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9. Effects of an outpatient exercise programme for Australians with cancer‐related fatigue: an unmet need.

Author

Datta Gupta, Anupam, Wilson, David, Tucker, Graeme, Albanese, Daniella, Berrigan, Sonia, and Nath, Shriram

Subjects
PHYSICAL therapy services, EVALUATION of human services programs, PHYSICAL therapy, FUNCTIONAL status, ACTIVITIES of daily living, TREATMENT effectiveness, MEDICAL protocols, CANCER fatigue, HEALTH care teams, QUALITY of life, QUESTIONNAIRES, OUTPATIENT services in hospitals, EVALUATION
Abstract

Background: Cancer‐related fatigue (CRF) is a common debilitating condition. International evidence supports an exercise prescription for CRF. The majority of Australians with cancer do not meet recommended exercise targets. Aims: To analyse the effects of a guideline‐based supervised exercise programme on CRF among a representative private hospital cancer patient sample (n = 268). Methods: We collected data from 268 patients recruited from haematology and oncology over a 5‐year period. Participants underwent a 3‐month CRF exercise programme based on internationally recognised exercise guidelines. The programme, conducted by a multidisciplinary team, operated twice weekly sessions of 2 h duration comprising aerobic, resistance and balance exercises; hydrotherapy and condition counselling; fatigue management; and dietetic, speech pathology and swallowing education (head and neck cancers). The effect of the programme was measured in relation to the following outcomes: Functional Assessment of Chronic Illness Therapy, Fatigue (self‐reported fatigue); Functional Assessment of Cancer Therapy, general quality of life (health‐related quality of life in cancer); six‐minute walk test; and Lawton's Instrumental Activities of Daily Living Scale. Results: Multivariate outcomes showed statistically significant improvements in all four major outcome measures, plus a programme effect of greater than 0.7 for each outcome variable. The programme treatment outcomes were consistent over the 5 years of the programme. Conclusions: The outcomes of this programme contribute to exercise guidelines in Australia. Currently only position statements exist on the subject, but there are no programme guidelines. An exercise prescription is critical to cancer outcomes. This programme is likely to benefit cancer survivors experiencing CRF across private and public hospitals in Australia. [ABSTRACT FROM AUTHOR]

Published
2023
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19. A palace for the citizens ? : a social and cultural history of the Melbourne Town Hall

Author

Tucker, Graeme John.

Subjects
ComputingMilieux_COMPUTERSANDEDUCATION, ComputerApplications_COMPUTERSINOTHERSYSTEMS, Uncategorized
Abstract

This thesis was scanned from the print manuscript for digital preservation and is copyright the author. Researchers can access this thesis by asking their local university, institution or public library to make a request on their behalf. Monash staff and postgraduate students can use the link in the References field.

Published
2022
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26. Frailty change based on minimally important difference in nursing home residents: FIRST cohort study findings.

Author

Thompson, Mark Q, Jadczak, Agathe D, Tucker, Graeme R, Theou, Olga, and Visvanathan, Renuka

Subjects
DIABETES complications, MORTALITY risk factors, PATIENT aftercare, FRAIL elderly, CONFIDENCE intervals, CROSS-sectional method, SELF-evaluation, DESCRIPTIVE statistics, MALNUTRITION, ODDS ratio, LONGITUDINAL method, COMORBIDITY, DISEASE complications, OLD age
Abstract

Background Frailty is common among residential aged care services (RACS) residents; however, little is known about how frailty changes over time in this population. This study aimed to estimate minimally important difference (MID) in frailty to then describe: frailty change over 12 months; and factors associated with worsening frailty. Methods Prospective cohort study across 12 RACS sites of a single aged care organisation in South Australia (n  = 548 residents, mean age 87.7 ± 7.2 years, 72.6% female). Frailty was measured using a frailty index (FI) with 12 months between baseline and follow-up. MID was calculated cross-sectionally (anchor-based using self-reported health, and ½SD for distribution-based). Results Between-person MID for the FI was identified as 0.037 (anchor-based) and 0.063 (distribution-based). Using the conservative value of 0.063 as the basis for change, 32.3% (n  = 177) of residents remained stable, 13.7% (n  = 75) improved, 33.0% (n  = 181) worsened and 21.0% (n  = 115) died over 12 months. In a multivariable analysis, significant predictors of the dichotomous outcome of worsening and death at 12 months were: being malnourished (odds ratio (OR) = 2.15, 95% confidence interval (CI) = 1.23, 3.75), at risk of malnutrition (OR = 1.98, 95%CI = 1.34, 2.91) and diabetes (OR = 1.61, 95%CI = 1.06, 2.42) compared to those who remained stable or improved. Conclusions A 6.3% change in frailty for RACS residents is a conservative MID. Frailty is dynamic in RACS residents, and stability or improvement was possible even for the most-frail. Treatments such as nutritional interventions, exercise and diabetes management are likely to benefit frailty. [ABSTRACT FROM AUTHOR]

Published
2022
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35. Additional file 1 of Shoulder range of movement in the general population: age and gender stratified normative data using a community-based cohort

Author

Gill, Tiffany K., E. Michael Shanahan, Tucker, Graeme R., Buchbinder, Rachelle, and Hill, Catherine L.

Subjects
ComputingMilieux_MANAGEMENTOFCOMPUTINGANDINFORMATIONSYSTEMS, Data_FILES, Hardware_CONTROLSTRUCTURESANDMICROPROGRAMMING, GeneralLiterature_MISCELLANEOUS, ComputingMethodologies_COMPUTERGRAPHICS
Abstract

Additional file 1. Summary of shoulder ROM studies.

Published
2020
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