Paul O'Halloran

La Trobe University, Melbourne, Victoria, Australia

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Publications (9)16.15 Total impact

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    ABSTRACT: A systematic review and meta-analysis of randomized controlled trials to determine if motivational interviewing leads to increased physical activity, cardiorespiratory fitness or functional exercise capacity in people with chronic health conditions.
    Clinical rehabilitation. 06/2014;
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    ABSTRACT: A health coaching intervention in addition to usual physiotherapy care increased recovery expectation and activity in people with non-chronic NSLBP and low recovery expectation. We aimed to fully describe the coaching intervention to allow replication and enable a deeper understanding of the mechanisms behind health coaching in this setting.METHODS: A qualitative analysis was conducted using notes taken by the coach during the health coaching intervention. Two researchers independently applied open coding and content analysis, using the factors of low recovery expectation identified in a previous qualitative investigation as a framework.RESULTS: For the majority of participants coaching rapidly progressed to goal setting and action planning, with less time spent on increasing the importance and confidence to return to activity. The factors of the person, progression, pain, performance and treatment were addressed across all phases of the coaching intervention. This effective health coaching intervention for people with non-chronic NSLBP and low recovery expectation concentrated on goal setting and action planning and addressed the essential factors of recovery expectations. This study suggests that coaching interventions are likely to be different in this population compared to similar interventions in chronic conditions due to pre-existing levels of readiness to change.
    Journal of Back and Musculoskeletal Rehabilitation 07/2013; · 0.61 Impact Factor
  • Bradley J Wright, Paul D O'Halloran
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    ABSTRACT: Performance enhancement techniques can improve self-efficacy (SE) and task performance. The focus of this study was to determine which techniques could best achieve this with three novel tasks. Participants (n = 98) were counterbalanced across tasks and conditions (48 participants assigned to each condition in each task) and completed two trials of putting (imagery vs. no imagery), throwing (easy vs. difficult), and kicking (verbal feedback vs. no feedback) tasks, and SE and performance scores were recorded. The results revealed that the auditory feedback condition had the greatest impact as it significantly explained both SE and performance scores, with a greater effect recorded for SE scores. Use of imagery or allocation to the easy-to-score condition did not improve performance or SE scores more than did the control conditions. These findings were unexpected as successful past performance is often cited as the main determinant of SE change. Further empirical investigation is required to determine if these findings are repeatable and if they generalize to sporting settings.
    Research quarterly for exercise and sport 06/2013; 84(2):139-46. · 1.11 Impact Factor
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    ABSTRACT: Low recovery expectations have been identified as a strong and consistent predictor of poor outcome in non-chronic non-specific low back pain (NSLBP). The aim of this study was to explore how people determine their own recovery expectation during an episode of non-chronic NSLBP. In-depth interviews were conducted with a purposive sample of people with non-chronic NSLBP and low recovery expectations. Interviews were audio--recorded and transcribed verbatim. Two researchers independently applied open coding, followed by axial coding to allow themes to emerge from the data using a constant comparison method. The central theme of the person and 4 subthemes of pain, progress, performance, and treatment emerged from the data. The formation of recovery expectations was dependent on the person's unique apprasial of their pain, how the condition had progressed, the limitation of their performance of activities, and the impact of different aspects of treatment. Recovery expectation is a person's appraisal of several factors to determine when they are likely to return to their usual activities during an episode of non-chronic NSLBP. Health professionals should explore the person's perception of these factors as part of a tailored intervention to prevent non-chronic NSLBP progressing to chronic NSLBP.
    Journal of rehabilitation medicine: official journal of the UEMS European Board of Physical and Rehabilitation Medicine 08/2012; 44(9):781-7. · 1.88 Impact Factor
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    ABSTRACT: Psychoeducation is a recommended component of cardiac rehabilitation, but to date, evidence from high quality trials examining behavior change has not been synthesized. The primary aim of this systematic review was to examine the effectiveness of psychoeducation on behavior change in adults with coronary artery disease participating in cardiac rehabilitation; and to identify if changes in health behavior had an effect on modifiable physiological risk factors. A search of electronic databases was conducted for randomized controlled trials involving adults with a primary diagnosis of myocardial infarction, coronary artery bypass graft surgery, percutaneous coronary intervention, stable angina, or coronary artery disease defined by angiography. Trials comparing psychoeducational programs to exercise only, standard cardiac rehabilitation or medical care were included. Primary outcomes were smoking status, physical activity, dietary habits, supplemental oxygen, or medication use. Included trials were assessed for quality with the PEDro scale, and data synthesized descriptively or with meta-analysis. Six randomized controlled trials and 1 quasiexperimental trial were included, a total of 536 participants. A meta-analysis from 213 participants showed psychoeducational interventions produced a significant positive effect on physical activity levels over the medium term (6-12 months) when compared with exercise and risk factor education, (δ = .62, 95% CI 0.3-0.94). However, there was limited positive evidence for change in smoking and dietary behavior. No effect was found on physiological risk factors. Psychoeducational interventions produce a significant positive effect on physical activity levels and potentially on dietary habits and smoking. Strategies such as goal setting, problem solving, self-monitoring, and role modeling appear to be influential in this change.
