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9 results on '"Lynch, John W"'

5. Validating injury burden estimates using population birth cohorts and longitudinal cohort studies of injury outcomes: the VIBES-Junior study protocol

Author

Gabbe, Belinda J, primary, Dipnall, Joanna F, additional, Lynch, John W, additional, Rivara, Frederick P, additional, Lyons, Ronan A, additional, Ameratunga, Shanthi, additional, Brussoni, Mariana, additional, Lecky, Fiona E, additional, Bradley, Clare, additional, Simpson, Pam M, additional, Beck, Ben, additional, Demmler, Joanne C, additional, Lyons, Jane, additional, Schneeberg, Amy, additional, and Harrison, James E, additional

Published
2018
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6. Usage, adherence and attrition: how new mothers engage with a nurse-moderated web-based intervention to support maternal and infant health. A 9-month observational study

Author

Sawyer, Michael G, primary, Reece, Christy E, additional, Bowering, Kerrie, additional, Jeffs, Debra, additional, Sawyer, Alyssa C P, additional, Peters, Jacqueline D, additional, Mpundu-Kaambwa, Christine, additional, Clark, Jennifer J, additional, McDonald, Denise, additional, Mittinty, Murthy N, additional, and Lynch, John W, additional

Published
2016
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7. Usage, adherence and attrition: how new mothers engage with a nursemoderated web-based intervention to support maternal and infant health. A 9-month observational study.

Author

Sawyer, Michael G., Reece, Christy E., Bowering, Kerrie, Jeffs, Debra, Sawyer, Alyssa C. P., Peters, Jacqueline D., Mpundu-Kaambwa, Christine, Clark, Jennifer J., McDonald, Denise, Mittinty, Murthy N., and Lynch, John W.

Abstract

Objectives: To identify factors predicting use, adherence and attrition with a nurse-moderated webbased group intervention designed to support mothers of infants aged 0-6 months. Design: 9-Month observational study. Setting: Community maternal and child health service. Participants: 240 mothers attending initial postnatal health checks at community clinics who were randomly assigned to the intervention arm of a pragmatic preference randomised trial (total randomised controlled trial, n=819; response rate=45%). Intervention: In the first week (phase I), mothers were assisted with their first website login by a research assistant. In weeks 2-7 (phase II), mothers participated in the web-based intervention with an expectation of weekly logins. The web-based intervention was comparable to traditional face-to-face new mothers' groups. During weeks 8-26 (phase III), mothers participated in an extended programme at a frequency of their choosing. Primary outcome measures: Number of logins and posted messages. Standard self-report measures assessed maternal demographic and psychosocial characteristics. Results: In phase II, the median number of logins was 9 logins (IQR=1-25), and in phase III, it was 10 logins (IQR=0-39). Incident risk ratios from multivariable analyses indicated that compared to mothers with the lowest third of logins in phase I, those with the highest third had 6.43 times as many logins in phase II and 7.14 times in phase III. Fifty per cent of mothers logged-in at least once every 30 days for 147 days after phase I and 44% logged-in at least once in the last 30 days of the intervention. Frequency of logins during phase I was a stronger predictor of mothers' level of engagement with the intervention than their demographic and psychosocial characteristics. Conclusions: Mothers' early use of web-based interventions could be employed to customise engagement protocols to the circumstances of individual mothers with the aim of improving adherence and reducing attrition with web-based interventions. [ABSTRACT FROM AUTHOR]

Published
2016
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8. Jurisdictional, socioeconomic and gender inequalities in child health and development: analysis of a national census of 5-year-olds in Australia

Author

Brinkman, Sally A, primary, Gialamas, Angela, additional, Rahman, Azizur, additional, Mittinty, Murthy N, additional, Gregory, Tess A, additional, Silburn, Sven, additional, Goldfeld, Sharon, additional, Zubrick, Stephen R, additional, Carr, Vaughan, additional, Janus, Magdalena, additional, Hertzman, Clyde, additional, and Lynch, John W, additional

Published
2012
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9. How much emergency department use by vulnerable populations is potentially preventable?: A period prevalence study of linked public hospital data in South Australia

Author

John Lynch, Jonathan Karnon, David Banham, Kirsten Densley, Banham, David, Karnon, Jonathan, Densley, Kirsten, and Lynch, John W.

Subjects
Male, Native Hawaiian or Other Pacific Islander, hospital costs, Prevalence, Rate ratio, 0302 clinical medicine, Risk Factors, Health care, South Australia, Secondary Prevention, Medicine, 030212 general & internal medicine, Hospital Costs, education.field_of_study, 030503 health policy & services, General Medicine, Middle Aged, refugees, Hospitalization, Primary Prevention, Female, Health Services Research, 0305 other medical science, Asylum seeker, Emergency Service, Hospital, Adult, Population, elderly, emergency departments, Vulnerable Populations, 03 medical and health sciences, Young Adult, Ambulatory care, Humans, Healthcare Disparities, education, Aged, business.industry, Hospitals, Public, Research, delivery of health care, Emergency department, Patient Acceptance of Health Care, indigenous population, Cross-Sectional Studies, Public hospital, business, Demography
Abstract

ObjectivesTo quantify emergency department (ED) presentations by individuals within vulnerable populations compared with other adults and the extent to which these are potentially preventable.DesignPeriod prevalence study from 2005-2006 to 2010–2011.SettingPerson-linked, ED administrative records for public hospitals in South Australia.ParticipantsAdults aged 20 or more in South Australia’s metropolitan area presenting to ED and categorised as Refugee and Asylum Seeker Countries of birth (RASC); Aboriginal; those aged 75 years or more; or All others.Main outcome measuresUnadjusted rates of ambulatory care sensitive condition (ACSC), general practitioner (GP)–type presentations and associated direct ED costs among mutually exclusive groups of individuals.ResultsDisparity between RASC and All others was greatest for GP-type presentations (423.7 and 240.1 persons per 1000 population, respectively) with excess costs of $A106 573 (95% CI $A98 775 to $A114 371) per 1000 population. Aboriginal had highest acute ACSC presenter rates (125.8 against 51.6 per 1000 population) with twice the risk of multiple presentations and $A108 701 (95% CI $A374 to $A123 029) per 1000 excess costs. Those aged 75 or more had highest chronic ACSC presenter rates (119.7vs21.1 per 1000), threefold risk of further presentations (incidence rate ratio 3.20, 95% CI 3.14 to 3.26) and excess cost of $A385 (95% CI $A178 160 to $A184 609) per 1000 population.ConclusionsVulnerable groups had excess ED presentations for a range of issues potentially better addressed through primary and community healthcare. The observed differences suggest inequities in the uptake of effective primary and community care and represent a source of excess cost to the public hospital system.

Published
2019

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