Angela Leah ToddThe University of Sydney · Northern Clinical School
Angela Leah Todd
BA Hons, MBA, PhD
About
33
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Introduction
Skills and Expertise
Publications
Publications (33)
Background
Research evidence has demonstrably improved health care practices and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspectives...
Background: Research evidence has had demonstrably improved health care practice and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspecti...
Objective
To develop a consumer and community involvement (CCI) strategy for the Women’s Health Research, Translation and Impact Network (WHRTN), an initiative of the Australian Health Research Alliance (AHRA).
Type of program
A national network, comprising representatives from 14 nationally-accredited research translation centres that aims to emb...
Considered investment in health and medical research (HMR) is critical for fostering a healthcare system that is sustainable, effective, responsive, and innovative. While several tools exist to measure the impact of research, few assess the research environment that nurtures and supports impactful research and the strategic alignment of research wi...
Background
Video-reflexive ethnography (VRE) has been used to record aspects of patient care which are then shared with staff to drive self-identified improvements. Interpersonal interactions between patients and hospital staff are key to high-quality, patient-centred care and mostly occur randomly throughout a patient’s hospital stay. One of the m...
Objectives: To ensure that the contribution of patients and consumers in health research is better understood, respected and fully utilised.
Type of program or service: Consumer representative networks that form part of a broader quality improvement program in local health services.
Methods: Consultations were held with members of health consumer...
Background:
Surveys have shown that women are highly satisfied with their maternity care. Their satisfaction has been associated with various demographic, personal, and care factors. Isolating the factors that most matter to women about their care can guide quality improvement efforts. This study aimed to identify the most significant factors asso...
Background:
Estimated date of birth (EDB) is used to guide the care provided to women during pregnancy and birth, although its imprecision is recognised. Alternatives to the EDB have been suggested for use with women however their attitudes to timing of birth information have not been examined.
Aims:
To explore women's expectations of giving bir...
Partnerships between researchers and end users are an important strategy for research uptake in policy and practice. This paper describes how collaboration between an academic research organisation (the Kolling Institute) and a government performance reporting agency (the New South Wales [NSW] Bureau of Health Information) contributed to the develo...
Surveys of satisfaction with maternity care have been conducted using overnight inpatient surveys and dedicated maternity surveys in a number of Australian settings, however none have been used to report on satisfaction with maternity care among women in New South Wales. The aims of this study were to investigate the association between: 1) parity...
Background
Surveys are commonly used in health research to assess patient satisfaction with hospital care. Achieving an adequate response rate, in the face of declining trends over time, threatens the quality and reliability of survey results. This paper evaluates a strategy to increase the response rate in a postal satisfaction survey with women w...
Background:
Australia has one of the most ethnically and culturally diverse maternal populations in the world. Routinely few variables are recorded in clinical data or health research to capture this diversity. This paper explores how pregnant women, Australian-born and overseas-born, respond to survey questions on ethnicity or cultural group iden...
Background
American evidence suggests women are not well informed about the optimal duration of pregnancy or the earliest time for safe birth. Similar evidence does not exist in Australia.AimsTo explore pregnant women's beliefs about the duration of pregnancy and the earliest time for safe birth, and to compare the results with US data.MethodsA cro...
To identify the greatest potential for reducing overall caesarean delivery rates, we used longitudinally linked data for women with consecutive births 2001-2009 to examine the likely impact of hypothetical risk-based scenarios. Among women with a first birth, singleton, vertex-presenting fetus at term, increasing the vaginal birth rate following in...
To determine whether the obstetric pathways leading to caesarean section changed from one decade to another. We also aimed to explore how much of the increase in caesarean rate could be attributed to maternal and pregnancy factors including a shift towards delivery in private hospitals.
Population-based record linkage cohort study.
New South Wales,...
Policy agencies are implementing strategies to increase the use of research in policy decisions. This paper examines the evidence about the effectiveness of these strategies. We conducted an extensive search focused on population health policy and programmes. We classified 106 papers meeting study criteria into research type (conceptual, descriptiv...
The NSW Health Aboriginal Health Impact Statement has been developed to ensure that the health needs and interests of Aboriginal people are integrated into the policy, program, and strategy development processes. A useful list of references and resources about Aboriginal people and Aboriginal health is included with the statement and is reproduced...
The ISH Statement on blood pressure lowering and stroke prevention was finalized after presentation and discussion at the World Health Organization and International Society of Hypertension (WHO-ISH) Meeting on Stroke and Blood Pressure, held in Melbourne Australia, 5-7 December 2002. The meeting was conducted under the auspice of the Austin Hospit...
To help assess the accuracy of data, NCATSIS has a comprehensive publication Assessing the Quality of Identification of Aboriginal and Torres Strait Islander People in Hospital Data, which includes guidelines for conducting a data quality audit. Procedures involve re-interviewing patients and comparing these results with the information in hospital...
To describe the development of guidelines for the management of Aboriginal health information in NSW. The purpose of the guidelines is to promote the ethical management of Aboriginal health information, with appropriate consideration for cultural factors.
The guidelines were developed collaboratively by the NSW Aboriginal Health Partnership, which...
In 1997 the NSW Department of Health, in collaboration with the Aboriginal Health & Medical Research Council (AHMRC), developed the Aboriginal Health Information Strategy (AHIS). The Aboriginal Health & Medical Research Council is the peak body representing member Aboriginal Community Controlled Health Services (ACCHSs) in NSW.
A questionnaire sent in 1990 to over 2000 pairs of 18 to 26-year-old twins included shortened versions of the Interpersonal Sensitivity Measure (IPSM), Parental Bonding Instrument (PBI) and Intimate Bond Measure (IBM). To evaluate the validity of these short scales, and investigate their stability over time, full versions of the questionnaires were...
One hundred and three post-partum women completed the Edinburgh Postnatal Depression Scale (EPDS) and were interviewed using the Diagnostic Interview Schedule. A cut-off score of 12.5 on the Edinburgh Postnatal Depression Scale identified all nine women who reached criteria for major depression. At this threshold the sensitivity (the percentage of...
To examine whether women having an emergency caesarean section are at increased risk of developing postnatal depression at one, three and six months postpartum.
Participants were part of a larger study examining the relationship between personality dysfunction and postnatal depression. All women were recruited at an antenatal clinic in the first tr...
Our objective was to examine the outcomes at 2 years of age of fetuses delivered electively before 34 weeks, studied antenatally with two tests of fetal well-being.
Forty-two fetuses from high-risk pregnancies delivered electively by cesarean section before 34 weeks were stratified into normal versus abnormal subgroups with umbilical Doppler flow v...
The relationship between nutritional status and psychosocial functioning was examined in 35 children with cystic fibrosis, aged 7-16 years. Twelve malnourished children and their families were compared with 23 well nourished children and their families. Established measures of adjustment and coping in the children, parents and families were used. F...