Associate Professor Lyndal Trevena
MBBS(Hons), MPhilPH, PhD|
Associate-Dean (International), Room 321B
Phone: +61 2 9351 7788 |
(Update details) |
Research InterestsApplication of evidence in clinical practice (particularly general practice |
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AffiliatedResearcher, Sydney Health Decision Group |
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Teaching areaCoordination of Community & Doctor Theme in USydMP |
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Publications |
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Books Irwig L, Irwig J, Trevena L, Sweet, M. Smart Health Choices - Making sense of health advice. Hammersmith Press. 2008. Brooks P, March L, Trevena LJ, Bagga H, Burke M, Ryan M. Evidence-Based Management of Acute Musculoskeletal Pain, 2003, Brisbane, Australian Academic Press Pty Ltd, 199pp. Peer Reviewed/Refereed Journal Articles Trevena L. Cancer screening – pros, cons, choice, and the patient. Australian Family Physician. 2009;38(4):177 - 272 Eigenmann CA, Colagiuri R, Skinner TC, Trevena L. Are current psychometric tools suitable for measuring outcomes of diabetes education? Diabetic Medicine. 2009;26(4): 425-436. Smith SK, Trevena L, Barratt A, Dixon A, Nutbeam D, Simpson JM, McCaffery KJ. Development and preliminary evaluation of a bowel cancer screening decision aid for adults with lower literacy. Patient Education and Counseling. 75 (2009) 358–367 Smith S.K, Trevena L, Nutbeam D, Barratt A, McCaffery K.J. Information needs and preferences of low and high literacy consumers for decisions about colorectal cancer screenings: utilizing a linguistic model. Health Expectations 2008;11:(2), 123-136. Trevena, L.J., Irwig, L., Barratt, A. Randomized trial of a self-administered decision aid for colorectal cancer screening. J Med Screen 2008;15:76-82. Trevena L, Irwig L, Barratt A. GP`s want tailored, user friendly evidence summaries - A cross sectional study in NSW. Australian Family Physician 2007;36(12):1056-1069. McCaffery, K., Shepherd, H., Trevena, L., Juraskova, I., Barratt, A., Butow, P.N., Hazell, K., Tattersall, M.H.N. Shared decision making in Australia. Zeitschrift fur Arztliche Forbildung und Qualitatssicherung [German Journal for Evidence and Quality in Health Care] 2007;4(101):205-211. Wicks R, Trevena LJ, Quine S. Experience of Food Insecurity amoung Urban Soup Kitchen Consumers: Insights for Improving Nutrition and Well-Being. J Am Diet Assoc. 2006;106:921-924. Trevena L, Irwig L, Barratt A. The impact of privacy legislation on the number and characteristics of people who are recruited for research: a randomised controlled trial. Journal of Medical Ethics 2006;32:473-477. Wallace C, Leask J. and Trevena LJ. Effects of a web based decision aid on parental attitudes to MMR vaccination: a before and after study. BMJ 2006;332:146-149, doi:10.1136/bmj.38678.681840.68 (http://bmj.bmjjournals.com/cgi/reprint/332/7534/146) Trevena LJ, Davey HM, Barratt A, Butow P, Caldwell P. A systematic review on communicating with patients about evidence: Tools that are evidence-based in design as well as content can be hard to find in practice. J Evaluation in Clinical Practice 2006;12(1):13-23 Trevena LJ, Sainsbury P, Henderson-Smart C, Clarke R, Rubin G. and Cumming R. Population Health Integration Within a Medical Curriculum: An Eight-Part Toolkit. American Journal of Preventive Medicine 2005;29(3):234-239. Trevena L and County M. Impediments to Higher Degree Training for Australian Clinical Researchers in General Practice. Education for Health 2005;18(2):157-165. Kefford C, Trevena LJ, Willcock S. Breaking away from the medical model: Perceptions of health and healthcare in suburban Sydney adolescents. Medical Journal of Australia 2005;183:418-421. Trevena LJ. Practice Corner: Sleepless in Sydney: Is valerian an effective alternative to benzodiazepines for the treatment of insomnia. ACP Journal Club 2004;141:A14. Trevena LJ. Sleepless in Sydney: Is valerian an effective alternative to benzodiazepines for the treatment of insomnia? Evidence-Based Medicine 2004;9:68-70. Huang QR, Trevena L, McIntosh J. General Practitioners experience and attitudes towards the new genetics: barriers and needs assessment. Australian Family Physician 2004;33(5):379-380. Roberts CL, Raynes-Greenow CH, Nassar N, Trevena L, McCaffery K. Protocol for a randomised controlled trial of a decision aid for the management of pain in labour and childbirth. BMC Pregnancy and Childbirth 2004;4:24. Barratt A, Trevena LJ, Davey HM, McCaffery KM. Use of decision aids to support informed choices about screening. British Medical Journal 2004;329:507-10. Trevena L, Barratt A. Integrated decision making: definitions for a new discipline. Patient Education and Counseling 2003;50:265-268. Adelston BA, Trevena L, Barratt A and Salkeld G. Pilot program evaluation can improve bowel cancer screening. Australian and New Zealand Journal of Public Health. 