William Levack

William Levack
University of Otago · Department of Medicine (Wellington)

PhD MHealSc(Rehabilitation) BPhty

About

113
Publications
37,491
Reads
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2,230
Citations
Citations since 2016
67 Research Items
1572 Citations
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250

Publications

Publications (113)
Article
Purpose Identify and synthesise qualitative research evidence on activities and processes within formal vocational service provision that contribute to experiences of effective support to gain employment for people living with long term conditions. Methods A pre-published protocol was developed using PRISMA guidelines. Seven databases were searche...
Article
Full-text available
A new type of carbon-fibre triplanar orthotic (CTO) was recently introduced to New Zealanders affected by polio. This study aimed to assess CTO recipients’ experiences and perceptions of these orthotics. A qualitative descriptive study based on semi-structured interviews was conducted to explore experiences of people who have had polio regarding th...
Preprint
BACKGROUND Goal setting is a key part of the rehabilitation process. The use of technology and electronic tools such as smartphone apps and websites has been suggested as a way of improving the engagement of users in meaningful goal setting and facilitating shared decision-making between patients and health professionals. OBJECTIVE This study aims...
Article
Background Goal setting is a key part of the rehabilitation process. The use of technology and electronic tools such as smartphone apps and websites has been suggested as a way of improving the engagement of users in meaningful goal setting and facilitating shared decision-making between patients and health professionals. Objective This study aims...
Article
Background and Aims Patients with chronic kidney disease (CKD) undergoing dialysis are at a particularly high risk of cardiovascular mortality and morbidity. This systematic review and meta-analysis aimed to evaluate the benefits and harms of aldosterone antagonists, both non-selective (spironolactone) and selective (eplerenone), in comparison to c...
Article
During its fourth year of existence, Cochrane Rehabilitation went on to promote evidence-informed health decision-making in rehabilitation. In 2020, the outbreak of the COVID-19 pandemic has made it necessary to alter priorities. In these challenging times, Cochrane Rehabilitation has firstly changed its internal organisation and established a new...
Article
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In light of Government endeavours to transform New Zealand's (NZ) mental health system and services, this short communication reports on secondary qualitative data on barriers to positive outcomes in treatment of patients at risk for suicide (PRS) from the unique multidisciplinary perspective of 12 positively inclined clinicians. According to groun...
Article
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Purpose: An interplay of complex issues influence opportunities to gain paid work for people living with long-term conditions, but there are patterns that traverse the various contexts. Synthesising findings across qualitative studies can inform vocational rehabilitation approaches. Methods: Public consultation and PRISMA guidelines were used to...
Article
Objective To use participatory action research (PAR) to understand workplace engagement of caregivers in aged residential care (ARC) in New Zealand. Methods A PAR study was conducted in a 40‐bed ARC facility providing rest home‐ and hospital‐level care in rural New Zealand. The four‐step study included an advisory group of caregivers (N = 6) who c...
Article
Full-text available
Objectives To evaluate the effectiveness of vocational interventions to help people living with mild to moderate mental health conditions gain paid work. Methods Systematic review of international, peer-reviewed literature. Development of the prepublished protocol and search strategy was done in consultation with stakeholder reference groups consi...
Article
Background: In 2017, Cochrane Rehabilitation created an online relational database to crowd-source the identification and categorization of Cochrane publications for relevance to rehabilitation. One of the challenges of this work has been the lack of an operational definition to determine what is or is not a rehabilitation intervention. As such, c...
Article
Purpose: To explore equipment use by New Zealand Māori post-stroke. Procedures: Transcripts of interviews with four Māori participants and a focus group with 30 allied health professionals involved in equipment provision, drawn from a larger mixed methods study, were analysed using Te Whare Tapa Whā as an interpretive lens. Results: Te Tahi Tinana...
Article
Background and Aims Patients with chronic kidney disease (CKD) requiring dialysis are at a particularly high risk of cardiovascular mortality and morbidity. Several clinical trials suggested that aldosterone antagonists would be a promising treatment option for patients undergoing dialysis. However, the clinical efficacy and potential harm of aldos...
Article
Background: Participation outcomes and family-centred services are now widely agreed standards of care in paediatric rehabilitation. Evidence suggests that adoption of these practices into usual care has been slow internationally and, no studies of participation-focused or family-centred practices in New Zealand have been undertaken to date. The a...
Article
Objective To identify the characteristics of retracted publications in rehabilitation and sport sciences journals. Data Sources The Web of Science, PubMed, and Retraction Watch databases were searched from inception to August 2019. Study Selection Retracted publications published in rehabilitation or sport sciences journals, indexed in the Scienc...
Article
Despite experts’ contention that clinicians’ positive inclination is essential to successful treatment of patients at risk for suicide (PRS), research in the area is lacking. This study used grounded theory to develop a model of clinicians’ positive inclination based on interviews with 12 clinicians who “liked” working with PRS. The core process id...
Article
Background: Communication impairments are a common challenge for children with non-progressive motor disorders and their parents. Objective: To assess the effects of parent-mediated communication interventions for improving the communication skills of preschool children with non-progressive motor disorders. Methods: To summarize a rehabilitati...
Article
