Samantha Bunzli

Samantha Bunzli
Griffith University

PhD, Bachelor of Physiotherapy (Hons), Grad Cert (Research Methodology)

About

98
Publications
23,236
Reads
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2,029
Citations
Citations since 2017
75 Research Items
1845 Citations
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20172018201920202021202220230100200300400500
Additional affiliations
January 2015 - December 2015
Monash University (Australia)
Position
  • Research Assistant

Publications

Publications (98)
Article
SYNOPSIS: This editorial series raises awareness among clinicians about how ways of talking about orthopaedic conditions can influence what people who are seeking health care (1) think about their health and (2) what they do to manage their health. In part 1, we introduce you to ways of talking about health, using osteoarthritis as a case study. In...
Article
Full-text available
Background and aims There is increasing recognition of the importance of patient involvement in research. In recent years, there has also been growing interest in patient partnerships with doctoral studies students. However, it can be difficult to know where to start and how to go about such involvement activities. The purpose of this perspective p...
Article
Objective: To evaluate the quality of clinical practice guidelines (CPGs) for interventions in management of osteoarthritis and to provide a synthesis of high-quality CPG recommendations. Methods: Four databases (OvidSP MEDLINE, Cochrane, CINAHL, Embase and Physiotherapy Evidence Database) and four online guideline repositories were searched. Os...
Article
Full-text available
Thirty-day readmission following total knee arthroplasty (TKA) is an important outcome influencing the quality of patient care and health system efficiency. The aims of this study were (1) to ascertain the clinical importance of established risk factors for 30-day readmission risk and give clinicians the opportunity to suggest and discuss novel ris...
Article
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Importance: Discontinuation and nonpublication are established sources of avoidable waste among surgical trials, but rates of delayed completion and recruiting shortfalls remain unclear. Objectives: To examine the rate of delayed completion, incomplete enrollment, and discontinuation among randomized clinical trials in surgical populations and t...
Article
A new wave of treatments has emerged to target the altered nervous system and maladaptive conceptualizations about pain for chronic low back pain. The acceptability of these treatments is still uncertain. We conducted a qualitative study alongside a randomized controlled trial to identify perceptions of facilitators/barriers to participation in a n...
Article
Full-text available
Background and Objective Waste in clinical trials remains rife. We developed an economic model to predict the cost of trials based on input costs, duration, power, number of sites, recruitment eligibility and consenting rates.Methods We parameterised the model for three proxy placebo-controlled surgical trials using data from a systematic review, a...
Article
To enhance patient-centred care of people with hip pain, we need a comprehensive understanding of peoples' beliefs about their hip pain. This systematic review explored the beliefs and expectations of middle-aged and older adults about chronic hip pain and its care across different healthcare settings and contexts. This review was a synthesis of qu...
Article
Objective: The aim of this study was to understand and describe the lived experience of Aboriginal and Torres Strait Islander people with osteoarthritis. Methods: Qualitative study guided by cultural security, which ensures that research is conducted in a way that will not compromise the cultural values, beliefs, and expectations of Aboriginal a...
Article
Full-text available
Background: Community engagement or community involvement in Aboriginal health research is a process that involves partnering, collaborating and involving Aboriginal and Torres Strait Islander people or potential research participants to empower them to have a say in how research with Aboriginal communities is conducted. In the context of Aborigin...
Article
Background: Arthroplasty is a high-volume but costly treatment option for advanced osteoarthritis. Health literacy and patient education are modifiable factors that can improve patient outcomes in arthroplasty. Digital technologies show potential as an instrument for providing patients with reliable information. This narrative review aimed to iden...
Article
Full-text available
Background: Despite bearing a higher burden of osteoarthritis, little research has examined disparities in the access, utilisation and surgical outcomes associated with total joint replacement (TJR) among Aboriginal and Torres Strait Islander people. Methods: We conducted a retrospective cohort study to compare the sociodemographic and clinical...
Article
Objective Reduced knee confidence is common in people with knee osteoarthritis and is likely to influence how people with knee osteoarthritis engage with movement and activities. However, there is conflicting evidence surrounding the association between confidence and function. This may be because knee confidence has been assessed via a single ques...
Article
Misconceptions about osteoarthritis can disempower individuals by perpetuating beliefs that wear and tear is beyond their control and creating dependency on experts to fix the problem. Clinical discourses play a crucial role in creating awareness that patients can be empowered to take control and successfully self-manage osteoarthritis. Communicati...
Article
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Background Orthopaedic surgeries include some of the highest volume surgical interventions globally; however, studies have shown that a significant proportion of patients report no clinically meaningful improvement in pain or function after certain procedures. As a result, there is increasing interest in conducting randomised placebo-controlled tri...
