35 results on '"Dawson, Anna P."'
Search Results
2. Correction to: Exploring the readiness of senior doctors and nurses to assess and address patients’ social needs in the hospital setting
- Author
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Lake, Katherine J., Boyd, Mark A., Smithers, Lisa, Howard, Natasha J., and Dawson, Anna P.
- Published
- 2022
- Full Text
- View/download PDF
3. Exploring the readiness of senior doctors and nurses to assess and address patients’ social needs in the hospital setting
- Author
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Lake, Katherine J., Boyd, Mark A., Smithers, Lisa, Howard, Natasha J., and Dawson, Anna P.
- Published
- 2022
- Full Text
- View/download PDF
4. Exploring self-determined solutions to service and system challenges to promote social and emotional wellbeing in Aboriginal and Torres Strait Islander people: a qualitative study
- Author
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Dawson, Anna P., primary, Warrior, Eugene, additional, Pearson, Odette, additional, Boyd, Mark A., additional, Dwyer, Judith, additional, Morey, Kim, additional, Brodie, Tina, additional, Towers, Kurt, additional, Waters, Sonia, additional, Avila, Cynthia, additional, Hammond, Courtney, additional, Lake, Katherine J., additional, Lampard, ‘Uncle’ Frank, additional, Wanganeen, ‘Uncle’ Frank, additional, Bennell, Olive, additional, Bromley, Darrien, additional, Shearing, Toni, additional, Rigney, Nathan, additional, Czygan, Schania, additional, Clinch, Nikki, additional, Pitson, Andrea, additional, Brown, Alex, additional, and Howard, Natasha J., additional
- Published
- 2023
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- View/download PDF
5. Studying The Lord of the Rings
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Dawson, Anna and Dawson, Anna
- Published
- 2021
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6. Cancer Information Seeking Among Adult New Zealanders: a National Cross-Sectional Study
- Author
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Richards, Rosalina, McNoe, Bronwen, Iosua, Ella, Reeder, Anthony, Egan, Richard, Marsh, Louise, Robertson, Lindsay, Maclennan, Brett, Dawson, Anna, Quigg, Robin, and Petersen, Anne-Cathrine
- Published
- 2018
- Full Text
- View/download PDF
7. Identifying Multi-Level Culturally Appropriate Smoking Cessation Strategies for Aboriginal Health Staff: A Concept Mapping Approach
- Author
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Dawson, Anna P., Cargo, Margaret, Stewart, Harold, Chong, Alwin, and Daniel, Mark
- Abstract
Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n = 74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were government-coordinated compared with community-controlled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs.
- Published
- 2013
- Full Text
- View/download PDF
8. Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach
- Author
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Dawson, Anna P., Cargo, Margaret, Stewart, Harold, Chong, Alwin, and Daniel, Mark
- Published
- 2013
9. Fear of movement, passive coping, manual handling, and severe or radiating pain increase the likelihood of sick leave due to low back pain
- Author
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Dawson, Anna P., Schluter, Philip J., Hodges, Paul W., Stewart, Simon, and Turner, Catherine
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- 2011
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- View/download PDF
10. Interventions to Prevent Back Pain and Back Injury in Nurses: A Systematic Review
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Dawson, Anna P., McLennan, Skye N., Schiller, Stefan D., Jull, Gwendolen A., Hodges, Paul W., and Stewart, Simon
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- 2007
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- View/download PDF
11. Utility of the Oswestry Disability Index for studies of back pain related disability in nurses: Evaluation of psychometric and measurement properties
- Author
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Dawson, Anna P., Steele, Emily J., Hodges, Paul W., and Stewart, Simon
- Published
- 2010
- Full Text
- View/download PDF
12. Development and Test–Retest Reliability of an Extended Version of the Nordic Musculoskeletal Questionnaire (NMQ-E): A Screening Instrument for Musculoskeletal Pain
- Author
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Dawson, Anna P., Steele, Emily J., Hodges, Paul W., and Stewart, Simon
- Published
- 2009
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13. Behavior of the Lumbar Multifidus During Lower Extremity Movements in People With Recurrent Low Back Pain During Symptom Remission
- Author
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MACDONALD, DAVID A., DAWSON, ANNA P., and HODGES, PAUL W.
