Terri Pikora

Terri Pikora
The Rural Clinical School Of Western Australia

PhD

About

62
Publications
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Publications

Publications (62)
Preprint
Background There is limited literature around how palliative care organizations determine the degree to which they will interface with voluntary assisted dying in jurisdictions where it is legal. The aim of this research was to describe the experience of the board of management of an Australian community-based hospice during their decision-making p...
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Full-text available
Background There is a lack of research to guide the implementation of voluntary assisted dying legislation within a hospice setting. Furthermore, there is limited published information related to the expectations of the community and staff to assist decision making regarding voluntary assisted dying in a community hospice. The aim of this study was...
Preprint
Full-text available
Background: There is a lack of research to guide the implementation of voluntary assisted dying legislation within a hospice setting. Furthermore, there is limited published information related to the expectations of the community and staff to assist decision making regarding voluntary assisted dying in a community hospice. The aim of this study wa...
Article
Objective To measure satisfaction with general practitioner obstetrician-led maternity care in Western Australia and to explore perspectives of maternity service users Design Women were recruited at antenatal visits with their general practitioner obstetrician. Participants completed a validated three-part survey about their satisfaction with ante...
Article
Background Models of care that increase specialist medical services to regional or remote patients are being explored worldwide. Many of the models include telehealth (also called telemedicine or video‐conferencing consultations) alone or in combination with traditional face‐to‐face clinics visits. Aim This study reports the experience of patients...
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Whilst the transition from school to adult roles can be challenging for any adolescent, for those with an intellectual disability it can present as a particularly difficult time both for the individual and their family. The process may involve coordinated planning, collaboration and decision-making among school staff, families and community agencie...
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To examine the prevalence of medical conditions and use of health services among young adults with Down syndrome and describe the impact of these conditions upon their lives. Using questionnaire data collected in 2011 from parents of young adults with Down syndrome we investigated the medical conditions experienced by their children in the previous...
Chapter
Data linkage is the bringing together of specific datasets from different sources using demographic information on individuals within a population. In Western Australia, systematic record linkages between multiple datasets including births, deaths, and hospital morbidity have occurred since 1997. Linkage to other population datasets related to inte...
Article
Aim: Tobacco smoking is a leading cause of preventable mortality and morbidity. Since 1991, the Western Australian Health Promotion Foundation (Healthway) has sponsored the arts and sport in exchange for cigarette smoke-free events, smoke-free policies and the promotion of anti-smoking messages (e.g. Quit, Smoke Free or Smarter than Smoking). As h...
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Children with Down syndrome, the most common genetic cause of intellectual disability, are prone to multiple and varied health-related problems. This study describes patterns of hospitalisations for children and young people with Down syndrome in Western Australia. Birth records were linked to the Western Australian population-based Intellectual Di...
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AimTo investigate the relationship between functioning and post-school day occupation for young adults with Down syndrome. Methods Families of young people with Down syndrome (n = 269) aged 15-30 years in 2009 were recruited from the population-based Down syndrome Needs Opinion Wishes' database in Western Australia. Questionnaires were mailed to pa...
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Background: The arts and health evidence base needs to be grounded by common terminology and concepts from which original research and comparative studies can be developed. The aim of this study was to elucidate terminology central to understanding the arts and health causal pathway by defining arts engagement via art forms, activities and level (m...
Article
The objective of this review was to summarize the epidemiological literature for surfboard riding (surfing), kite surfing and personal watercraft (PWC) riding injuries and describe the incidence and nature of these injuries, common risk factors, and strategies for prevention. The databases searched for relevant publications included Medline, Scienc...
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We investigated risk factors associated with ascending rapidly and/or losing buoyancy control among recreational divers. Dive and diver information were collected and depth/time loggers attached to recreational divers. Case dives recording an ascent > 18 m per min were compared with control dives made at the same dive site and time by divers record...
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The aim of this study was to investigate risk factors associated with running low on gas among certified recreational divers. Dive and diver information were collected from divers joining organised recreational dives in Western Australia and depth/time loggers were attached to each diver. Case dives ending with < 50 bar in the cylinder were compare...
Article
To identify, describe and compare injuries among three water sport activities: kite surfing (KS), personal watercraft (PWC) and towed water sports (TWS). The study was a cross sectional, online survey. The setting was on Perth, Western Australia's popular beaches and riverbanks. Main outcome measures were number of injuries and level of severity; l...
