Kevin McNamara

Kevin McNamara
Deakin University · School of Medicine

PhD
Health service implementation research in rural and regional Australia

About

112
Publications
10,320
Reads
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1,452
Citations
Additional affiliations
October 2016 - present
Public Health Foundation of India
Position
  • Professor (Associate)
March 2016 - present
Deakin University
Position
  • Senior Researcher
March 2016 - March 2018
Flinders University
Position
  • Senior Researcher
Education
October 2008 - April 2013
Flinders University
Field of study
  • Health Services Implementation
October 2000 - November 2001
Trinity College Dublin
Field of study
  • Community Health
October 1994 - June 1998
Trinity College Dublin
Field of study
  • Pharmacy

Publications

Publications (112)
Article
Objective: To explore participant experiences of an online co-design process to develop a web-based preventative mental health and well-being intervention targeting primary producers in rural Australia. Setting: Rural Victoria, Australia. Participants: Participants from a primary producer background, including horticulture, fisheries, animal c...
Article
Aims To culturally and linguistically adapt the Type 2 Diabetes Stigma Assessment Scale (DSAS-2) into Arabic and assess its psychometric properties. Methods Following forward-backward translation of the DSAS-2, the Content Validity Index (CVI) was assessed. Cognitive debriefing and pilot testing were conducted with adults with T2DM. The Arabic DSA...
Article
Background and aims This study aimed to examine perspectives of patients, health professionals, and policymakers on current practices and their future preferences for type 2 diabetes care in a tertiary hospital in Ethiopia. Methods An exploratory qualitative study was undertaken through interviews and focus groups with patients, health professiona...
Preprint
BACKGROUND In March 2020, the Australian Government expanded general practitioner (GP) telehealth services in response to the coronavirus disease 2019 pandemic. OBJECTIVE This study sought to assess utilisation patterns of GP telehealth services in response to changing circumstances (before and during the COVID-19 pandemic, with or without lockdow...
Article
AimsGestational diabetes mellitus (GDM) diagnosed during the first trimester of pregnancy is called ‘early pregnancy Gestational Diabetes Mellitus’ (eGDM). The burden of eGDM has only been studied sporadically. This review aims to understand the global burden of eGDM in terms of prevalence, risk factors, pregnancy outcomes, treatment and postpartum...
Article
Background Diabetes distress (DD) has broad-ranging effects on type 2 diabetes (T2DM) management and outcomes. DD research is scarce among ethnic minority groups, particularly Arabic-speaking immigrant communities. To improve outcomes for these vulnerable groups, healthcare providers, including pharmacists, need to understand modifiable predictors...
Article
Developing safety interventions using patient feedback is valuable for creating safer systems of health care. A qualitative process evaluation of a patient feedback on safety intervention was undertaken in six primary care practices. The purpose was to theorize factors mediating with the implementation of the intervention using existing theories. T...
Article
Aims To evaluate the capacity of a pharmacist‐delivered screening model for type 2 diabetes and cardiovascular disease (CVD) in identifying and referring individuals at risk. Method A screening program was implemented in 12 community pharmacies in three cities in the United Arab Emirates. Trained pharmacists screened adults (≥40 years) without a p...
Article
Women with a history of gestational diabetes mellitus (GDM) are at greater risk of developing type 2 diabetes mellitus (T2DM) when compared with women who have not had GDM. To delay or prevent T2DM, guidelines recommend regular screening in the primary care setting and lifestyle interventions that are largely focused on dietary and physical activit...
Article
Full-text available
Background Medication-related errors are one of the most frequently reported incidents in hospitals. With the aim of reducing the medication error rate, a Partnered Pharmacist Medication Charting (PPMC) model was trialled in seven Australian hospitals from 2016 to 2017. Participating pharmacists completed a credentialing program to equip them with...
Article
Aim To examine the effectiveness of clinical pharmacy interventions on health and economic outcomes of patients with type 2 diabetes in hospital settings. Methods We searched MEDLINE, EMBASE, PsycInfo, CINAHL, COCHRANE Library, and citations and reference lists of key articles. We included randomized and non‐randomized controlled trials, cohort, a...
Article
Introduction Community pharmacists are increasingly providing a range of professional health services. Whilst research provides evidence of their benefits, knowledge translation into practice has been challenging both in Australia and internationally. An opportunity to develop a granular understanding of factors driving successful implementation wa...
