes Mellitus, vol. 2, no. 2, pp. 95-100.View/Download from: Publisher's site
Background: An evaluation of the sustainability of lifestyle changes was undertaken for participants completing a 12 month diabetes prevention program. This second part of the study also tested whether regular structured telephone calls could be effective in maintaining lifestyle changes. Methods: Originally, 237 participants completed a 12 month group-based lifestyle intervention study. They were aged 40-75 years, with a moderate to high risk of developing type 2 diabetes. Participants were then randomised to telephone support (n = 107) or self-care only (n = 98) for 18 months, and re-assessed using anthropometric, clinical, psychological and general health measures. Results: A total of 164 participants (85 telephone support and 79 self-care only) completed the follow-up. Changes between 12 and 30 months for the telephone support group were not significantly different from those found in the self-care only group. Beneficial lifestyle changes achieved by participants were generally sustained after the diabetes prevention program, with the exception of fasting plasma glucose and some psychological measures. Conclusions: Positive outcomes achieved at 12 months were generally maintained after a further 18 months. Telephone support did not appear to produce additional benefits. © 2010 International Journal of Diabetes Mellitus. Published by Elsevier Ltd. All rights reserved.
Vaughan, C, Reddy, P & Dunbar, J 2010, 'From rural beginnings to statewide roll-out: Evaluation of facilitator training for a group-based diabetes prevention program', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 18, no. 2, pp. 59-65.View/Download from: Publisher's site
Reddy, P, Ford, D & Dunbar, JA 2010, 'Improving the quality of diabetes care in general practice.', The Australian journal of rural health, vol. 18, no. 5, pp. 187-193.View/Download from: Publisher's site
OBJECTIVE: The evidence treatment gap for patients with type 2 diabetes. DESIGN: A summary of convenience sample of seven general practices. SETTING: Metropolitan and rural Victoria, Australia. PARTICIPANTS: 561 patients of general practices (75% from rural general practices). MAIN OUTCOME MEASURES: Demographic data, duration of diabetes, diabetes complications, HbA1c and lipid levels, blood pressure and score on PHQ-9. RESULTS: Patients with depression show more severe, progressive and intensively treated diabetes. The prevalence of depression in diabetes is about twice that of the general population. CONCLUSION: Australian guidelines for diabetes should recommend screening for depression.
Reddy, P, Philpot, B, Ford, D & Dunbar, JA 2010, 'Identification of depression in diabetes: the efficacy of PHQ-9 and HADS-D', BRITISH JOURNAL OF GENERAL PRACTICE, vol. 60, no. 575.View/Download from: Publisher's site
Morgan, M, Dunbar, J, Reddy, P, Coates, M & Leahy, R 2009, 'The TrueBlue study: Is practice nurse-led collaborative care effective in the management of depression for patients with heart disease or diabetes?', BMC FAMILY PRACTICE, vol. 10.View/Download from: Publisher's site
Morgan, MAJ, Dunbar, J & Reddy, P 2009, 'Collaborative care The role of practice nurses', AUSTRALIAN FAMILY PHYSICIAN, vol. 38, no. 11, pp. 925-926.
Dunbar, JA & Reddy, P 2009, 'Mandatory reporting of professional incompetence', Medical Journal of Australia, vol. 190, no. 2, p. 103.
Davis-Lameloise, N, Philpot, B, Reddy, P & Dunbar, JA 2008, 'Diabetes prevention.', The British journal of general practice : the journal of the Royal College of General Practitioners, vol. 58, no. 557, pp. 887-888.View/Download from: Publisher's site
Dunbar, JA, Reddy, P, Davis-Lameloise, N, Philpot, B, Laatikainen, T, Kilkkinen, A, Bunker, SJ, Best, JD, Vartiainen, E, Lo, SK & Janus, ED 2008, 'Depression: An Important Comorbidity With Metabolic Syndrome in a General Population', DIABETES CARE, vol. 31, no. 12, pp. 2368-2373.View/Download from: Publisher's site
Reddy, P, Dunbar, JA, O'Neil, A, Morgan, MA, Wolff, AM & Janus, ED 2008, 'Depression in acute coronary syndrome: Has the evidence been implemented?', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 16, no. 4, pp. 245-246.View/Download from: Publisher's site
Barclay, C & Mathers, N 2008, 'Diabetes prevention.', The British journal of general practice : the journal of the Royal College of General Practitioners, vol. 58, no. 557, p. 887.View/Download from: Publisher's site
Reddy, P, Dunbar, JA, Janus, E, Wolff, A, Bunker, S, Morgan, M & O'Neil, A 2007, 'Identifying depression in patients following admission for acute coronary syndrome.', The Australian journal of rural health, vol. 15, no. 2, pp. 137-138.View/Download from: Publisher's site
Stafford, L, Berk, M, Reddy, P & Jackson, HJ 2007, 'Comorbid depression and health-related quality of life in patients with coronary artery disease', JOURNAL OF PSYCHOSOMATIC RESEARCH, vol. 62, no. 4, pp. 401-410.View/Download from: Publisher's site
Dunbar, JA, Hickie, IB, Wakerman, J & Reddy, P 2007, 'New money for mental health: will it make things better-for rural and remote Australia?', MEDICAL JOURNAL OF AUSTRALIA, vol. 186, no. 11, pp. 587-589.