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- 2011
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14. 'I know it’s bad for me and yet I do it': exploring the factors that perpetuate smoking in Aboriginal Health Workers - a qualitative study
- Author
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Dawson Anna P, Cargo Margaret, Stewart Harold, Chong Alwin, and Daniel Mark
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Aboriginal Health Workers (AHWs) have a mandate to deliver smoking cessation support to Aboriginal people. However, a high proportion of AHWs are smokers and this undermines their delivery of smoking cessation programs. Smoking tobacco is the leading contributor to the burden of disease in Aboriginal Australians and must be prevented. Little is known about how to enable AHWs to quit smoking. An understanding of the factors that perpetuate smoking in AHWs is needed to inform the development of culturally relevant programs that enable AHWs to quit smoking. A reduction of smoking in AHWs is important to promote their health and also optimise the delivery of smoking cessation support to Aboriginal clients. Methods We conducted a fundamental qualitative description study that was nested within a larger mixed method participatory research project. The individual and contextual factors that directly or indirectly promote (i.e. perpetuate) smoking behaviours in AHWs were explored in 34 interviews and 3 focus groups. AHWs, other health service staff and tobacco control personnel shared their perspectives. Data analysis was performed using a qualitative content analysis approach with collective member checking by AHW representatives. Results AHWs were highly stressed, burdened by their responsibilities, felt powerless and undervalued, and used smoking to cope with and support a sense of social connectedness in their lives. Factors directly and indirectly associated with smoking were reported at six levels of behavioural influence: personal factors (e.g. stress, nicotine addiction), family (e.g. breakdown of family dynamics, grief and loss), interpersonal processes (e.g. socialisation and connection, domestic disputes), the health service (e.g. job insecurity and financial insecurity, demanding work), the community (e.g. racism, social disadvantage) and policy (e.g. short term and insecure funding). Conclusions An extensive array of factors perpetuated smoking in AHWs. The multitude of personal, social and environmental stressors faced by AHWs and the accepted use of communal smoking to facilitate socialisation and connection were primary drivers of smoking in AHWs in addition to nicotine dependence. Culturally sensitive multidimensional smoking cessation programs that address these factors and can be tailored to local needs are indicated.
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- 2012
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15. Aboriginal Health Workers experience multilevel barriers to quitting smoking: a qualitative study
- Author
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Dawson Anna P, Cargo Margaret, Stewart Harold, Chong Alwin, and Daniel Mark
- Subjects
Aboriginal people, Australia ,Health care professionals ,Tobacco and health ,Smoking cessation ,Qualitative research ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Introduction Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking. Methods We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes. Results Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting. Conclusions Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community.
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- 2012
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- View/download PDF
16. Motivational interviewing for screening and feedback and encouraging lifestyle changes to reduce relative weight in 4-8 year old children: design of the MInT study
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Taylor Barry J, Rose Elaine A, Cox Adell, Haszard Jill, Dawson Anna M, Brown Deirdre, Taylor Rachael W, Meredith-Jones Kim, Treacy Lee, Ross Jim, and William Sheila M
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Because parental recognition of overweight in young children is poor, we need to determine how best to inform parents that their child is overweight in a way that enhances their acceptance and supports motivation for positive change. This study will assess 1) whether weight feedback delivered using motivational interviewing increases parental acceptance of their child's weight status and enhances motivation for behaviour change, and 2) whether a family-based individualised lifestyle intervention, delivered primarily by a MInT mentor with limited support from "expert" consultants in psychology, nutrition and physical activity, can improve weight outcomes after 12 and 24 months in young overweight children, compared with usual care. Methods/Design 1500 children aged 4-8 years will be screened for overweight (height, weight, waist, blood pressure, body composition). Parents will complete questionnaires on feeding practices, physical activity, diet, parenting, motivation for healthy lifestyles, and demographics. Parents of children classified as overweight (BMI ≥ CDC 85th) will receive feedback about the results using Motivational interviewing or Usual care. Parental responses to feedback will be assessed two weeks later and participants will be invited into the intervention. Additional baseline measurements (accelerometry, diet, quality of life, child behaviour) will be collected and families will be randomised to Tailored package or Usual care. Parents in the Usual care condition will meet once with an advisor who will offer general advice regarding healthy eating and activity. Parents in the Tailored package condition will attend a single session with an "expert team" (MInT mentor, dietitian, physical activity advisor, clinical psychologist) to identify current challenges for the family, develop tailored goals for change, and plan behavioural strategies that best suit each family. The mentor will continue to provide support to the family via telephone and in-person consultations, decreasing in frequency over the two-year intervention. Outcome measures will be obtained at baseline, 12 and 24 months. Discussion This trial offers a unique opportunity to identify effective ways of providing feedback to parents about their child's weight status and to assess the efficacy of a supportive, individualised early intervention to improve weight outcomes in young children. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12609000749202
- Published
- 2010
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17. Corrigendumto: Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach
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Dawson, Anna P, primary, Cargo, Margaret, additional, Stewart, Harold, additional, Chong, Alwin, additional, and Daniel, Mark, additional
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- 2017
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18. Pain-related psychological cognitions and behaviours associated with sick leave due to neck pain: findings from the Nurses and Midwives e-Cohort Study
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Schluter, Philip J, primary, Dawson, Anna P, additional, and Turner, Catherine, additional
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- 2014
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19. Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach
- Author
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Dawson, Anna P, primary, Cargo, Margaret, additional, Stewart, Harold, additional, Chong, Alwin, additional, and Daniel, Mark, additional
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- 2012
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- View/download PDF
20. Extended Nordic Musculoskeletal Questionnaire
- Author
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Dawson, Anna P., primary, Steele, Emily J., additional, Hodges, Paul W., additional, and Stewart, Simon, additional
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- 2009
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- View/download PDF
21. School-Based Interventions for Spinal Pain
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Steele, Emily J., primary, Dawson, Anna P., additional, and Hiller, Janet E., additional
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- 2006
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22. What Do Young New Zealanders Want in Terms of Smoking Cessation?
