Margaret Kelaher
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View article: Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: a systematic narrative review
Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: a systematic narrative review Open
Aim: To provide a systematic synthesis of primary care practice-based interventions and their effect on participation in population-based cancer screening programs. Background: Globally, population-based cancer screening programs (bowel, b…
View article: Implementation of Australia’s primary human papillomavirus (HPV) cervical screening program: The STakeholders Opinions of Renewal Implementation and Experiences Study
Implementation of Australia’s primary human papillomavirus (HPV) cervical screening program: The STakeholders Opinions of Renewal Implementation and Experiences Study Open
In this study, we aimed to document stakeholders' experiences of implementing Australia's renewed National Cervical Screening Program. In December 2017, the program changed from 2nd yearly cytology for 20-69 year olds to 5 yearly human pap…
View article: Education support services for improving school engagement and academic performance of children and adolescents with a chronic health condition
Education support services for improving school engagement and academic performance of children and adolescents with a chronic health condition Open
This review has demonstrated the infancy of quality research on the effectiveness of education support interventions for children and adolescents with chronic health conditions. At best, we can say that we are uncertain whether education s…
View article: “Nothing to lose and the possibility of gaining”: a qualitative study on the feasibility and acceptability of registry-based randomised controlled trials among cancer patients and clinicians
“Nothing to lose and the possibility of gaining”: a qualitative study on the feasibility and acceptability of registry-based randomised controlled trials among cancer patients and clinicians Open
Background Randomised controlled trials (RCTs) are considered the “gold standard” for evaluating the effectiveness of interventions in clinical research. However, conventional RCTs are typically complex, expensive, and have narrow eligibil…
View article: Is all that glitters gold? Assessing the quality and ethics of ‘gold standard’ randomised controlled trials conducted in Aboriginal and Torres Strait Islander settings
Is all that glitters gold? Assessing the quality and ethics of ‘gold standard’ randomised controlled trials conducted in Aboriginal and Torres Strait Islander settings Open
PurposeEvidence-based practice methods assign randomised controlled trials (RCTs) as the 'gold standard' study design for interventional research. However, privileging RCTs on the criterion of study design without consideration of their br…
View article: ‘I’m a bit of a champion for it actually’: qualitative insights into practitioner-supported self-collection cervical screening among early adopting Victorian practitioners in Australia
‘I’m a bit of a champion for it actually’: qualitative insights into practitioner-supported self-collection cervical screening among early adopting Victorian practitioners in Australia Open
Background: Self-collection for cervical screening has been available in the Australian National Cervical Screening Program since 2017 and is now available to all people as an option for cervical screening through a practitioner-supported …
View article: Do it for yourself: Australia’s first experience of universal eligibility for self-collection cervical screening increases access for Aboriginal and Torres Strait Islander women
Do it for yourself: Australia’s first experience of universal eligibility for self-collection cervical screening increases access for Aboriginal and Torres Strait Islander women Open
PurposeAustralia's National Cervical Screening Program implemented a self-collection pathway in December 2017 that was specifically designed to engage never-screened and under-screened people with a cervix. Initially only available to thos…
View article: “So, if she wasn’t aware of it, then how would everybody else out there be aware of it?”—Key Stakeholder Perspectives on the Initial Implementation of Self-Collection in Australia’s Cervical Screening Program: A Qualitative Study
“So, if she wasn’t aware of it, then how would everybody else out there be aware of it?”—Key Stakeholder Perspectives on the Initial Implementation of Self-Collection in Australia’s Cervical Screening Program: A Qualitative Study Open
Background: In December 2017, the Australian National Cervical Screening Program transitioned from 2-yearly cytology-based to 5-yearly human papillomavirus (HPV)-based cervical screening, including a vaginal self-collection option. Until J…
View article: Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people
Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people Open
Globally, there is a recognised need that all populations should be able to access the benefits of genomics and precision medicine. However, achieving this remains constrained by a paucity of data that quantifies access to clinical genomic…
View article: Health care system factors influencing primary healthcare workers’ engagement in national cancer screening programs: a qualitative study
Health care system factors influencing primary healthcare workers’ engagement in national cancer screening programs: a qualitative study Open
This study offers insights into what elements practice and practitioner targeted initiatives in Australia should incorporate, potentially leading to improved engagement of PHCWs and increased cancer screening participation rates.