Laatikainen, T, Dunbar, JA, Chapman, A, Kilkkinen, A, Vartiainen, E, Heistaro, S, Philpot, B, Absetz, P, Bunker, S, O'Neil, A, Reddy, P, Best, JD & Janus, ED 2007, 'Prevention of type 2 diabetes by lifestyle intervention in an Australian primary health care setting: Greater green triangle (GGT) diabetes prevention project', BMC PUBLIC HEALTH, vol. 7.View/Download from: Publisher's site
Bearsley-Smith, C, Browne, MO, Sellick, K, Villanueva, EV, Chesters, J, Francis, K, Francis, K & Reddy, P 2007, 'Does Interpersonal Psychotherapy improve clinical care for adolescents with depression attending a rural child and adolescent mental health service? Study protocol for a cluster randomised feasibility trial.', BMC psychiatry, vol. 7, p. 53.View/Download from: Publisher's site
BACKGROUND: Depression amongst adolescents is a costly societal problem. Little research documents the effectiveness of public mental health services in mapping this problem. Further, it is not clear whether usual care in such services can be improved via clinician training in a relevant evidence based intervention. One such intervention, found to be effective and easily learned amongst novice clinicians, is Interpersonal Psychotherapy (IPT). The study described in the current paper has two main objectives. First, it aims to investigate the impact on clinical care of implementing Interpersonal Psychotherapy for Adolescents for the treatment of adolescent depression within a rural mental health service compared with Treatment as Usual (TAU). The second objective is to record the process and challenges (i.e. feasibility, acceptability, sustainability) associated with implementing and evaluating an evidence-based intervention within a community service. This paper outlines the study rationale and design for this community based research trial. METHODS/DESIGN: The study involves a cluster randomisation trial to be conducted within a Child and Adolescent Mental Health Service in rural Australia. All clinicians in the service will be invited to participate. Participating clinicians will be randomised via block design at each of four sites to (a) training and delivery of IPT, or (b) TAU. The primary measure of impact on care will be a clinically significant change in depressive symptomatology, with secondary outcomes involving treatment satisfaction and changes in other symptomatology. Participating adolescents with significant depressive symptomatology, aged 12 to 18 years, will complete assessment measures at Weeks 0, 12 and 24 of treatment. They will also complete a depression inventory once a month during that period. This study aims to recruit 60 adolescent participants and their parent/guardian/s. A power analysis is not indicated as an intra-class correlation coe...
Dunbar, JA, Reddy, P, Beresford, B, Ramsey, WP & Lord, RSA 2007, 'In the wake of hospital inquiries: Impact on staff and safety ', Medical Journal of Australia, vol. 186, no. 6, p. 325.
Dunbar, JA, Reddy, P, Beresford, B, Ramsey, WP & Lord, RSA 2007, 'In the wake of hospital inquiries: impact on staff and safety.', The Medical journal of Australia, vol. 186, no. 2, pp. 80-83.
Mishandled concerns about clinical standards resulted in whistleblowing in four Australian hospitals. Official inquiries followed with recommendations to improve patient safety. In the aftermath of the inquiries, common themes included loss of trust in management and among clinical colleagues, and loss of trust from patients and the community. Without first rebuilding trust, staff will not report mistakes or other concerns about safety. Successful implementation of patient safety procedures requires policies to stress the professional duty of staff to report concerns about colleagues when they believe there is a risk to patients.
Hawkins, KM, Reddy, P & Bunker, S 2007, 'Evaluation of a stress management course in adult education centres in rural Australia', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 15, no. 2, pp. 107-113.View/Download from: Publisher's site
Kilkkinen, A, Kao-Philpot, A, O'Neil, A, Philpot, B, Reddy, P, Bunker, S & Dunbar, J 2007, 'Prevalence of psychological distress, anxiety and depression in rural communities in Australia', AUSTRALIAN JOURNAL OF RURAL HEALTH, vol. 15, no. 2, pp. 114-119.View/Download from: Publisher's site
Dunbar, JA, Reddy, P, Beresford, B, Ramsey, WP & Lord, RSA 2007, 'Reply', Medical Journal of Australia, vol. 187, no. 8, pp. 476-477.
Dunbar, JA, Reddy, P, Beresford, B, Ramsey, AP & Lord, RSA 2007, 'Untitled - In reply', MEDICAL JOURNAL OF AUSTRALIA, vol. 187, no. 8, pp. 476-477.