Article
Introduction The Inverse Care Law states that healthcare availability is inversely related to the needs of the population served. Increasing the provision of community pharmacy (CP) services for cardiovascular disease has been suggested to improve equity of healthcare access, particularly for screening, but few studies examine this. The aim of this...
Article
Full-text available
Background The PHARMASCREEN study, adapted from the Australian Cardiovascular Absolute Risk Screening study (CARS), tested the first community pharmacist-delivered screening model for diabetes and cardiovascular disease (CVD) in the UAE. Both PHARMASCREEN and CARS screening models successfully identified at-risk individuals despite differences in h...
Article
Full-text available
Objectives Patient involvement in safety improvement is a developing area of research. The aim of this study was to investigate the feasibility of a patient feedback on safety intervention in primary care. Specifically, the intervention acceptability, fidelity, implementation enablers and barriers, scalability, and process of systematically collect...
Article
Introduction A substantial proportion of hospital admissions and readmissions are directly attributable to preventable medication-related harm. Interventions that reduce these harms could avert significant suffering and healthcare costs. Objectives The Discharge Medications Reconciliation (DCMedsRec) trial will evaluate a structured medication rec...
Article
Full-text available
Background: Studies have shown that self-monitoring of blood pressure (BP) is effective when combined with co-interventions, but its efficacy varies in the presence of some co-morbidities. This study examined whether self-monitoring can reduce clinic BP in patients with hypertension-related co-morbidity. Methods: A systematic review was conducte...
Article
Objectives This study aimed to develop an evidence-based community pharmacist-delivered screening model for diabetes and cardiovascular disease (CVD), and assess its feasibility to identify and refer patients with elevated risk. Design A feasibility study. Setting A purposive sample of 12 community pharmacies in three cities in the United Arab Em...
Article
Full-text available
Background: People with Alzheimer's disease (AD) are less likely to use oral anticoagulants than people without AD. Objective: We investigated incidence and prevalence of warfarin and direct oral anticoagulant (DOAC) use, and determined predictors of DOAC and warfarin initiation in older people with AD and the general population. Methods: Aust...
Article
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Introduction Patients are a valuable source of information about ways to prevent harm in healthcare, and can provide feedback about the factors that contribute to safety incidents. The Primary Care Patient Measure of Safety (PC PMOS) is a novel and validated tool that captures patient feedback on safety and can be used by primary care practice team...
Article
Full-text available
Abstract Background In common with many developed countries, Saudi Arabia is currently experiencing an increasing cardiovascular disease (CVD) burden. However, systematic screening programs for early identification and minimization of CVD risk within community or general clinical settings are limited. Globally, research suggests that pharmacists ca...
Article
Full-text available
Objective To translate the German 9-item Shared Decision-Making Questionnaire (SDM-Q-9) to Arabic and assess its psychometric properties for measuring Arabic-speaking patients' perceptions of the shared decision-making (SDM) process. Design Multicentre cross-sectional study. Setting Secondary healthcare settings; outpatient clinics of 10 major ho...
Article
Full-text available
Abstract Background In common with many developed countries, Saudi Arabia is currently experiencing an increasing cardiovascular disease (CVD) burden. However, systematic screening programs for early identification and minimization of CVD risk within community or general clinical settings are limited. Globally, research suggests that pharmacists ca...
Article
Background: Screening is a critical component of efforts to reduce the population burden of cardiovascular disease (CVD), by facilitating early use of cost-effective prevention and treatment strategies. While international evidence suggests that screening in community pharmacies improves screening access and identifies at-risk individuals, concern...
Article
Full-text available
Kevin Mc Namara,1–3 Hamzah Alzubaidi,4 John Keith Jackson3 1School of Medicine, Deakin University, Geelong, VIC, Australia; 2Deakin Health Economics, Centre for Population Health, Deakin University, Geelong, VIC, Australia; 3Centre for Medicine Use & Safety, Faculty of Pharmacy & Pharmaceutical Sciences, Monash University, Melbourne, VIC, Australia...
Article
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Background Cardiovascular diseases (CVD) are the largest cause of death and disability in Australia. Australian national guidelines for the primary prevention of CVD recommend that all adults without CVD and aged 45 years or more are screened for their absolute risk of CVD every 2 years. Despite the compelling evidence to address CVD risk, treatmen...