Article
Full-text available
Background Approximately 1 in 5 patients feel unsatisfied after total knee arthroplasty (TKA). Prognostic tools may aid in the patient selection process and reduce the proportion of patients who experience unsatisfactory surgery. This study uses the prognostic tool SMART Choice (Patient Prognostic Tool for Total Knee Arthroplasty) to predict patien...
Article
Synopsis: In part 5 of this series, we turn our attention to concepts of rigor in qualitative research. In doing so, the use of quality appraisal tools and reporting checklists for qualitative studies is explored. Issues regarding a one-size-fits-all approach to these tools and checklists are discussed. Trustworthiness criteria are also described...
Article
Synopsis: In this editorial, we discuss common methods used in musculoskeletal qualitative research, including approaches to sampling, data collection, and data analysis. We take a particular focus in this editorial on methods that involve "speaking to people." We highlight the back-and-forth or cyclic nature of qualitative research, and introduce...
Article
Synopsis: In part 3 of "Demystifying Qualitative Research for Musculoskeletal Practitioners," we introduce the concept of "methodological approach" to encompass the plan of action that underpins the use of methods and desired outcomes, as well as the use of theory. Understanding the methodological approach in a qualitative study gives the reader a...
Article
Full-text available
Introduction Addressing disparities in arthritis care is an important yet unmet health need for Aboriginal and Torres Strait Islander people in Australia (respectfully Aboriginal people herewith). Despite the significant prevalence and burden of arthritis within Aboriginal communities, access to care for arthritis is low. One means to reduce existi...
Article
Contemporary conceptualizations of pain emphasize its protective function. The meaning assigned to pain drives cognitive, emotional, and behavioral responses. When pain is threatening, and a person lacks control over their pain experience, it can become distressing, self-perpetuating, and disabling. Although the pathway to disability is well establ...
Article
Synopsis: In this second editorial about qualitative research for musculoskeletal practitioners, we turn our attention to the foundational assumptions that underpin all qualitative research. Specifically, we discuss research paradigms, which consist of ontological and epistemological assumptions, as well as the "lens" of the researcher. Understand...
Article
Full-text available
Objective:. To investigate the factors underlying willingness to participate in a hypothetical trial among patients and surgeons, to inform the design of future placebo surgery controlled trials. Background:. Placebo surgery controlled trials are the gold standard for testing the efficacy of surgical procedures. However, these trials commonly fail...
Article
Synopsis: A progressive understanding of pain, disability, and health requires consideration of factors that may not easily be captured quantitatively. Qualitative research is a valuable tool to explore these "uncountable" phenomena and inform high-quality patient-centered care. Despite the utility of qualitative research in a musculoskeletal cont...
Article
Full-text available
Introduction Chronic hip pain in middle-aged and older adults is common and disabling. Patient-centred care of chronic hip pain requires a comprehensive understanding of how people with chronic hip pain view their health problem and its care. This paper outlines a protocol to synthesise qualitative evidence of middle-aged and older adults' views, b...
Article
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Objectives To explore whether a conceptual model of patient satisfaction previously developed 1–2 years post-total knee replacement (TKR) is still relevant 3–4 years post-TKR. Specifically, (i) what is the stability in satisfaction levels 3–4 years post-TKR? and (ii) does the existing conceptual model of patient satisfaction after TKR apply at this...
Preprint
Background Community engagement in Aboriginal health research aims to protect and empower participating individuals and communities and is an ethical requirement in research. One approach to incorporating community engagement in research is to engage a community reference group to provide oversight and cultural guidance to projects. The aim of this...
Article
Full-text available
Objectives: The COVID-19 pandemic is unprecedented as a global crisis over the last century. How do specialist surgeons make decisions about patient care in these unprecedent times? Design: Between April and May 2020, we conducted an international qualitative study. Sarcoma surgeons from diverse global settings participated in 60 min interviews...
Article
OBJECTIVE Low back pain is the leading contributor to the global disability burden. The Global Spine Care Initiative(GSCI) recommend patient-centred care to stem the cost of low back pain. One way to enhance patient-centred care is by better understanding what is relevant for people with low back pain. Exploring social media posts about low back pa...
Article
Full-text available
The sacroiliac joint (SIJ) is often considered to be involved when people present for care with low back pain where SIJ is located. However, determining why the pain has arisen can be challenging, especially in the absence of a specific cause such as pregnancy, disease, or trauma, when the SIJ might be identified as a source of symptoms with the he...
Article
The digital age is entrenched in our society, with constant innovation driving change in the way clinicians and patients manage their health concerns. Health literacy is emerging as an important modifiable factor that can affect clinical and patient outcomes, yet traditional forms of patient education have shown mixed results. Digital media and tec...
Article
Objective The objectives of this cross-sectional qualitative study were to explore the perspectives of students enrolled in one physical therapist undergraduate education program in Australia about their experience with transitioning to full eLearning and student recommendations to improve the learning experience during the COVID-19 pandemic. Meth...