Dunn, KL, Reddy, P, Moulden, A & Bowes, G 2006, 'Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: detection of adverse events and insight into the system', ARCHIVES OF DISEASE IN CHILDHOOD, vol. 91, no. 2, pp. 169-172.View/Download from: Publisher's site
Dunbar, J, Reddy, P & Humphreys, J 2006, 'How to get published in the Australian Journal of Rural Health', Australian Journal of Rural Health, vol. 14, no. 6, pp. 239-240.View/Download from: Publisher's site
Klimidis, S, Reddy, P, Minas, IH & Lewis, J 2004, 'Brief functional English proficiency measure for health survey research', Australian Psychologist, vol. 39, no. 2, pp. 154-165.View/Download from: Publisher's site
Through three studies we develop a brief measure of functional English proficiency intended for use in health survey research and particularly with older adults. The samples involved in these studies included adults aged 18 to 93 years whose language of origin was Turkish (n = 497, 53% women); Macedonian (n = 209, 49% women); Spanish (n = 205, 68% women); Italian (n = 212, 52% women); Turkish (n = 201, 51% women), and Greek (n=150, 53% women). The resulting instrument, comprising four items is a good brief measure of English proficiency, with capacity to discriminate between high and low levels of proficiency in all language groups.
Klimidis, S, Reddy, P, Minas, IH & Lewis, J 2004, 'Brief functional English proficiency measure for health survey research', AUSTRALIAN PSYCHOLOGIST, vol. 39, no. 2, pp. 154-165.View/Download from: Publisher's site
The capacity of expert accounting witnesses to provide understandable evidence has been challenged by Australian judges. They have assessed expert accounting evidence as the most difficult evidence, from eight disciplinary areas, for them to evaluate adequately. This paper reports the responses of a sample of ten expert accounting witnesses to such assessment. We reveal the difficulties these accounting experts have experienced in presenting evidence. These include the unfamiliarity of judges and barristers with commercial principles; the intimidatory environment of courts; and outmoded attitudes to the use of modern communication aids. Several ways of improving expert accounting evidence are canvassed, including the provision of communications skills training for accountants and financial literacy training for judges and barristers. © 2004 CPA Australia.
Caputi, P & Reddy, P 1999, 'A comparison of triadic and dyadic methods of personal construct elicitation', JOURNAL OF CONSTRUCTIVIST PSYCHOLOGY, vol. 12, no. 3, pp. 253-264.View/Download from: Publisher's site
Reddy, P, Knowles, A, Mulvany, J, McMahon, M & Freckelton, I 1997, 'Attributions about domestic violence: A study of community attitudes', Psychiatry, Psychology and Law, vol. 4, no. 2, pp. 125-145.View/Download from: Publisher's site
Attributions of responsibility and causality, and other beliefs about behaviours and affective states of individuals in domestic violence situations, were investigated in interviews with 188 men and women (aged 18 to 65 years) in six suburban locations in Melbourne, Australia. Participants were selected using a stratified random sampling procedure designed to include persons from three different socioeconomic levels. Two vignettes depicting a man's physical and verbal abuse of his female partner were presented. In one scenario, the battered woman kills her abuser; the other scenario shows the abuser being taken away by police. The results indicated that attributions of responsibility were best predicted by beliefs about the impact of alcohol and the extent to which the actors could predict control and moderate violent behaviour. Most respondents believed the battered woman acted in selfdefence and should not be found guilty of murder for killing the perpetrator. The findings are discussed in relation to community reactions to domestic violence, laypersons' intuitive theories of domestic violence, and the implications of these explanations in jury decision making. © 1997 Taylor Francis Group, LLC.
Vita, P, Reddy, P, Timoshanko, A & Colagiuri, S 2014, 'Diabetes prevention in Australia: The challenges of scaling-up and rolling-out programs' in Global Health Perspectives in Prediabetes and Diabetes Prevention, World Scientific Publishing, USA, pp. 391-406.View/Download from: UTS OPUS or Publisher's site
Vita, P, Reddy, P, Timoshanko, A, Milat, A, Shill, J, Gibson, A, Johnson, G & Colagiuri, S 2013, 'What do we know about recruitment and retention in diabetes prevention programs? An Australian perspective' in Schwarz, P & Reddy, P (eds), Prevention of Diabetes, John Wiley & Sons, USA, pp. 47-69.View/Download from: UTS OPUS or Publisher's site
© 2013 John Wiley & Sons, Ltd. All rights reserved. Lifestyle interventions are effective in preventing type 2 diabetes in high-risk participants. Policy makers need efficient and cost-effective strategies to screen and recruit high-risk participants into appropriate programs. Moreover, since there is a clear dose-response relationship between lifestyle modification program components and outcomes it is important to understand what factors increase adherence. Various strategies in a range of settings have been attempted, to capture high-risk people. Two Australian diabetes prevention programs were compared to identify the critical factors in recruitment and retention. A population health approach with a comprehensive social marketing strategy, telephone support, in a range of settings, particularly with program provider led strategies, holds great promise. Most programs continue be under represented with males, medically underserved and those who are socially disadvantaged. Program retention remains a challenge. Sustained multi-setting, community-wide, population health approaches targeting high-risk participants who are less likely to engage with and complete programs should be explored further.