Mary O'Keeffe

Mary O'Keeffe
The University of Sydney

PhD

About

107
Publications
40,155
Reads
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1,981
Citations

Publications

Publications (107)
Article
Full-text available
Background Understanding how people use infographics and their opinion on them has important implications for the design of infographics but has not been investigated. The aim of this study was to describe people’s use of and opinions about infographics summarising health and medical research, preferences for information to include in infographics,...
Article
Full-text available
BACKGROUND AND OBJECTIVES Up to one third of children may be diagnosed with growing pains, but considerable uncertainty surrounds how to make this diagnosis. The objective of this study was to detail the definitions of growing pains in the medical literature. METHODS Scoping review with 8 electronic databases and 6 diagnostic classification system...
Article
Objective To evaluate the effects of a patient decision aid for people considering shoulder surgery. Methods Participants with shoulder pain considering shoulder surgery (n=425) were recruited online and randomised to i) a decision aid outlining the benefits and harms of shoulder surgery and non-surgical options (then randomised to a side-by-side...
Article
Background: Diagnostic labels may influence treatment intentions. We examined the effect of labelling low back pain (LBP) on beliefs about imaging, second opinion, surgery, seriousness, recovery, work, and physical activities. Methods: Six-arm online randomised experiment with blinded participants with and without LBP. Participants received one...
Article
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Background Infographics have become an increasingly popular method to present research findings and increase the attention research receives. As many scientific journals now use infographics to boost the visibility and uptake of the research they publish, infographics have become an important tool for medical education. It is unknown whether such i...
Article
Background Most people who suffer an anterior cruciate ligament (ACL) injury search for information online. Objectives Summarise the proportion of webpages on ACL rupture management that present evidence-based information. Design Content analysis. Methods We examined webpage information on ACL ruptures identified through (1) Google searches usin...
Article
Background It is unknown whether online information about the benefits and harms of surgery contains an accurate description of evidence. Objective To describe the proportion of webpages containing information about surgery for spinal pain (decompression and fusion) that accurately described the evidence on the benefits of surgery, described harms...
Article
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Aim To compare and contrast the diagnostic codes for spinal causes of low back pain (LBP) in 3 disease classification systems (International Classification of Diseases [ICD]-10, International Classification of Primary Care [ICPC]-2 PLUS and Systematized Nomenclature of Medicine Clinical Terms - Australia [SNOMED CT-AU]) and consider how well they a...
Article
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Objectives Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed. Setting We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment. Participants 1308 people with and without shoulder pain...
Article
In Reply We fully agree with the views put forward by du Perron and Finoulst¹ in their response to our Research Letter on the media coverage of early detection tests.² In fact, in a recent survey study that we conducted with 22 journalists in Australia, many of the journalists emphasized the importance of institutions (eg, universities) taking resp...
Preprint
Full-text available
Objective To better understand the characteristics of, and requirements for, lay summaries by reviewing journals, global health organisations, professional medical associations and multi-disciplinary organisations, consumer advocacy groups and funding bodies. Design Using a scoping review methodology, we searched the websites of each identified dat...
Article
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Objective Promotional media coverage of early detection tests is an important driver of overdiagnosis. Following research evidence that global media coverage presents the benefits of testing healthy people far more frequently than harms, and gives little coverage to overdiagnosis, we sought to examine journalists’ views on media reporting of tests,...
Article
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Objective : To summarise the proportion of consumer webpages on subacromial decompression and rotator cuff repair surgery that make an accurate portrayal of the evidence for these surgeries (primary outcome), mention the benefits and harms of surgery, outline alternatives to surgery, and make various surgical recommendations. Design Content analys...
Article
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Introduction Completeness of Global Burden of Disease (GBD) Study data is acknowledged as a limitation. To date, no study has evaluated this issue for low back pain, a leading contributor to disease burden globally. Methods We retrieved reports, in any language, based on citation details from the GBD 2017 study website. Pairs of raters independent...
Article
Full-text available
Innovations in technologies for early detection of diseases, such as breast cancer, dementia, and atrial fibrillation, are gaining increasing attention. The media is a key avenue through which tests are promoted to asymptomatic individuals, and it could have an important role in encouraging realistic expectations of the benefits and harms of early...
Article
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Objective: To investigate whether different labels for rotator cuff disease influence people's perceived need for surgery. Design: Randomized controlled experiment. Methods: Participants with and without shoulder pain read a vignette describing a patient with rotator cuff disease, and were randomized to one of six labels: subacromial impingeme...
Article
Objective To investigate whether intensive supervised rehabilitation following ACL reconstruction leads to superior self-reported function and sports participation compared to less supervised rehabilitation. Design Systematic review and meta-analysis. Data sources We performed electronic database searches in several key databases and trial regist...
Article