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Marsh, Louise, Dawson, Anna, and McGee, Rob
- Abstract
This study examines young New Zealand smokers’ views of what would help them quit smoking. A qualitative investigation using 10 focus groups with 66 current young smokers, aged between 15 and 17 years, was conducted throughout New Zealand, in late 2011. Transcripts from the focus groups were analysed using NVivo, and common themes and categories within themes were identified. Around half the participants had made a quit attempt in the past, some had tried multiple times using a range of methods; all were unsuccessful. They described both mental and physical difficulties for young people quitting. The participants developed an array of ideas for how to help young people quit smoking, encompassing having supportive people around them, making personal changes and adopting alternative behaviours to smoking, legislative changes, and ideas that were unique to young people. Cessation strategies which reach high risk smokers such as young people, Māori and Pacific peoples, are going to be vital for achieving a smokefree Aotearoa by 2025.
- Published
- 2014
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23. Aboriginal Health Workers experience multilevel barriers to quitting smoking: a qualitative study.
- Author
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Anna P Dawson, Anna P Dawson, Margaret Cargo, Margaret Cargo, Harold Stewart, Harold Stewart, Alwin Chong, Alwin Chong, and Mark Daniel, Mark Daniel
- Subjects
- *
COMMUNITY health workers , *CONTENT analysis , *CORPORATE culture , *FAMILIES , *FOCUS groups , *GRIEF , *HEALTH status indicators , *INDIGENOUS peoples , *INTERVIEWING , *RESEARCH methodology , *MEDICAL personnel , *NURSES , *PRIMARY health care , *RESEARCH funding , *SMOKING cessation , *PSYCHOLOGICAL stress , *QUALITATIVE research , *AFFINITY groups , *CULTURAL awareness , *SOCIAL context , *THEMATIC analysis , *HEALTH literacy , *DESCRIPTIVE statistics - Abstract
Introduction: Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking. Methods: We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes. Results: Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting. Conclusions: Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
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24. A New Solution for an Old Problem? Effects of a Nurse-led, Multidisciplinary, Home-based Intervention on Readmission and Mortality in Patients With Chronic Atrial Fibrillation.
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Inglis, Sally, McLennan, Skye, Dawson, Anna, Birchmore, Libby, Horowitz, John D., Wilkinson, David, and Stewart, Simon
- Subjects
ATRIAL fibrillation ,ARRHYTHMIA ,CARDIOVASCULAR disease related mortality ,HOME nursing ,HOME care services - Abstract
Background: Atrial fibrillation (AF), the most common chronic cardiac dysrhythmia, is an important cause of cardiovascular morbidity and mortality. However, there is a paucity of studies examining the potential benefits of optimizing the postdischarge management of patients with chronic AF Research objective: To examine the effects of a nurse-led, multidisciplinary, home-based intervention (HBI) on the pattern of recurrent hospitaltzation and mortality in patients with chronic AF in the presence and absence of chronic heart failure (HF). Patient cohort and methods: Health outcomes in a total of 152 hospitalized patients (53% male) with a mean age of 73.9 years and a diagnosis of chronic AF who were randomly allocated to either HBI (n = 68) or usual postdischarge care (UC: n = 84) were examined. Specifically, the pattern of unplanned hospitalization and all-cause mortality during 5-year follow-up were compared on the basis of the presence (n = 87) and absence (n = 65) of HF at baseline. Results'. Patients with concurrent HF exposed to HBI (n = 37) had fewer readmissions (2.9 vs 3.4/patient), days of associated hospital stay (22.7 vs 30.5: P= NS) and fatal events (51 % vs 66%) relative to UC (n = 50): P= NS for all comparisons. In the absence of HF, morbidity and mortality rates were significantly lower but still substantial during 5-year follow-up. In these patients, HBI was associated with a trend towards prolonged event-free survival (adjusted RR = 0.70; P= .12) and fewer fatal events (29% vs 53%, adjusted RR = 0.49; P= .08). HBI patients (n = 31) also had fewer readmissions (2.1 vs 2.6/patient) and days of associated hospital stay (16.3 vs 20.3/patient), although this did not reach statistical significance. On the basis of these data, it was calculated that a randomized study of an AF-specific HBI would require 250 patients followed for a median of 3 years to detect a 25% variation in recurrent hospital stay relative to UC. Conclusions: These unique data provide sufficient preliminary evidence to support the hypothesis that the benefits of HBI in relation to the management of HF may extend to "high risk" patients with chronic AF in whom morbidity and mortality rates are also unacceptably high. Further, appropriately powered studies are required to confirm these benefits. [ABSTRACT FROM AUTHOR]
- Published
- 2004
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25. “When you're desperate you'll ask anybody”: young people's social sources of tobacco
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Marsh, Louise, Dawson, Anna, and McGee, Rob
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Objectives: This study sought to examine young New Zealand smokers’ access to social supplies of cigarettes.