Article
To reduce the number of recreational boating injuries and incidents, appropriate educational measures are important to improve boat operator safety practice. A tool (the boating safety scale (BSS)) to measure safe practice was developed and tested among Western Australian recreational boaters. The BSS allowed the identification of factors influenci...
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In Western Australia (WA), approximately 40 divers suffer decompression sickness per year, many after exceeding accepted safe time and depth limits. Divers on organised recreational scuba dives wore depth/time loggers. Dives ('case' dives) exceeding the Diving Science and Technology gas-content limits (M-values) were matched to control dives made a...
Article
The impact of neighborhood walkability (based on street connectivity and traffic exposure) within 2 km of public primary schools on children regularly walking to school was examined. The most (n=13) and least walkable (n=12) schools were selected using a school-specific 'walkability' index and a cross sectional study undertaken of Year 5, 6 and 7 c...
Article
This study investigated the relationship between individual and neighborhood environmental factors and cycling for transport and for recreation among adults living in Perth, Western Australia. Baseline cross-sectional data from 1813 participants (40.5% male; age range 18 to 78 years) in the RESIDential Environment (RESIDE) project were analyzed. Th...
Article
To investigate recreational scuba diving fatalities within Western Australia (WA) between 1992 and 2005. Coroners reports for 24 diving fatalities were reviewed to determine anthropometry, certification status and breaches of safe practices for each. Certification status was known for 20 divers and of these six (30%) were uncertified. Certified div...
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Scuba diving experts suggested and ranked potential causes of three known risk factors for scuba diving incidents: running out of air, losing buoyancy control and making rapid ascents. Three types of scuba diving expert participated: medical experts, divemasters and expert divers. In three rounds, consensus was reached for 28 (58%) of 48 suggested...
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A lack of recent diving experience is often cited as relevant in analyses of diving fatalities. The purpose of this study was to measure diving inactivity amongst trained scuba divers within Western Australia and to identify reasons for extended diving inactivity. In March 2005, self-administered surveys were mailed through 22 diving training centr...
Article
Recreational boating is a popular leisure time activity in many countries. It is estimated that, in Australia, boating incidents cause more harm than rail and air crashes combined and, in terms of transport, are second only to motor vehicle crashes as a cause of serious injury. The consumption of alcohol among recreational boaters is considered an...
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This study explored the relationship between social capital and aspects of the built environment, focusing in particular on the walkability of suburbs as determined by street network design and the mix of land uses. We measured social capital and feelings of personal safety in 335 residents of three suburbs in metropolitan Perth, WA, and collected...
Article
To describe the design and baseline results of an evaluation of the Western Australian government's pedestrian-friendly subdivision design code (Liveable Neighborhood (LN) Guidelines). Baseline results (2003-2005) from a longitudinal study of people (n=1813) moving into new housing developments: 18 Liveable, 11 Hybrid and 45 Conventional (i.e., LDs...
Article
This study aimed to develop a reliable instrument, the Dogs and Physical Activity (DAPA) tool, for measuring important attributes and scales relating to the dog-walking behavior of dog owners. Items measuring dog-specific individual, social environmental, physical environmental, and policy-related factors that affect dog owners' walking with their...
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There is growing interest in the impact of community design on the health of residents. In 1998, the Western Australian Government began a trial of new subdivision design codes (i.e. Liveable Neighbourhoods Community Design Code) aimed at creating pedestrian-friendly neighbourhoods to increase walking, cycling and public transport use. The trial pr...
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Facilitating community action is a key goal of health promotion. This paper describes a public health advocacy framework. It then presents a case study of its application for planning community action by a community alliance concerned about increased heavy traffic on roads through a small regional city in the South West region of Western Australia....
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Background The objectives of this study were to use the Rasch model to 1) assess the psychometric properties of a physical environmental audit instrument and 2) to develop indices of interrelated environmental attributes that summarize environmental supportiveness for walking. Methods A set of items were derived representing two conceptual physica...
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Background Information regarding how far people are willing to travel to use destinations for different types of recreational physical activity behaviors is limited. This study examines the demographic characteristics, neighborhood opportunity and specific-physical activity behaviors associated with distances traveled to destinations used for recre...
Article
The RESIDential Environment project (RESIDE) is a longitudinal study evaluating the impact of a new residential design code on walking. To develop a reliable measure of walking--undertaken within and outside the neighborhood--and overall physical activity. A test-retest reliability study was undertaken (n = 82, mean age 39 years). The instrument wa...
Article