View article: An implementation research programme to support an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi: study protocol
An implementation research programme to support an intravenous iron intervention for pregnant women with moderate and severe anaemia in Malawi: study protocol Open
View article: Questioning the ethics of evidence-based practice for Indigenous health and social settings in Australia
Questioning the ethics of evidence-based practice for Indigenous health and social settings in Australia Open
Australian government planning promotes evidence-based action as the overarching goal to achieving health equality for Aboriginal and Torres Strait Islander populations. However, an inequitable distribution of power and resources in the co…
View article: Replication Data for Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: A formative qualitative study
Replication Data for Perceptions and experiences of intravenous iron treatment for anaemia in pregnancy in Malawi: A formative qualitative study Open
The study objective was to explore opinions, identify experiences, and describe perspectives on the acceptability of IV iron to treat anaemia in pregnancy and identify potential barriers and facilitators of introducing IV iron in the Malaw…
View article: The experience of under-screened and never-screened participants using clinician-supported self-collection cervical screening within the Australian National Cervical Screening Program
The experience of under-screened and never-screened participants using clinician-supported self-collection cervical screening within the Australian National Cervical Screening Program Open
Background: Australia has had significant successes in the prevention of cervical cancer. However, there is considerable scope for improving screening participation. In December 2017, Australia shifted from cytology to a human papillomavir…
View article: Cultural determinants of health for Aboriginal and Torres Strait Islander people – a narrative overview of reviews
Cultural determinants of health for Aboriginal and Torres Strait Islander people – a narrative overview of reviews Open
Introduction The cultural determinants of health centre an Indigenous definition of health, and have been linked to positive health and wellbeing outcomes. There is growing evidence for the importance of the cultural determinants of health…
View article: Investigating equity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people
Investigating equity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people Open
Globally, there is a recognised need for a greater commitment to an equity agenda in clinical genomics and precision medicine. Fundamental to this, is the equitable access by all to services providing genomic health care. However, achievin…
View article: An implementation science approach to evaluating pathogen whole genome sequencing in public health
An implementation science approach to evaluating pathogen whole genome sequencing in public health Open
View article: Evaluation of an Aboriginal and Torres Strait Islander strengths based coaching program: a study protocol
Evaluation of an Aboriginal and Torres Strait Islander strengths based coaching program: a study protocol Open
View article: Self‐collection cervical screening in the renewed National Cervical Screening Program: a qualitative study
Self‐collection cervical screening in the renewed National Cervical Screening Program: a qualitative study Open
Increasing the accessibility of the self-collection pathway to under- and never screened women could reduce inequities in cervical cancer outcomes for those not participating in the main screening pathway. Practitioners should be provided …
View article: Challenges in Implementing Community-Based Healthcare Teams in a Low-Income Country Context: Lessons From Ethiopia’s Family Health Teams
Challenges in Implementing Community-Based Healthcare Teams in a Low-Income Country Context: Lessons From Ethiopia’s Family Health Teams Open
Lessons from Ethiopia's challenges in implementing its FHT program suggest that LMICs interested in adopting CHW-integrated healthcare team models should closely consider health system readiness (budgets, staffing, equipment/medicines) as …
View article: Study protocol for the Healthier Wealthier Families (HWF) pilot randomised controlled trial: testing the feasibility of delivering financial counselling to families with young children who are identified as experiencing financial hardship by community-based nurses
Study protocol for the Healthier Wealthier Families (HWF) pilot randomised controlled trial: testing the feasibility of delivering financial counselling to families with young children who are identified as experiencing financial hardship by community-based nurses Open
Introduction Poverty and deprivation can harm children’s future health, learning, economic productivity and societal participation. The Australian Healthier Wealthier Families project seeks to reduce the childhood inequities caused by pove…
View article: “This is my boy’s health! Talk straight to me!” perspectives on accessible and culturally safe care among Aboriginal and Torres Strait Islander patients of clinical genetics services
“This is my boy’s health! Talk straight to me!” perspectives on accessible and culturally safe care among Aboriginal and Torres Strait Islander patients of clinical genetics services Open
View article: Culturally competent communication in Indigenous disability assessment: a qualitative study
Culturally competent communication in Indigenous disability assessment: a qualitative study Open
View article: Using an adaptive, codesign approach to strengthen clinic-level immunisation services in Khayelitsha, Western Cape Province, South Africa
Using an adaptive, codesign approach to strengthen clinic-level immunisation services in Khayelitsha, Western Cape Province, South Africa Open
Introduction Optimal immunisation programme service delivery and childhood vaccine coverage remains an ongoing challenge in South Africa. Previous health systems approaches have made recommendations on how to address identified barriers bu…
View article: Mechanisms and impact of public reporting on physicians and hospitals’ performance: A systematic review (2000–2020)
Mechanisms and impact of public reporting on physicians and hospitals’ performance: A systematic review (2000–2020) Open
Background Public performance reporting (PPR) of physician and hospital data aims to improve health outcomes by promoting quality improvement and informing consumer choice. However, previous studies have demonstrated inconsistent effects o…
View article: The impact of public performance reporting on cancer elective surgery waiting times: a data linkage study
The impact of public performance reporting on cancer elective surgery waiting times: a data linkage study Open
Background Excessive waiting times for cancer elective surgery are a concern in publicly funded healthcare systems. Several countries including Australia have introduced healthcare reforms involving time-based targets and public performanc…
View article: Walking the talk: evaluating the alignment between Australian governments’ stated principles for working in Aboriginal and Torres Strait Islander health contexts and health evaluation practice
Walking the talk: evaluating the alignment between Australian governments’ stated principles for working in Aboriginal and Torres Strait Islander health contexts and health evaluation practice Open
Background Stated principles in government policy documents serve as a set of values outlining how governments intend to work. As such, health planning principles should be reflected in health policy across the cycle of planning, implement…
View article: Physical violence and violent threats reported by Aboriginal and Torres Strait Islander people with a disability: cross sectional evidence from a nationally representative survey
Physical violence and violent threats reported by Aboriginal and Torres Strait Islander people with a disability: cross sectional evidence from a nationally representative survey Open
View article: Could HPV Testing on Self-collected Samples Be Routinely Used in an Organized Cervical Screening Program? A Modeled Analysis
Could HPV Testing on Self-collected Samples Be Routinely Used in an Organized Cervical Screening Program? A Modeled Analysis Open
Background: Cervical screening on self-collected samples has mainly been considered for targeted use in underscreened women. Updated evidence supports equivalent sensitivity of PCR-based human papillomavirus (HPV) testing on self-collected…
View article: The Pathogen Genomics in Public HeAlth Surveillance Evaluation (PG-PHASE) Framework: An Implementation Science Approach to Evaluating Pathogen Whole Genome Sequencing in Public Health
The Pathogen Genomics in Public HeAlth Surveillance Evaluation (PG-PHASE) Framework: An Implementation Science Approach to Evaluating Pathogen Whole Genome Sequencing in Public Health Open
Background Pathogen whole genome sequencing (WGS) is being incorporated into public health surveillance and disease control systems worldwide and has the potential to make significant contributions to infectious disease surveillance, outbr…