Article
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Background Placebo-controlled surgical trials are recognised as the gold standard way to test the efficacy of a surgical procedure. Despite a rise in arthroscopic subacromial decompression (ASD) surgeries for the treatment of shoulder pain, only two placebo-controlled surgical trials have been conducted. These trials encountered significant recruit...
Article
Little research has examined how disparities in surgical care access and outcomes contribute to Aboriginal health. In this narrative review and call to action, we discuss five care points along the journey to high‐quality surgical care; health care seeking, primary health care services, specialist services, surgery and surgical outcomes. We highlig...
Article
Objective To explore the ways in which people talk about knee osteoarthritis and how this may influence engagement in physical activity and activity-based interventions as recommended by clinical practice guidelines. Design A qualitative synthesis using discourse analysis methods. Methods Systematic review methods were used to identify qualitativ...
Article
Full-text available
Total knee arthroplasty (TKA) is a highly effective procedure for advanced osteoarthritis of the knee. Thirty-day hospital readmission is an adverse outcome related to complications, which can be mitigated by identifying associated risk factors. We aimed to identify patient-related characteristics associated with unplanned 30-day readmission follow...
Article
Objective: To explore whether placebo surgery controlled trials achieve what they set out to do by investigating discrepancy between projected and actual aspects of trials identified through systematic review methods. Summary background: Interest in placebo surgery controlled trials is growing in response to concerns regarding unnecessary surger...
Article
Full-text available
Osteoarthritis is a highly prevalent and disabling disease, causing a significant individual and socioeconomic burden worldwide. Until now, there has been a dearth of research exploring the impact of osteoarthritis in global Indigenous communities. Osteoarthritis has a similar risk factor profile to many chronic diseases that disproportionately aff...
Article
Full-text available
The COVID-19 (SARS-CoV-2) pandemic has changed the social environment in which people live and work, as well as the social systems they rely on. To contain the spread of coronavirus and to prepare for a dramatic increase in demand for limited hospital/medical facilities and resources, societies have enforced physical distancing measures. Consequent...
Article
Background Beliefs about the body and pain play a powerful role in behavioural and emotional responses to musculoskeletal pain. What a person believes and how they respond to their musculoskeletal pain can influence how disabled they will be by it. Importantly, beliefs are modifiable and are therefore considered an important target for the treatmen...
Article
Background: Patient satisfaction is a common measure of the success of an orthopaedic intervention. However, there is poor understanding of what satisfaction means to patients or what influences it. Questions/purposes: Using qualitative study methodology in patients undergoing TKA, we asked: (1) What does it mean to be satisfied after TKA? (2) W...
Article
Introduction Fifty per cent of patients consent for total knee replacement (TKR) with unrealistic expectations about what it involves and can achieve. A framework is needed to help surgeons identify key knowledge gaps and misconceptions that can be targeted during the informed consent process. In this qualitative study, we explored knowledge gaps a...
Article
Aims Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients’ quality of life. Informed decisions are important for patients facing TJR. The quality of information provided by websites regarding TJR is highly variable. We aimed to measure the quality of TJR information online. Methods We identified 10,800 websites...
Article
Full-text available
Aims Total joint replacement (TJR) is a high-cost, high-volume procedure that impacts patients’ quality of life. Informed decisions are important for patients facing TJR. The quality of information provided by websites regarding TJR is highly variable. We aimed to measure the quality of TJR information online. Methods We identified 10,800 websites...
Article
Full-text available
Introduction In order to properly evaluate the efficacy of orthopaedic procedures, rigorous, randomised controlled sham surgery trial designs are necessary. However, randomised controlled trials (RCTs) for surgery involving a placebo are ethically debated and difficult to conduct with many failing to reach their desired sample size and power. A rev...
Article
Full-text available
Objective Patient satisfaction is considered an important outcome measure after total knee replacement, but the construct is complex. There is large variation both in how satisfaction is measured and estimates of the proportion of people who are satisfied after surgery. The aim of this systematic review was to i) evaluate the proportion of people r...
Article
Objectives Clinicians who use the biopsychosocial approach to manage musculoskeletal pain disorders aim to understand how patients make sense of their symptoms. Treatment includes targeting the negative beliefs and coping responses that can lead to progressive pain and disability. We aimed to explore how people seeking care for persistent hip pain...
Article
Full-text available
Introduction Development and implementation of appropriate health policy is essential to address the rising global burden of non-communicable diseases (NCDs). The aim of this study was to evaluate existing health policies for integrated prevention/management of NCDs among Member States of the Organisation for Economic Co-operation and Development (...