The physical environment plays an important role in influencing participation in physical activity, although the specific factors that are correlated with different patterns of walking remain to be determined. We examined correlations between physical environmental factors and self-reported walking for recreation and transport near home. The local...
Article
This paper describes the results of an online survey that examined commuting patterns, potential for change and barriers and motivators affecting transport decisions in a University population (n=1040 students, n=1170 staff). Overall, 21.5% of staff and 46.8% of students at The University of Western Australia regularly used active modes, and potent...
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Ecological models are now used to understand the complex array of factors that influence physical activity, resulting in a greater emphasis on environmental correlates. This selective review examines whether the predictive capacity of these models could be improved if behavior-specific measures of the environment were used to predict context-specif...
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To investigate whether regular check ups and preventive drug use reduce asthma symptoms in school children. Cross sectional retrospective questionnaire responses obtained from 2193 children aged 6-7 years in 34 primary schools, and 3650 children aged 13-14 years in nine secondary schools, selected at random by cluster sampling. Asthma severity in t...
Article
The physical environment has the potential to influence the physical behaviours of large numbers of people; hence creating supportive environments has the potential to increase physical activity (PA). During the last decade, there has been growing interest in how the physical environment shapes PA behaviour. This area of research is important given...
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To examine associations between environmental and lifestyle factors and overweight or obesity. A cross-sectional survey and an environmental scan of recreational facilities. Metropolitan Perth, Western Australia. Healthy sedentary workers and homemakers aged 18 to 59 years (n = 1803) living in areas within the top and bottom quintiles of social dis...
Article
The focus for interventions and research on physical activity has moved away from vigorous activity to moderate-intensity activities, such as walking. In addition, a social ecological approach to physical activity research and practice is recommended. This approach considers the influence of the environment and policies on physical activity. Althou...
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The physical environment plays an important role in influencing participation in physical activity, although which factors of the physical environment have the greatest effect on patterns of activity remain to be determined. We describe the development of a comprehensive instrument to measure the physical environmental factors that may influence wa...
Article
To facilitate the banning of tobacco industry sponsorship, Australian health promotion foundations were established to provide health sponsorship to sport, arts, and racing organizations. Health sponsorship dollars procure health sponsorship benefits such as naming rights, signage, personal endorsement of a (health) product by a performer or player...
Article
In recent years, there has been a move toward designing "liveable" communities from a social, economic and environmental point of view. One aim of this design is to create communities in which walking is a feasible mode of transport. In walkable neighbourhoods, residents are within easy walking distance of shops, schools and local services. It has...
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The association of environmental factors with atopic disease in children remains poorly understood. The aim of this study was to investigate the relationship between socio-environmental factors and symptoms of asthma and atopy in 6-7-yr-old children assessed as an adjunct to Phase I of the International Study of Asthma and Allergy in Childhood in P...
Article
Laparoscopic cholecystectomy was introduced to Western Australia in 1991 and has become the method of choice for this procedure, although there are concerns about complications, particularly bile duct injuries. Previous studies have investigated this problem but have not confirmed the accuracy of coded information. We used Record Linkage to link op...
Article
This study investigated the level of implementation of and adherence to smoke-free policies in two major sporting venues in Perth. Smoking status and attitude toward the smoke-free policies in the venues were determined in a random sample of spectators as they entered each venue. An observational study of randomly selected non-smoking seated areas...
Article
Laparoscopic cholecystectomy was introduced to Western Australia in 1991 and has become the method of choice for this procedure, although there are concerns about complications, particularly bile duct injuries. Previous studies have investigated this problem but have not confirmed the accuracy of coded information. We used Record Linkage to link op...
Article
Previous studies suggest that laparoscopic cholecystectomy (LC) is associated with an increased risk of intraoperative injury involving the bile ducts, bowel, and vascular structures compared with open cholecystectomy (OC). Population-based studies are required to estimate the magnitude of the increased risk, to determine whether this is changing o...
Article
SUMMARY The Western Australian Health Promotion Foundation (Healthway) provides sponsorship support to sports, arts and racing (SAR) organisations to promote health within their activities, and has a unique sponsorship system whereby sponsored organisations are matched with a health agency support sponsor. The health agency receives a sponsorship b...
Article
Background: The RESIDential Environment (RESIDE) project is an ecological longitudinal study designed to examine the impact of elements of urban design on walking for recreation and transport. It will evaluate the effect of the 'Liveable Neighbourhoods (LN) Planning Guidelines' aimed at increasing walking, cycling and public transport use. Methods:...