Article
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Purpose: Clinical guidelines specify who should receive high-intensity statins; however, it is unclear how high-intensity statins are used in Australia. Our objective was to determine the demographic, clinical, and lifestyle factors associated with high-intensity statin therapy in Australia. Methods: Data from the Australian Diabetes, Obesity an...
Article
Background The benefits of professional pharmacy services in improving patient outcomes and reducing health expenditure are well documented. To a large extent, these services are not implemented in many developing countries. Objective To explore pharmacists’ perceptions of and willingness to provide professional services in the United Arab Emirates...
Article
Full-text available
Introduction: With the rising prevalence of type 2 diabetes in Australia, screening and earlier diagnosis is needed to provide opportunities to intervene with evidence-based lifestyle and treatment options to reduce the individual, social and economic impact of the disease. The objectives of the Pharmacy Diabetes Screening Trial are to compare the...
Article
Background: The benefits of pharmacist-led interventions in achieving desired patient outcomes have been well established. Effective patient-pharmacist relationships are required to provide high-quality pharmacy care. Limited information is available about how Arabic-speaking migrants with diabetes, in Australia, perceive patient-pharmacist relati...
Article
Background Lifestyle and dietary advice typically precedes or accompanies the prescription of statin medications. However, evidence for adherence to this advice is sparse. The objective was to compare saturated fat intake, exercise, alcohol consumption and smoking between statin users and non-users in Australia. Methods Data were analysed for 4614...
Article
Background: delivering appropriate care for patients with multimorbidity and polypharmacy is increasingly challenging. Challenges for individual healthcare professions are known, but only little is known about overall healthcare team implementation of best practice for these patients. Objective: to explore current approaches to multimorbidity ma...
Article
AIM: The objective of this study was to explore a new model for diabetes self-management support in Arabic-speaking migrants. METHODS: Two qualitative methods were used: face-to-face semi-structured individual interviews and focus groups. Interviews were audio-taped, transcribed verbatim and coded thematically. Arabic-speaking migrants with Type...
Article
Background: Population screening and monitoring of cardiovascular risk is suboptimal in Australian primary care. The role of community pharmacy has increased considerably, but without any policy framework for development. The aim of this study was to explore the nature of community pharmacy-based screening models in Australia, capacity to increase...
Article
Full-text available
Introduction: The rate of unplanned pregnancy in Australia remains high, which has contributed to Australia having one of the highest abortion rates of developed countries with an estimated 1 in 5 women having an abortion. The emergency contraceptive pill (ECP) offers a safe way of preventing unintended pregnancy after unprotected sex has occurred...
Article
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Objectives The objective of our study was to describe spontaneously reported haemorrhagic adverse events associated with rivaroxaban and dabigatran in Australia. Methods Data were sourced from the Australian Therapeutic Goods Administration (TGA) Database of Adverse Event Notifications between June 2009 and May 2014. Records of haemorrhagic advers...
Article
The conventional lecture has significant limitations in the higher education context, often leading to a passive learning experience for students. This paper reports a process of transforming teaching and learning with active learning strategies in a research-intensive educational context across a faculty of 45 academic staff and more than 1000 stu...
Conference Paper
Full-text available
Background/Research Question The Health Literacy in Pharmacy (HeLP) Program is an educational intervention developed for Australian community pharmacies, to refine and focus pharmacy staff behaviors to reduce the impact of limited health literacy on medicines use in Australia. A core skill in reducing risks for patients is use of ‘teach-back’ by ph...
Conference Paper
Full-text available
Background/Research Question The Health Literacy in Pharmacy (HeLP) Program is an educational intervention developed for staff of Australian community pharmacies, aiming to reduce the impact of limited health literacy on medicines misadventure in Australia. This paper explores the adoption of measures by participating pharmacies to promote a more ‘...
Article
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Background: Delivery of cardiovascular disease (CVD) prevention programs by community pharmacists appears effective and enhances health service access. However, their capacity to implement complex behavioural change processes during patient counselling remains largely unexplored. This study aims to determine intervention fidelity by pharmacists fo...