Article
Full-text available
Objectives Systematically review the qualitative literature on living with knee osteoarthritis from patient and carer perspectives. Design Systematic review of qualitative studies. Five electronic databases (CINAHL, Embase, MEDLINE, PsycINFO, SPORTDiscus) were searched from inception until October 2018. Data were synthesised using thematic and con...
Article
Full-text available
Objectives General practitioners (GPs) are often the first health professionals to assess patients with osteoarthritis (OA). Despite clinical guideline recommendations for non-surgical intervention as first-line therapies, the most frequent referral from a GP for a person with knee OA is to an orthopaedic surgeon. The aim of our study was to explor...
Article
The sacroiliac joint (SIJ) is often considered to be involved when people present for care with low back pain where the sacroiliac joint (SIJ) is located. However, determining why the pain has arisen can be challenging, especially in the absence of a specific cause such as pregnancy, disease, or trauma, where the SIJ may be identified as a source o...
Article
Background: In contrast to best practice guidelines for knee osteoarthritis (OA), findings from several different healthcare settings have identified that nonsurgical treatments are underused and TKA is overused. Empirical evidence and qualitative observations suggest that patients' willingness to accept nonsurgical interventions for knee OA is lo...
Article
Objectives: Post-traumatic stress disorder (PTSD) symptoms are common among people with whiplash following a motor vehicle crash. The Impact of Events Scale - Revised (IES-R) screens for PTSD symptoms with psychologist referral recommended for above-threshold scores. Recent data indicate that PTSD symptoms post-whiplash may relate more to pain and...
Article
Background: Formally trained and accredited physiotherapists delivered Stress Inoculation Training (SIT) integrated with guideline-based physiotherapy management to individuals with acute whiplash associated disorders (WAD) as part of a randomised controlled trial. The delivery of SIT by physiotherapists is new. Objectives: To investigate physio...
Article
Full-text available
South African Orthopaedic Journal Background: An increasing trend for sham surgery trials in minor orthopaedic procedures has been observed. Trial outcomes have changed the practice landscape of these procedures. However, there has been no sham surgery trial in a major orthopaedic procedure. The aims of this systematic review were to consider the e...
Article
Objective: Musculoskeletal pain (MSP) conditions are the biggest cause of disability and internationally, Indigenous peoples experience a higher burden. There are conflicting reports about Aboriginal Australians and MSP. We conducted a systematic review to describe the prevalence, associated factors, impacts, care access, health care experiences,...
Article
Full-text available
Objectives The demand for total knee arthroplasty (TKA) is increasing. Differentiating who will derive a clinically meaningful improvement from TKA from others is a key challenge for orthopaedic surgeons. Decision aids can help surgeons select appropriate candidates for surgery, but their uptake has been low. The aim of this study was to explore th...
Article
Synopsis Pain-related fear is implicated in the transition from acute to chronic low back pain and the persistence of disabling low back pain, making it a key target for physiotherapy intervention. The current understanding of pain-related fear is that it is a psychopathological problem where people who catastrophise about the meaning of pain becom...
Article
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Background Return to work (RTW) is important for recovery post-injury. Fear of (re)injury is a strong predictor of delayed RTW, and therefore much attention has been given to addressing injured workers’ fear beliefs. However, RTW is a socially-negotiated process and it may be important to consider the wider social context of the injured worker, inc...
Article
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Question: What are physiotherapists' perspectives on managing the cognitive, psychological and social dimensions of chronic low back pain after intensive biopsychosocial training? Design: Qualitative study design using semi-structured interviews to explore physiotherapists' perceptions of their identification and treatment of the biopsychosocial...
Article
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Background In Australia, general practitioners (GPs) see around two-thirds of people injured in road traffic crashes. Road traffic crash injuries are commonly associated with diverse physical and psychological symptoms that may be difficult to diagnose and manage. Clinical guidelines have been developed to assist in delivering quality, consistent c...
Conference Paper
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iii) Background: Several studies have demonstrated that negative low back pain beliefs are related to chronic low back pain (CLBP) disability. Changing these negative beliefs is an integral part of CLBP management but an effective way to change beliefs has yet to be determined. Several treatment interventions such as simple education, psychological...
Conference Paper
Full-text available
iii) Background: Clinicians and patients have commonly reported that the clinician-patient interaction is an important factor in the outcome of musculoskeletal pain. Clinician-patient interaction incorporates factors such as clinician empathy and listening, patient-clinician communication, shared goals, confidence and trust in clinicians, non-verba...
Article
Background: Cognitive Functional Therapy has been shown to reduce pain and disability in people with chronic low back pain. Objectives: To investigate participants' experience of Cognitive Functional Therapy by comparing those who reported larger or smaller improvements with treatment, potentially yielding insight into the implementation of this...
Poster
Full-text available
Poster presented at the 36th Annual Scientific Meeting of the Australian Pain Society.