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Shared decision making is recommended as a strategy to help patients identify what matters most to them and make informed decisions about musculoskeletal care. In part 5 of the Overcoming Overuse series, we look at the evidence supporting shared decision making as a strategy to help curb overuse. Using shared decision making in clinical consultatio...
Article
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Objective To determine whether rates of ED presentations because of low back pain (LBP) have increased from 2016 to 2019 in New South Wales and map the geographical distribution of ED presentations because of LBP across New South Wales. Methods We sourced data from the New South Wales Emergency Department Records for Epidemiology. We included all...
Article
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Objective To investigate the efficacy and safety of antidepressants for back and osteoarthritis pain compared with placebo. Design Systematic review and meta-analysis. Data sources Medline, Embase, Cochrane Central Register of Controlled Trials, CINAHL, International Pharmaceutical Abstracts, ClinicalTrials.gov, and the World Health Organization...
Article
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The challenge of overuse raises important questions for those in the business of musculoskeletal health care. What is the right number of physical therapy visits for a given condition? Can a practice provide "less" but still be profitable? In this, the editorial on overcoming overuse of musculoskeletal health care, we consider the economic drivers...
Article
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Overcoming overuse in musculoskeletal health care requires an understanding of its drivers. In this, the third article in a series on "Overcoming Overuse" of musculoskeletal health care, we consider the drivers of overuse under 4 domains: (1) the culture of health care consumption, (2) patient factors and experiences, (3) clinician factors and expe...
Article
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In this series on "Overcoming Overuse," we explore the issue of health care overuse and how it may be identified in musculoskeletal physical therapy. In part 2, we frame health care overuse as a continuum from overuse to appropriate care, and consider how to measure overuse. We describe how overuse can be defined within a framework of care that is...
Article
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Question Do program and participant characteristics influence people's willingness to undertake exercise programs to prevent recurrence of low back pain? Design Discrete choice experiment. Participants Six hundred and forty-seven people with a recent history of low back pain. Data collection Recruitment and participation occurred online. Partici...
Article
Objective To evaluate the effects of information format on intentions to request diagnostic imaging for non-specific low back pain in members of the public. Methods We performed a three arm, 1:1:1, superiority randomised trial on members of the public. Participants were randomised to one of the three groups: a Standard Care Leaflet group (standard...
Article
Background: Cognitive Functional Therapy (CFT) is a physiotherapist-led individualized intervention for people with people with non-specific chronic low back pain (CLBP), involving biopsychosocial pain education, graded movement exposure and lifestyle coaching. Methods: A multicentre randomized controlled trial (RCT), including 206 participants...
Article
Objective: The objective of this study was to evaluate the effectiveness of implementation strategies aimed at improving the adherence of physical therapists' treatment choices to clinical practice guidelines for a range of musculoskeletal conditions. Methods: For this review, searches were performed in several databases combining terms synonymo...
Article
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Objective To determine the effectiveness of hip arthroscopic surgery for the treatment of femoroacetabular impingement syndrome (FAI). Design Systematic review with meta-analysis. Data sources We performed electronic database searches in MEDLINE, Embase, SPORTDiscus, CINAHL, Cochrane Central Register for Controlled Trials (CENTRAL), Web of Scienc...
Article
Full-text available
Patient decision aids are evidence-based tools designed to help patients make specific and deliberated choices among healthcare options. Research shows that patient decision aids increase knowledge, accuracy of risk perceptions, alignment of care with patient values and preferences, and patient involvement in decision making. Some patient decision...
Preprint
Full-text available
Objectives: To systematically review the efficacy and safety of antidepressants for patients with spinal pain (including sciatica) and osteoarthritis of the hip and knee. Eligibility criteria: We will include randomised placebo-controlled trials published as full-text in peer-reviewed journals enrolling Participants with a diagnosis of non-specific...
Article
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Objective: The aim of this systematic review was to determine what percentage of physical therapists provide interventions that are of high value, low value, or unknown value for cardiorespiratory conditions, neurological conditions, or conditions requiring acute hospital care. Whether an intervention was considered high or low value was determine...
Article
Full-text available
This is the first article in a series on "Overcoming Overuse" in musculoskeletal health care. Overuse is the use of services that are unlikely to improve patient outcomes, result in more harm than benefit, and would not be desired by an informed patient. The Overcoming Overuse series explores the myriad ways diagnostic tests and treatments are over...
Article
Aims: Drug regulators issue safety advisories to warn clinicians and the public about new evidence of harmful effects of medicines. It is unclear how often these messages are covered by the media. Our aim was to analyse the extent of media coverage of two medicines that were subject to safety advisories from 2007 to 2016 in Australia, Canada, Unit...
Conference Paper
Background Shared decision-making can reduce the uptake of some unnecessary tests and procedures. Although awareness of shared decision-making is increasing, overuse of diagnostic tests for common clinical conditions, such as low back pain, remains high. Recent public health campaigns, such as the ‘Choosing Wisely’ Initiative, attempt to persuade c...
Article
Background: Pain is common in older adults, and associated with increased morbidity and reduced quality of life. Recent research has highlighted different classes of older adults with pain, each with differing impacts on their life. It has not yet been investigated if, and how, such classes change over time and what influences individuals to prosp...