- Published
- 2013
- Full Text
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26. Genomic Hotspots for Adaptation: The Population Genetics of Müllerian Mimicry in the Heliconius melpomene Clade
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Baxter, Simon W., Nadeau, Nicola J., Maroja, Luana S., Wilkinson, Paul, Counterman, Brian A., Dawson, Anna, Beltran, Margarita, Perez-Espona, Silvia, Ferguson, Laura, Davidson, Claire, Glithero, Rebecca, Mallet, James, Joron, Mathieu, ffrench-Constant, Richard H., Jiggins, Chris D., Chamberlain, Nicola L, Clark, Richard, McMillan, W. Owen, and Kronforst, Marcus
- Subjects
evolutionary biology ,animal genetics ,bioinformatics ,developmental evolution ,evolutionary and comparative genetics ,genomics ,pattern formation - Abstract
Wing patterning in Heliconius butterflies is a longstanding example of both Müllerian mimicry and phenotypic radiation under strong natural selection. The loci controlling such patterns are “hotspots” for adaptive evolution with great allelic diversity across different species in the genus. We characterise nucleotide variation, genotype-by-phenotype associations, linkage disequilibrium, and candidate gene expression at two loci and across multiple hybrid zones in Heliconius melpomene and relatives. Alleles at HmB control the presence or absence of the red forewing band, while alleles at HmYb control the yellow hindwing bar. Across HmYb two regions, separated by ∼100 kb, show significant genotype-by-phenotype associations that are replicated across independent hybrid zones. In contrast, at HmB a single peak of association indicates the likely position of functional sites at three genes, encoding a kinesin, a G-protein coupled receptor, and an mRNA splicing factor. At both HmYb and HmB there is evidence for enhanced linkage disequilibrium (LD) between associated sites separated by up to 14 kb, suggesting that multiple sites are under selection. However, there was no evidence for reduced variation or deviations from neutrality that might indicate a recent selective sweep, consistent with these alleles being relatively old. Of the three genes showing an association with the HmB locus, the kinesin shows differences in wing disc expression between races that are replicated in the co-mimic, Heliconius erato, providing striking evidence for parallel changes in gene expression between Müllerian co-mimics. Wing patterning loci in Heliconius melpomene therefore show a haplotype structure maintained by selection, but no evidence for a recent selective sweep. The complex genetic pattern contrasts with the simple genetic basis of many adaptive traits studied previously, but may provide a better model for most adaptation in natural populations that has arisen over millions rather than tens of years., Other Research Unit
- Published
- 2010
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27. Training non-clinicians to deliver adapted Motivational Interviewing for feedback to parents about their child's weight status.
- Author
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Brown, Deirdre, Dawson, Anna, and Taylor, Rachael
- Subjects
PREVENTION of childhood obesity ,PARENTS ,PERSONNEL management ,MOTIVATIONAL interviewing - Published
- 2012
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28. What Factors Influence Uptake into Family-Based Obesity Treatment after Weight Screening?