    Journal of cardiopulmonary rehabilitation and prevention 07/2011; 31(5):273-81. · 1.59 Impact Factor
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    ABSTRACT: Does the addition of telephone coaching to usual physiotherapy care improve activity for people with non-chronic low back pain and low to moderate recovery expectations? Randomised trial with concealed allocation and intention-to-treat analysis. People attending the physiotherapy department of a public hospital for treatment within eight weeks of onset of non-specific low back pain. Eligible participants had low to moderate recovery expectations, defined as a response of 7 or less to the question 'How certain are you that you will return to all of your usual activities one month from today?' on a scale from 0 (not certain at all) to 10 (completely certain). Five sessions of telephone coaching by a physiotherapist trained in health coaching techniques in addition to usual physiotherapy compared to usual physiotherapy alone. The Patient Specific Functional Scale, Oswestry Disability Index, Pain Self Efficacy Questionnaire, and recovery expectation were measured at baseline, 4, and 12 weeks. 30 participants were recruited, with 26 completing all measures at 12 weeks. There were no significant differences between groups at 4 weeks. After 12 weeks the coaching group improved significantly more than the control group on two 10-point scales: the Patient Specific Functional Scale (mean difference 3.0 points, 95% CI 0.7 to 5.4) and recovery expectation (mean difference 3.4 points, 95% CI 1.1 to 5.7). Estimates of effect sizes were moderate to large in favour of the intervention. The addition of telephone health coaching to usual physiotherapy care for people with non-chronic non-specific low back pain led to clinically important improvements in activity and recovery expectation. ACTRN12607000458437.
    Journal of physiotherapy 01/2011; 57(4):231-8. · 2.26 Impact Factor
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    Shane McIver, Michael McGartland, Paul O'Halloran
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    ABSTRACT: As part of a larger mixed-methods study, data from 20 personal journals were analyzed to examine the experience of a 12-week yoga treatment program for binge eating among a sample of 25 women who were obese. Qualitative analysis revealed a positive shift experienced by the women during the program, summarized by a general structural description: disconnection versus connection. Women's comments suggested that the program appeared to encourage a healthy reconnection to food, as well as the development of physical self-empowerment, through cultivating present-moment awareness. Specifically, women perceived an overall reduction in the quantity of food they consumed, decreased eating speed, and an improvement in food choices throughout the program. The women also reported feeling more connected to and positive about their physical well-being. These evolving outcomes were summarized through two major themes: the way their physicality changed, and the way their food consumption changed over time. Findings provide insights relevant to therapeutic processes that might occur within eating disorder interventions that draw on meditation-based approaches.
    Qualitative Health Research 10/2009; 19(9):1234-45. · 2.19 Impact Factor
  • Shane McIver, Paul O'Halloran, Michael McGartland
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    ABSTRACT: To examine the efficacy of a 12-week yoga program aimed at reducing binge eating severity. A randomised trial was undertaken assigning participants to yoga (n=45) or wait-list control (n=45) groups. Of these, 25 in each group were analysed. A community-based sample of women between 25 and 63 years of age who identified with diagnostic criteria for binge eating disorder (BED) and a BMI>25 were recruited for the study. Primary outcomes included the Binge Eating Scale (BES) and International Physical Activity Questionnaire (IPAQ). Secondary outcomes comprised measures for BMI, hips and waist. For the yoga group, self-reported reductions in binge eating and increases in physical activity were statistically significant. Small yet statistically significant reductions for BMI, hips and waist measurement were obtained. The wait-list control group did not improve significantly on any measures. In conjunction with formal weekly sessions, home-based yoga programs are potentially efficacious for the treatment of binge eating.
    Complementary therapies in medicine 08/2009; 17(4):196-202. · 1.95 Impact Factor
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    ABSTRACT: The aim of the current review was to determine the predictive strength of low recovery expectations for activity limitation outcomes in people with non-chronic NSLBP. A systematic review of prognostic studies was performed. Included studies took baseline measures in the non-chronic phase of NSLBP, included at least one baseline measure of recovery expectation, defined as a prediction or judgement made by the person with NSLBP regarding any aspect of prognosis, and studied a sample with at least 75% of participants with NSLBP. Recovery expectations measured using a time-based, specific single-item tool produced a strong prediction of work outcome. Recovery expectations measured within 3 weeks of NSLBP onset provide a strong prediction of outcome. It is not clear whether predictive strength of recovery expectations is affected by the length of time between the expectation measure and outcome measure. Recovery expectations when measured using a specific, time-based measure within the first 3 weeks of NSLBP can identify people at risk of poor outcome.
    Journal of Occupational Rehabilitation 02/2009; 19(1):25-40. · 2.80 Impact Factor
  • Shane McIver, Paul O'Halloran, Michael McGartland
    Alternative therapies in health and medicine 10(2):22-3. · 1.77 Impact Factor