Article
Full-text available
Background One-size-fits-all interventions reduce chronic low back pain (CLBP) a small amount. An individualised intervention called cognitive functional therapy (CFT) was superior for CLBP compared with manual therapy and exercise in one randomised controlled trial (RCT). However, systematic reviews show group interventions are as effective as one...
Article
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Objectives Physicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists’ treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskeletal conditions agree with manag...
Article
Full-text available
Introduction Much testing in medicine is aimed at healthy people to facilitate the early detection of health conditions. However, there is growing evidence that early detection is a double-edged sword that may cause harm in the form of overdiagnosis. The media can be seen as a major generator of consumer demand for health services. Previous researc...
Article
Background: Persistent strength deficits secondary to Achilles tendinopathy (AT) have been postulated to account for difficulty engaging in tendon-loading movements, such as running and jumping, and may contribute to the increased risk of recurrence. To date, little consensus exists on the presence of strength deficits in AT. Consequently, researc...
Article
Aim: To investigate the beliefs of healthcare students about how harmful common daily activities are perceived to be for their lower back. Method: A cross-sectional survey of Physiotherapy, Occupational Therapy and General Nursing pre-registration students in Ireland. Two hundred and forty two students completed the modified Photograph Series of Da...
Article
Full-text available
Introduction Nudge-interventions aimed at health professionals are proposed to reduce the overuse and underuse of health services. However, little is known about their effectiveness at changing health professionals’ behaviours in relation to overuse or underuse of tests or treatments. Objective The aim of this study is to systematically identify a...
Article
Background: Low back pain (LBP) affects millions of people worldwide, and misconceptions about effective treatment options for this condition are very common. Websites sponsored by organizations recognized as trustworthy by the public, such as government agencies, hospitals, universities, professional associations, health care organizations and con...
Article
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This study aims to investigate the validity and reliability of a novel plastic optical fiber (POF) sensor, which was developed to measure the angles of flexion, extension and lateral bend at the lumbar region. The angles of flexion, extension and lateral bend for a standing position were measured simultaneously using both the novel POF sensor of th...
Article
Adolescent low back pain has received limited research attention despite its potentially considerable impact on quality of life. The role of diagnostic triage to identify serious or specific pathology and/or order relevant investigations is considered. An overview of contemporary pain mechanisms is provided, with specific reference to the wide rang...
Preprint
Full-text available
BACKGROUND Background: Low back pain (LBP) affects millions of people worldwide, and misconceptions about effective treatment options for this condition are very common. As the Internet has become the primary source of health information for many people. OBJECTIVE To determine the credibility, accuracy and comprehensiveness of treatment recommenda...
Article
Full-text available
Background & aims: Malnutrition in older adults results in significant personal, social, and economic burden. To combat this complex, multifactorial issue, evidence-based knowledge is needed on the modifiable determinants of malnutrition. Systematic reviews of prospective studies are lacking in this area; therefore, the aim of this systematic revi...
Article
Background & aims: Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions. Methods: Available studies within...
Article
Question: What are staff and patients' perceptions of physiotherapists working in the emergency department (ED)? Design: Systematic review of qualitative studies. Participants: Staff working in EDs and patients presenting to the ED and managed by ED physiotherapists. Outcome measures: Perceptions of ED staff and patients were synthesised usi...
Conference Paper
Objectives To review all randomised controlled trials that have assessed the effect of nudge-type interventions on clinician treatment, screening, and testing behaviours across all health conditions. Method A systematic review of randomised controlled trials. Two reviewers are conducting the electronic searches of six databases independently.We ar...
Conference Paper
Full-text available
Objectives The aim of this scoping review was to define concepts and map the available research in the area of overdiagnosis, overtreatment and low-value care relevant to physiotherapy by answering the following questions: • When did the concept of ‘low-value’ physiotherapy start to be discussed in the literature? • What terms are being used to de...
Article
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Biomedical approaches for diagnosing and managing disabling low back pain (LBP) have failed to arrest the exponential increase in health care costs, with a concurrent increase in disability and chronicity. Health messages regarding the vulnerability of the spine and a failure to target the interplay among multiple factors that contribute to pain an...
Article
Pain significantly restricts the quality of life and well-being of older adults. With our increasingly ageing population, it is important to examine whether differing classes of biopsychosocial risk factors can predict the development of pain in older adults. Latent class analysis (LCA) provides a model-based approach to identifying underlying subg...
Article
Full-text available
Specific patient cohorts are at increased risk of vascular calcification. Functional matrix-gla protein (MGP), a tissue-derived vitamin K dependent protein, is reported to be an important inhibitor of vascular calcification and may have clinical potential to modify the progression of vascular calcification through regulation of functional MGP fract...
Article
Objectives: To determine the associations between training load, baseline characteristics (e.g. age or previous injury) and rate of musculoskeletal injury and/or pain specifically within an Endurance Sporting Population (ESP). Design: Prospectively registered systematic review. Methods: Eight electronic databases were searched by two independe...