- Author
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Taylor, Rachael W., Williams, Sheila M., Dawson, Anna M., Taylor, Barry J., Meredith-Jones, Kim, and Brown, Deirdre
- Abstract
Objectives: To determine what factors drive participation in a family-based weight management program for 4- to 8-year-old children following screening for overweight or obesity. Study design: Children (n = 1093) attended a comprehensive screening appointment where parents completed questionnaires on demographics, motivation for healthy lifestyles, feeding practices, and beliefs about child size, prior to feedback about the child's weight. Parents of overweight or obese children (body mass index ≥85th percentile) attended a follow-up interview to assess reactions to feedback and willingness to participate in a 2-year intervention. Results: A total of 271 (24.8%) children were overweight or obese with 197 (72.7%) agreeing to the intervention. Socioeconomic status differed in intervention participants (n = 197) compared with non-participants (n = 74), whereas no differences were observed in parental feeding practices, ineffective parenting practices, or self-determined forms of motivation. However, fewer non-participating parents believed their child to be overweight (23% vs 49%, P < .001) or were concerned about it (16% vs 43%, P < .001), despite children having an average body mass index approximating the 95th percentile. Non-participating parents did not expect their child to be overweight (P = .002) and rated receiving this information as less useful (P = .008) than participating parents. Conclusion: Preconceptions about child weight and reactions to feedback determined intervention uptake more than parenting or motivation for health. Many parents agreed to participate in the intervention despite not viewing their child as overweight. [Copyright &y& Elsevier]
- Published
- 2013
- Full Text
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29. Utility of the Oswestry Disability Index for studies of back pain related disability in nurses: Evaluation of psychometric and measurement properties
- Author
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Anna Dawson, Emily J. Steele, Simon Stewart, Paul W. Hodges, Dawson, Anna P, Steele, Emily J, Hodges, Paul W, and Stewart, Simon
- Subjects
Adult ,Male ,medicine.medical_specialty ,Psychometrics ,disability evaluation ,Population ,back pain ,Nurses ,Nursing ,minimal detectable change ,Severity of Illness Index ,Disability Evaluation ,Physical medicine and rehabilitation ,nursing ,Minimal detectable change ,health services administration ,Back pain ,Humans ,Medicine ,Attrition ,education ,General Nursing ,education.field_of_study ,Reliability (epidemiology) ,Questionnaire ,business.industry ,Reproducibility of Results ,medicine.disease ,Confidence interval ,Oswestry Disability Index ,Occupational Diseases ,Back Pain ,Workforce ,Cohort ,Absenteeism ,Physical therapy ,Female ,Students, Nursing ,medicine.symptom ,business - Abstract
Background Disability due to back pain in nurses results in reduced productivity, work absenteeism and attrition from the nursing workforce internationally. Consistent use of outcome measures is needed in intervention studies to enable meta-analyses that determine efficacy of back pain preventive programs. Objective This study investigated the psychometric and measurement properties of the Oswestry Disability Index (ODI) in nursing students to determine its suitability for assessing back pain related disability in intervention studies. Methods Bachelor of Nursing students were recruited. Test–retest reliability and the ability of the ODI to discriminate between individuals with serious and non-serious back pain were investigated. The measurement error of the ODI was examined with the minimal detectable change at the 90% confidence level (MDC90). Results Student nurses (n = 214) had a low mean ODI score of 8.8 ± 7.4%. Participants with serious back pain recorded higher scores than the rest of the cohort (p < 0.05). Test–retest reliability examined in 33 individuals was ICC = 0.88 (95%CI 0.77–0.94). The MDC90 = 6%, and 36% of nursing students scored below the MDC90 indicating the tool had limited ability to detect longitudinal change in disability in this population. Conclusion Data from this and previous studies demonstrate that the measurement properties of the ODI are inappropriate for studying back pain related disability in nurses. The ODI is not recommended for back pain intervention studies in the nursing population and an alternative tool that is sensitive to lower levels of disability must be determined.
- Published
- 2010
30. Identifying multi-level culturally appropriate smoking cessation strategies for Aboriginal health staff: a concept mapping approach
- Author
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Mark Daniel, Harold Stewart, Alwin Chong, Margaret Cargo, Anna Dawson, Dawson, Anna P, Cargo, Margaret, Stewart, Harold, Chong, Alwin, and Daniel, Mark
- Subjects
Male ,medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,health promotion ,medicine.medical_treatment ,Health Personnel ,Population ,Applied psychology ,Health Promotion ,health personnel ,oceanic ancestry group ,Education ,cultural competency ,Nursing ,Knowledge translation ,medicine ,Humans ,Cultural Competency ,education ,Qualitative Research ,education.field_of_study ,business.industry ,Public health ,Behavior change ,Tobacco control ,Public Health, Environmental and Occupational Health ,Australia ,Focus Groups ,Focus group ,smoking cessation ,Health promotion ,Smoking cessation ,Female ,Smoking Cessation ,business ,qualitative research - Abstract
Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco control personnel. Smoking cessation strategies (n = 74) were brainstormed using 34 interviews, 3 focus groups and a stakeholder workshop. Stakeholders sorted strategies into meaningful groups and rated them on perceived importance and feasibility. A concept map was developed using multi-dimensional scaling and hierarchical cluster analyses. Ten unique clusters of smoking cessation strategies were depicted that targeted individuals, family and peers, community, workplace and public policy. Smoking cessation resources and services were represented in addition to broader strategies addressing social and environmental stressors that perpetuate smoking and make quitting difficult. The perceived importance and feasibility of clusters were rated differently by participants working in health services that were government-coordinated compared with community-controlled. For health service workers within vulnerable populations, these findings clearly implicate a need for contextualized strategies that mitigate social and environmental stressors in addition to conventional strategies for tobacco control. The concept map is being applied in knowledge translation to guide development of smoking cessation programs for AHWs. Refereed/Peer-reviewed
- Published
- 2012
31. Aboriginal Health Workers experience multilevel barriers to quitting smoking: a qualitative study
- Author