2003;27:265-66. Trevena LJ, Simpson JM, Nutbeam D. Soup kitchen consumer perspectives on the quality and frequency of health service interactions. International Journal for Quality in Health Care 2003;15:495-500 (http://intqhc.oupjournals.org/cgi/content/abstract/15/6/495 ) Trevena L. What medical students value in a population health tutor: characteristics for consideration in staff recruitment and development. Education for Health 2003;16(1):51-58. http://taylorandfrancis.metapress.com Trevena LJ. To freeze or not to freeze? Answering a question about the treatment of cutaneous warts. Evidence-Based Medicine Series. Australian Family Physician 2003;32(9). Adelstein BA, Trevena L, Barratt A, Salkeld G. Is home screening for bowel cancer a good idea? ANZ J Pub Health. 2003;27:265-6 Trevena LJ, Clarke RM. Self-Directed Learning in Population Health: A Clinically Relevant Approach for Medical Students. American Journal of Preventive Medicine 2002;22(1):59-65. Barratt AL, Mannes P, Irwig L, Trevena L, Craig J, Rychetnik L. A glossary of cancer screening terms. J Epidemiol & Comm Health. 2002; 56: 899-902 Trevena LJ, Nutbeam D and Simpson JM. Asking the right questions of seriously disadvantaged and homeless communities: The role of housing, patterns of illness and reporting behaviors in the measurement of health status. Australian & New Zealand Journal of Public Health 2001 25: 298-304 Trevena LJ. Informed participation in colorectal cancer screening: methodological dilemmas for discussion. Australasian Epidemiologist 2001 8: 40 Other publications Trevena LJ, Barratt A, McCaffrey K, Armstrong B, O`Connor A. Sydney Health Decision Group. Making decisions: Should I use hormone replacement therapy? (HRT). Canberra, National Health and Medical Research Council, Commonwealth of Australia 2005. Trevena LJ, Porwal M, Cameron I. Clinical Practice Guidelines for the Care of People Living with Traumatic Brain Injury in the Community. Motor Accident Authority, 2005. Trevena LJ, Barratt A, Irwig L. New approaches to preference elicitation, estimation and representation of probabilistic screening information within a home-based decision aid for colorectal cancer screening in general practice. 2nd International Shared Decision Making Conference. Swansea, UK September 2003. Trevena L, Barratt A. Tailored Healthcare: definitions for a new discipline. Invited paper. Patient Educ Couns. 2003; 50(3): 265-268. Book chapters Trevena T, Barratt A, McCaffery K. Chapter 34:Using decision aids to involve clients in clinical decision-making. Clinical Reasoning in the Health Professions. 3rd edition. Joy Higgs, Mark Jones, Stephen Loftus and Nicole Christensen (eds). 2008. ISBN-13: 978-0-7506-8885-7 and ISBN-10: 0-7506-8885-8 Trevena LJ, Davey H, Barratt A, Butow P, Caldwell P. Communicating evidence to patients. Evidence-Based Paediatrics and Child Health, BMJ publishing, 2004. Sefton A, Trevena LJ. Working with groups: Consulting, advocating, mediating and resolving conflict. Communicating in the Health and Social Sciences, Oxford University Press, 2004. Commissioned reports NHMRC. Evidence-based management of acute musculoskeletal pain. June, 2003. (Acute Low Back Pain Review Group: March L, Trevena LJ, French S, Rebbeck T, Blyth F, Bellamy N, Coghlan R, Penney N) Editorials Adelstein BA, Trevena LJ, Barratt A, Salkeld G. Pilot program evaluation can improve bowel cancer screening. [Editorial] Australian & New Zealand Journal of Public Health. 2003; 27(3): 265-6 Letters to Editor Trevena LJ, Barratt A, McCaffery KJ, Irwig L. (Letter) More haste, less speed in the implementation of screening decision aids. BMJ. 2003; 327: 869 |
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Projects |