Article
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Objective To assess effectiveness and implementability of the public health programme Life! Taking action on diabetes in Australian people at risk of developing type 2 diabetes. Research design and methods Melbourne Diabetes Prevention Study (MDPS) was a unique study assessing effectiveness of Life! that used a randomized controlled trial design....
Article
Aims: To compare illness and treatment perceptions between Arabic-speaking immigrants and Caucasian English-speaking people with type 2 diabetes, and explore the relationships between these beliefs and adherence to self-care activities. Methods: A cross-sectional study was conducted in healthcare settings with large Arabic populations in metropo...
Article
Objective The objective of this study was to explore the decision-making processes and associated barriers and enablers that determine access and use of healthcare services in Arabic-speaking and English-speaking Caucasian patients with diabetes in Australia. Study setting and design Face-to-face semistructured individual interviews and group inter...
Article
AimThe aim of this study was to explore and compare medication-taking experiences and associated issues in Arabic-speaking and Caucasian English-speaking patients with Type 2 diabetes in Australia.Methods Various healthcare settings in metropolitan Melbourne, Australia, were purposefully selected to obtain a diverse group of participants with Type...
Article
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Background: Health literacy (HL) influences patients’ health status, use of the healthcare system and medication-related behaviours. However, the concept is relatively new to pharmacy and its incorporation in academic curricula has not been examined. Aims: To explore HL training in pharmacy schools internationally, and academics’ opinions in rega...
Article
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Shared decision making enables a clinician and patient to participate jointly in making a health decision, having discussed the options and their benefits and harms, and having considered the patient's values, preferences and circumstances. It is not a single step to be added into a consultation, but a process that can be used to guide decisions ab...
Article
What is known and objectives: About half of all patients taking antihypertensives discontinue treatment by 12 months. There is potential for substantial health gains at both individual and population levels through improved treatment adherence. The objective was to evaluate a community pharmacist intervention to improve adherence with antihyperten...
Article
Full-text available
Background: Several effective methods to facilitate patient self-management of hypertension are available in primary care. These include direct support from community pharmacists and general practice, and the use of home blood pressure (BP) monitoring. The aim of this study is to establish the prevalence of use of key strategies and to determine t...
Article
Background: Online learning is becoming increasingly common for undergraduate health professions. Aims: To examine the effect of an online hypertension management module in motivating undergraduate pharmacy students to further develop clinical competencies during future clinical placements. Method: The module focuses on approaches to counselling te...
Article
Measurement of adherence is complex and many methods, both direct and indirect are used; there is no universal gold standard. In this article, we share our experiences in a randomised controlled study, the Hypertension Adherence Program in Pharmacy trial, evaluating a community pharmacy-based intervention for improving adherence to antihypertensive...
Article
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b> Background : The use of pharmacological agents has been shown to slow down the progression of microvascular and macrovascular complications. Most clinical trials address one pharmacological intervention at a time. To date, only a few studies explored multi-factorial pharmacological interventions in T2DM individuals for preventing CVD related co...
Article
Social determinants of health (SDHs) are the 'social circumstances in which people are born, grow up, live, work and age, including the health system', that increase the likelihood of health inequities in society. SDHs can be social, economic, demographic or geographical in nature. Examples include social exclusion, occupational and environmental e...
Article
Rural areas require better use of existing health professionals to ensure capacity to deliver improved cardiovascular outcomes. Community pharmacists (CPs) are accessible to most communities and can potentially undertake expanded roles in prevention of cardiovascular disease (CVD). This study aims to establish frequency of contact with general prac...
Article
Full-text available
Brett et al recently described a randomised trial of cardiovascular disease (CVD) risk reduction in three general practices.1 Suboptimal trial design may be a substantial contributor of concern about the efficacy and cost-effectiveness of such primary prevention interventions by health professionals.2 We are concerned that such shortcomings also fe...
Article
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There is insufficient evidence for the efficacy of comprehensive multiple risk factor interventions by pharmacists in the primary prevention of cardiovascular disease (CVD). Given the proven benefits of pharmacist interventions for individual risk factors, it is essential that evidence for a comprehensive approach to care be generated so that pharm...
Article
Background: Traditional management of families with hypertrophic cardiomyopathy (HCM) involves periodic lifetime clinical screening, an approach that does not identify all gene carriers. Cost limitations have meant genetic testing is not part of routine management. This study sought to determine the cost-effectiveness of the addition of genetic tes...