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Alwin Chong, Mark Daniel, Margaret Cargo, Anna Dawson, Harold Stewart, Dawson, Anna P, Cargo, Margaret, Stewart, Harold, Chong, Alwin, and Daniel, Mark
- Subjects
Male ,medicine.medical_specialty ,Native Hawaiian or Other Pacific Islander ,medicine.medical_treatment ,Population ,tobacco and health ,Smoking cessation ,Aboriginal people ,Interviews as Topic ,Qualitative research ,medicine ,Humans ,Aboriginal people, Australia ,Health Workforce ,Cultural Competency ,Healthcare Disparities ,education ,Health policy ,education.field_of_study ,business.industry ,Public health ,lcsh:Public aspects of medicine ,Health Policy ,Research ,Health services research ,Public Health, Environmental and Occupational Health ,Australia ,lcsh:RA1-1270 ,Health Status Disparities ,Focus Groups ,Tobacco and health ,Focus group ,Health care professionals ,smoking cessation ,Family medicine ,health care professionals ,Social exclusion ,Female ,business ,Delivery of Health Care ,qualitative research - Abstract
Introduction Long-term measures to reduce tobacco consumption in Australia have had differential effects in the population. The prevalence of smoking in Aboriginal peoples is currently more than double that of the non-Aboriginal population. Aboriginal Health Workers are responsible for providing primary health care to Aboriginal clients including smoking cessation programs. However, Aboriginal Health Workers are frequently smokers themselves, and their smoking undermines the smoking cessation services they deliver to Aboriginal clients. An understanding of the barriers to quitting smoking experienced by Aboriginal Health Workers is needed to design culturally relevant smoking cessation programs. Once smoking is reduced in Aboriginal Health Workers, they may then be able to support Aboriginal clients to quit smoking. Methods We undertook a fundamental qualitative description study underpinned by social ecological theory. The research was participatory, and academic researchers worked in partnership with personnel from the local Aboriginal health council. The barriers Aboriginal Health Workers experience in relation to quitting smoking were explored in 34 semi-structured interviews (with 23 Aboriginal Health Workers and 11 other health staff) and 3 focus groups (n = 17 participants) with key informants. Content analysis was performed on transcribed text and interview notes. Results Aboriginal Health Workers spoke of burdensome stress and grief which made them unable to prioritise quitting smoking. They lacked knowledge about quitting and access to culturally relevant quitting resources. Interpersonal obstacles included a social pressure to smoke, social exclusion when quitting, and few role models. In many workplaces, smoking was part of organisational culture and there were challenges to implementation of Smokefree policy. Respondents identified inadequate funding of tobacco programs and a lack of Smokefree public spaces as policy level barriers. The normalisation of smoking in Aboriginal society was an overarching challenge to quitting. Conclusions Aboriginal Health Workers experience multilevel barriers to quitting smoking that include personal, social, cultural and environmental factors. Multidimensional smoking cessation programs are needed that reduce the stress and burden for Aboriginal Health Workers; provide access to culturally relevant quitting resources; and address the prevailing normalisation of smoking in the family, workplace and community.
- Published
- 2012
32. 'I know it's bad for me and yet I do it': exploring the factors that perpetuate smoking in Aboriginal Health Workers--a qualitative study
- Author
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Margaret Cargo, Anna Dawson, Mark Daniel, Harold Stewart, Alwin Chong, Dawson, Anna P, Cargo, Margaret, Stewart, Harold, Chong, Alwin, and Daniel, Mark
- Subjects
Male ,medicine.medical_specialty ,Community-Based Participatory Research ,Native Hawaiian or Other Pacific Islander ,medicine.medical_treatment ,Health Behavior ,Occupational Health Services ,Community-based participatory research ,Public Policy ,Smoking Prevention ,Social Environment ,Interviews as Topic ,Social Facilitation ,Nursing ,medicine ,Prevalence ,Health Services, Indigenous ,Humans ,Interpersonal Relations ,Community Health Services ,Cultural Competency ,Qualitative Research ,Community Health Workers ,business.industry ,lcsh:Public aspects of medicine ,Health Policy ,Public health ,Smoking Tobacco ,Tobacco control ,Managed Care Programs ,Smoking ,cultural relevance ,Administrative Personnel ,Australia ,Social environment ,lcsh:RA1-1270 ,Focus Groups ,Focus group ,smoking cessation ,Aboriginal health workers ,Workforce ,Smoking cessation ,Female ,Smoking Cessation ,business ,Prejudice ,Qualitative research ,Research Article - Abstract
Background Aboriginal Health Workers (AHWs) have a mandate to deliver smoking cessation support to Aboriginal people. However, a high proportion of AHWs are smokers and this undermines their delivery of smoking cessation programs. Smoking tobacco is the leading contributor to the burden of disease in Aboriginal Australians and must be prevented. Little is known about how to enable AHWs to quit smoking. An understanding of the factors that perpetuate smoking in AHWs is needed to inform the development of culturally relevant programs that enable AHWs to quit smoking. A reduction of smoking in AHWs is important to promote their health and also optimise the delivery of smoking cessation support to Aboriginal clients. Methods We conducted a fundamental qualitative description study that was nested within a larger mixed method participatory research project. The individual and contextual factors that directly or indirectly promote (i.e. perpetuate) smoking behaviours in AHWs were explored in 34 interviews and 3 focus groups. AHWs, other health service staff and tobacco control personnel shared their perspectives. Data analysis was performed using a qualitative content analysis approach with collective member checking by AHW representatives. Results AHWs were highly stressed, burdened by their responsibilities, felt powerless and undervalued, and used smoking to cope with and support a sense of social connectedness in their lives. Factors directly and indirectly associated with smoking were reported at six levels of behavioural influence: personal factors (e.g. stress, nicotine addiction), family (e.g. breakdown of family dynamics, grief and loss), interpersonal processes (e.g. socialisation and connection, domestic disputes), the health service (e.g. job insecurity and financial insecurity, demanding work), the community (e.g. racism, social disadvantage) and policy (e.g. short term and insecure funding). Conclusions An extensive array of factors perpetuated smoking in AHWs. The multitude of personal, social and environmental stressors faced by AHWs and the accepted use of communal smoking to facilitate socialisation and connection were primary drivers of smoking in AHWs in addition to nicotine dependence. Culturally sensitive multidimensional smoking cessation programs that address these factors and can be tailored to local needs are indicated.