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A randomized trial of a web-based toolkit for applying evidence in the general practice cervical cancer prevention visitChief Investigators: Trevena L, McCaffery K, Barratt A, Leask J, Brotherton J, Dobbins T. Research Coordinator: Wadolowski M. This project is funded by the Cancer Council NSW and involves the development and evaluation of a website for young women who are considering a Pap smear. It will include a randomised trial in general practice. HPV vaccination survey of GPsJackson, Leask, McCaffery K, Trevena L, Brotherton. This project is a survey of GPs on implementation of HPV vaccination program. Use of evidence about diabetes by GPsEntwistle, Barratt A, Trevena L. This is a qualitative study about the use of evidence in practice- joint study between Sydney and Dundee. University of North Carolina - collaboration in the development of a decision aid for older people considering colonoscopy screening for colon cancer in the USLewis, Pignone, Trevena L This project develops and evaluates a decision aid for people over the age of 75 years who are considering whether they should continue colonoscopy screening for bowel cancer in the US setting. Early detection and treatment of Rheumatoid Arthritis - Guidelines for General PracticeTrevena L,RACGP working group An RACGP project funded by DoHA to develop guidelines for the diagnosis and treatment of rheumatoid arthritis in general practice. An interactive decision aid for prioritising health-check activitiesTrevena L, Barratt A, Del Mar, Dobbins T, McCaffery K, This will involve a randomized controlled trial of a web-based tool for health check activities amongst healthy Australians presenting to the GP for a check-up. It is funded by NSW Cancer Council for three years. Development and evaluation of a literacy sensitive decision aid for colorectal cancer screeningMcCaffery K, Smith S, Trevena L, Barratt A, Simpson J, Nutbeam D. Associate investigators:Butow P, Irwig L This project is funded by the Sydney Cancer Research Fund and the NHMRC. The project will develop and evaluate by randomised trial a FOBT screening decision aid for adults with limited literacy. The project also includes a substudy investigating optimal graphic formats for presenting risk information to adults with limited literacy and numeracy skills. The findings from this will inform the prsentation of quantitative risk information included in the decision aid. Sydney Cancer Research Fund. $100,000. Applying Clinical Evidence: a randomized trial of consumers asking questionsBarratt A, Tattersall M, Trevena L, del Mar C, Carey-Hazell K, Butow P, McGeechan K. The study is to evaluate the use of a set of consumer questions on patient doctor communication. The questions have been developed jointly by researchers and consumers and are advocated by consumer groups. In the study we will train and deploy Standardized Patients who will audiorecord their consultations. The audiorecordings will be analysed using a newly developed coding scheme. The study is taking place in both general practice and specialist practice (with oncologists). Testing graphical risk presentation format among adults with low literacyMcCaffery K, Dixon A, Smith S, Trevana L, Hayen A, Barratt A, Irwig L, Nutbeam D, Simpson J. This study is a sub study of the above listed project. The aim is to the determine optimal graphic format to present risk information to adults with low literacy and education. 120 adults will be recruited from adult education classes in NSW for testing of different graph formats. The results of this study will inform the design of the decision aid described above. The MMR (measles-mumps-rubella) vaccine decision aid. An online tool for parents.Wallace C, Leask J, Trevena L, Butow P, McIntyre P. This study was the first published study to apply decision aids in the child vaccination arena. The pilot study tested the effects of an online decision aid for parents concerned about the safety of the MMR vaccine. The decision aid provided evidence based information on the risks and benefits of MMR vaccination and the diseases it prevents via a 21 screen online tool. The study showed a significant positive shift in attitudes to MMR vaccination. Further results have been published. A collaboration with Leeds University (UK) is underway. Internet based randomized trialsBarratt A, Mathieu E, McGeechan K, Trevena L, Tattersall M, Herbert R Very little is known about the quality of data and results, generated by web-based (or on-line) trials. This is important as investigators look to the web to implement trials. Our study will address whether data quality and results are affected by on-line participation in trials. To do this we will run a web-based trial and assess its data quality and any biases. NHMRC Grant, 2008-2010 New National Co-operative Oncology GroupsJ Emery, J Gunn, M Pirotta, L Trevena, A Barratt, K McCaffery, G Mitchell, S Kilbreath, L Monterosso, L Foreman, P Booth, D Weller, K Forster, M King. Primary care cooperative cancer clinical trials group. Cancer Australia - $219,564. 2009 |
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