APPEL implementation pilot conversation guide
This project aims to address the important issue of inappropriate use of multiple medicines in older adults by supporting evidence-based communication and shared decision making between older adults, their companions and clinicians. The Medicines Conversation Guide (‘the Guide’), was developed as a communication tool to be used by accredited pharmacists in the context of the Home Medicines Review (HMR) program. The Guide has been piloted for acceptability and feasibility among older adults, pharmacists and GPs, and the current implementation study is to ascertain its usefulness in clinical practice.
Collaborators: Aine Heaney & Debbie Rigby (NPS Medicinewise), Jim Colvin (Health Consumers New South Wales), Stacey Carter (University of Wollongong)
The implementation of a decision aid for women with early-stage breast cancer considering contralateral prophylactic mastectomy: a pilot study
This study aims to pilot test the implementation of a decision aid for women with early-stage breast cancer at average risk of CBC considering CPM. Our specific objectives are to (1) increase understanding of clinical contextual factors that impact on DA use; (2) obtain evidence about the acceptability, feasibility, and potential efficacy of the DA in clinical practice; and, (3) determine the optimal format (e.g. paper based, online) and timing for implementation (e.g. before, during consultation).
Collaborators: Phyllis Butow & Nicole Rankin (University of Sydney), David Porter (Auckland Hospital, NZ), Richard De Abreu Lourenco (UTS), Danielle Spence (BCNA), Dr Nick Zdenkowski (Calvary Mater Newcastle), Prof Christobel Saunders & Dr Rachael Glassey (The University of Western Australia)
Medico-legal drivers of defensive medicine
This project is investigating the problem of doctors offering unnecessary (or ‘low value’) healthcare, often in defence of potential threats of litigation from patients. There are two key aims: (1) to advance knowledge on psychosocial drivers of defensive practices and low value care in the Australian medico-legal context; and (2) to apply this knowledge in the development and testing of an intervention to promote clinicians’ understanding of the problem, enhance their communication skills and change their behaviour. Qualitative interviews will be conducted with a range of medico-legal expert groups and medical practitioners. A teaching and communication intervention for clinicians will then be piloted. The ultimate purpose of the project is to advance quality, safety and professionalism in clinician-patient relationships.
Collaborator: Nola Ries (UTS)