- Published
- 2011
33. Behavior of the lumbar multifidus during lower extremity movements in people with recurrent low back pain during symptom remission
- Author
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Anna Dawson, D. A. MacDonald, Paul W. Hodges, MacDonald, David A, Dawson, Anna P, and Hodges, Paul W
- Subjects
Male ,Straight leg raise ,medicine.medical_specialty ,Cross-sectional study ,Movement ,Population ,Physical Therapy, Sports Therapy and Rehabilitation ,Leg raise ,Young Adult ,Lumbar ,Physical medicine and rehabilitation ,medicine ,Humans ,multiobjective optimization ,Young adult ,weak and strong Kuhn–Tucker conditions ,Muscle, Skeletal ,education ,Ultrasonography ,Analysis of Variance ,education.field_of_study ,medicine.diagnostic_test ,business.industry ,Lumbosacral Region ,Reproducibility of Results ,General Medicine ,Low back pain ,Cross-Sectional Studies ,Lower Extremity ,Case-Control Studies ,Physical therapy ,optimality conditions for efficient and Geoffrion-properly efficient solution ,Female ,medicine.symptom ,Recurrent Low Back Pain ,business ,Low Back Pain ,regularity conditions - Abstract
Cross-sectional design.To investigate lumbar multifidus (LM) thickness differences, using ultrasound imaging in people during remission from recurrent low back pain (LBP) and healthy participants, during the following lower extremity movements: (1) active straight leg raise (ASLR), (2) crook-lying active leg raise (CLR), and (3) prone straight leg raise (PSLR).ASLR, CLR, and PSLR are used clinically to challenge the ability of the trunk muscles to control spinal motion in people with LBP, and it is believed that decreased LM activity is related to altered spinal control in this population. However, it is unclear whether LM behavior differs between healthy individuals and people with recurrent LBP during symptom remission in such tasks.The present study used ultrasound imaging to measure LM percentage thickness change parasagitally at the L4-5 and L5-S1 levels in people with recurrent LBP during symptom remission and in healthy participants, during the ASLR, CLR, and PSLR tasks.LM percentage thickness change was greater in the recurrent LBP group than in healthy participants during the PSLR task (P.01) and greater in both groups during the PSLR than the ASLR and CLR tasks (P.01). LM percentage thickness change was greatest at L4-5 in both groups (P.01) and during all tasks (P≤.02). No difference was found in LM percentage thickness change between groups in either the ASLR (P = .70) or CLR (P = .69) task.These data suggest that, during symptom remission, individuals with recurrent LBP, compared to healthy individuals, may have greater activity in at least some parts of the LM. Further investigation is required to determine whether the LM percentage thickness change observed in this study may be explained by differential changes in deep and/or superficial fibers of LM activity. This observation may have implications for clinical practice, but requires further investigation.
