Qualitative Trials Coordinator, Department of Surgery, University of Melbourne
- Coordinate qualitative components of a range of projects
Monash University – Bachelor of Health Science (Honours)
Mixed-methods Honours research project titled: Falls prevention in older adults: Circumstances, experiences and perceptions of older adults presenting to an emergency department with a fall
Monash University – Bachelor of Health Science
- Qualitative research methods short course
- Cochrane systematic review short course
- Teaching associated training course
- Ayton DR, O’Brien P, Treml J, Soh S, Morello R, Barker A. Nurses’ perceptions of preventing falls for patients with dementia in the acute hospital setting. Australasian Journal on Ageing (accepted August 23, 2017). DOI:10.1111/ajag.12474
- Ayton, D, Pritchard, E, O’Brien P, King, M. (2017). Incidence, prevalence and factors contributing to brain injury in the family violence context: A literature review. 3rd Stop Domestic Violence Conference. December 2017, Melbourne, Australia.
- O’Brien P, Ayton D, Soh S-E. Circumstances, Experiences and Perceptions of Older Adults Presenting to Emergency Departments, 7th Biennial Australian and New Zealand Falls Prevention Conference, November 2016, Melbourne, Australia
Understanding patient and community factors associated with management, referral and outcome of total knee replacement for people with osteoarthritis
Current research projects focus on community factors associated with management of total knee replacements, decision making for total knee replacements and expectations for surgery. A prospective body of research exploring Aboriginal and Torres Strait Islander Australians lived experience of osteoarthritis and access to culturally appropriate osteoarthritis is also underway.
General practice guidelines currently recommend self-management and non-surgical management (such as exercise, nutritional education, cognitive behavioural therapy and physical therapy) as first line therapy, augmented by pharmacological therapy when required. Total knee replacement is generally offered when non-surgical interventions have been ineffective and can reduce pain and improve function for those with OA of the knee. However an Australian study has found that the most frequent referral for a person with OA is to an orthopaedic surgeon, rather than allied health professional s for non-surgical interventions and approximately 12-20% of patients who undergo TKR surgery do not benefit.
In this study we aim to explore the:
- Management of osteoarthritis of the knee in the community (including general practice), including factors which affected people’s decisions to undertake treatments and their perceived effectiveness
- Reasons for referral for TKR from the patient’s perspective; and
- Factors associated with positive and negative outcomes of TKR from the patient’s perspective.
This study utilises qualitative interviews at two time points – prior to TKR and a follow up time point between 6 and 12 months post TKR.