- Published
- 2011
34. Development and test-retest reliability of an extended version of the Nordic Musculoskeletal Questionnaire (NMQ-E): A screening instrument for musculoskeletal pain
- Author
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Anna Dawson, Simon Stewart, Paul W. Hodges, Emily J. Steele, Dawson, Anna P, Steele, Emily J, Hodges, Paul W, and Stewart, Simon
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,Pain ,Cohort Studies ,Young Adult ,Surveys and Questionnaires ,medicine ,Humans ,Psychology ,Musculoskeletal Diseases ,Age of Onset ,Young adult ,musculoskeletal pain ,Language ,Pain Measurement ,Nordic Musculoskeletal Questionnaire ,reliability ,business.industry ,Data Collection ,questionnaire ,Reproducibility of Results ,Middle Aged ,Low back pain ,Test (assessment) ,Occupational Diseases ,Anesthesiology and Pain Medicine ,Standard error ,Neurology ,Data Interpretation, Statistical ,Physical therapy ,Female ,Body region ,Neurology (clinical) ,Age of onset ,medicine.symptom ,business ,Kappa ,Cohort study - Abstract
The Nordic Musculoskeletal Questionnaire (NMQ) quantifies musculoskeletal pain and activity prevention in 9 body regions. The purpose of this study was to develop an extended NMQ (NMQ-E) to collect greater information regarding musculoskeletal pain, examine test–retest reliability and the reproducibility of alternate administration methods. Reliability was examined using observed proportion of agreement for all ( P o ), positive ( P pos ) and negative ( P neg ) responses, kappa (κ), proportion of maximum kappa achieved (κ/κ max ), intra-class correlation coefficient (ICC) and standard error of measurement (SEM). The NMQ-E was self-administered by 59 Bachelor of Nursing students at a 24-h interval with mean P o = 0.88–0.98 and κ/κ max = 0.71–0.96 for 10 dichotomous questions and mean ICC (2,1) = 0.97 and SEM=1.05 years for the age at symptom onset question. The NMQ-E was completed via self and interview administration by 31 student nurses at a 0.97 ± 1.14 day interval with mean P o = 0.92–0.98 and κ/κ max = 0.76–1.00 for binary questions and mean ICC (2,1) = 0.90 and SEM=1.51 years for age at symptom onset data. In both sub-studies, mean P pos was lower than mean P neg and low prevalence reduced κ in many instances. The NMQ-E collects reliable information regarding the onset, prevalence, and consequences of musculoskeletal pain and can be administered by self-completion and personal interview. Perspective This study presents an NMQ-E that collects reliable information regarding the onset, prevalence, and consequences of musculoskeletal pain in 9 body regions. The NMQ-E can be utilized in descriptive studies or longitudinal studies of disease outcome and can be administered via self-completion and personal interview.
- Published
- 2009
35. Pain-related psychological cognitions and behaviours associated with sick leave due to neck pain: findings from the Nurses and Midwives e-Cohort Study
- Author
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Catherine Turner, Philip J. Schluter, Anna Dawson, Schluter, Philip J, Dawson, Anna P, and Turner, Catherine
- Subjects
medicine.medical_specialty ,Epidemiology ,neck pain ,Nursing(all) ,sick leave ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Neck pain ,Sick leave ,Medicine ,030212 general & internal medicine ,Nursing management ,psychosocial factors ,General Nursing ,business.industry ,Nursing research ,nursing and midwifery ,Nursing and midwifery ,Workforce ,Psychosocial factors ,Pain catastrophizing ,epidemiology ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Cohort study ,Research Article - Abstract
Background: Sick leave due to neck pain (NP-SL) is costly and negatively impacts the productivity of the nursing and midwifery workforce. Identification of modifiable risk indicators is necessary to inform preventive efforts. This study aimed to investigate the role of pain-related psychological features (pain catastrophizing, fear of movement, and pain coping) in NP-SL alongside other potential risk indicators. Conclusions: Findings demonstrate that sick leave due to neck pain was associated with pain severity, fear of movement and passive pain coping. In addition, there were complex interactions found between demographic and general health factors. These features represent potentially modifiable targets for preventive programs. Methods: A cross-sectional analysis of a large cohort study of Australian and New Zealand nurses and midwives, established between 1st April 2006 to 30th March 2008, was undertaken. Recruitment procedures adopted within each Nursing Council jurisdiction were governed by the individual regulatory authorities and their willingness to engage with the study. Invitations directed potential participants to a purpose-built internet-based survey, where study information was provided and consent requested. Once consent was obtained, a range of standardized tools combined into one comprehensive electronic questionnaire was elicited. Exposure variables assessed included pain characteristics and a broad range of psychological, psychosocial, occupational, general health and demographic factors. Two-way interactions between age and gender and candidate exposures were also assessed. Binary logistic regression was performed using manual backward stepwise elimination of non-significant terms. Results: The cohort included 4,903 currently working nurses or midwives aged 18-65 years. Of these, 2,481 (50.6%) reported neck pain in the preceding 12 months. Our sample comprised of 1,854 working nurses and midwives with neck pain in the preceding year who supplied sick leave data. Of these, 343 (18.5%) reported taking sick leave in the preceding year due to their neck pain. The final most parsimonious multivariable model demonstrated neck pain severity (adjusted odds ratio, [aOR] = 1.59), passive pain coping (aOR = 1.08) and fear of movement (aOR = 1.06) increased the likelihood of NP-SL in the previous year. Interactions between demographic and general health factors exhibited both protective and risk relationships with NP-SL, and there was no association between pain catastrophizing and NP-SL. Refereed/Peer-reviewed
- Published
- 2014
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