During its third year of existence, Cochrane Rehabilitation goals included to point out the main methodological issues in rehabilitation research, and to increase the Knowledge Translation activities. This has been performed through its committees and specific projects. In 2019, Cochrane Rehabilitation worked on five different special projects at d...
Article
Objective: We examined and appraised the CONSORT 2010 Statement and its extension from the perspective of the reporting of comparison groups (i.e., interventions or control conditions against which an experimental intervention is compared) in clinical trials on rehabilitation topics. Design: We downloaded the CONSORT 2010 Statement and all endor...
Article
A descriptive qualitative study. To explore why individuals with spinal cord injury (SCI) choose to use cannabis to manage their pain and their experiences in doing so. Community-dwelling adults with SCI in New Zealand. Semi-structured interviews were conducted with individuals who had a SCI, experienced pain, and self-reported use of cannabis to m...
Article
Full-text available
Introduction Evaluating how therapeutic horse riding improves health for children experiencing disability is made complex by a lack of clarity around mechanisms of treatment effect. This research develops an explanatory theory outlining how health outcomes may be optimised, by exploring what works for which riders, under what conditions and how. M...
Article
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Purpose: This study examined the degree to which goals perceived by occupational therapists (OTs) matched those perceived by their clients. Methods: A total of 100 clients and 79 OTs were recruited from seven subacute rehabilitation wards in Japan. Matched pairs of OTs and their clients were independently asked for their perception about the client...
Article
Full-text available
Background: The University of Otago provides summer studentships to undergraduate students to undertake a short-term research project in the medical and biomedical sciences. Objectives: To determine whether these studentships resulted in peer-reviewed publications. Methods: PubMed, SCOPUS and the University of Otago Publications databases were sear...
Article
Full-text available
Introduction: This study aimed to develop a new tablet application named the Aid for Decision-making in Occupation Choice for School (ADOC-S). It aims to assist with conducting collaborative occupation-based goal-setting by sharing decision-making with a team member (child, parent, teacher, and occupational therapist) using a consultation model of...
Article
Full-text available
Purpose: Therapeutic horse riding aims to improve the health of children and young people experiencing disability; however, its benefits across a range of health domains, particularly the impact on participation outcomes, are not well known. This research evaluated to what extent there was a change in riders balance, functional performance, social...
Article
Full-text available
During its second year of existence, Cochrane Rehabilitation worked hard to accomplish new and old goals. The Review Committee completed the massive task of identifying and "tagging" all rehabilitation reviews in the Cochrane library. The Publication Committee signed agreements with several international journals and started the publication of Coch...
Preprint
Full-text available
BACKGROUND: Control groups are used in clinical trials to increase confidence that any improvements in patient outcomes are due the therapy under investigation and not other factors. The reported effect size of any intervention is estimated from differences in outcomes achieved by intervention participants in comparison to control participants. Cli...
Article
Objective: To identify all published protocols and reviews in the Cochrane Library relevant to the scope of practice of rehabilitation; to test pragmatic criteria to identify rehabilitation interventions; to begin categorizing reviews according to the professionals involved in delivering the intervention and broad areas of clinical practice. Data...
Research
Background.: Adaptive equipment (AE) is frequently provided during stroke rehabilitation by occupational therapists. Purpose.: This study aimed to identify the AE that people typically use after a stroke and the outcomes achieved as a result, and to explore people's experiences obtaining and using AE, to inform both practice and policy in this f...
Article
Objective: To evaluate the rate of publication of randomized controlled trials (RCTs), systematic reviews and meta-analysis in Physical and Rehabilitation Medicine (PRM) and its variation over time. Design: We performed a bibliometric study and searched PubMed from inception to 2017, using National Library of Medicine 3 level MeSH terms ("Rehabi...
Article
Introduction/Background Person-centered goal setting is considered a core part of the rehabilitation process. However, barriers to patient involvement in goal selection exist, including: cognitive and communicative impairments; tendencies for rehabilitation professional to control and direct the goal selection process; and difficulties some patient...
Article
Full-text available
Since his launch Cochrane Rehabilitation has started working to be a bridge between Cochrane and rehabilitation. After a fist period of work organization, the field has started producing actions through its committees: communication, education, methodology, publication and reviews. All the results of this first year of activity are listed in this r...
Article
Full-text available
Objective This study aimed to investigate the content of an English-language version of a Japanese iPad application designed to facilitate shared decision-making around goal setting in rehabilitation: Aid for Decision-making in Occupational Choice—English (ADOC-E). Design Phase 1: Delphi methods to reach consensus with an international group of ex...
Article
Full-text available
Aim: To develop a model for understanding mechanisms of change in health outcomes for riders with disabilities participating in therapeutic horse riding (THR). Methods: Using grounded theory methods we collected and analyzed data from interviews with 16 child riders and 18 caregivers, teachers and primary therapists, and from participant-observa...
Article
Objective: Traditional teaching in psychiatry does little to address recovery concepts. The aim of this study was to evaluate the incorporation of a recovery-focused teaching program for medical students in psychiatry. Methods: Recovery, as understood by medical students who had participated in a recovery-focused teaching program, was assessed b...
Article
Cochrane Rehabilitation aims to improve the application of evidence-based practice in rehabilitation. It also aims to support Cochrane in the production of reliable, clinically meaningful syntheses of evidence related to the practice of rehabilitation, while accommodating the many methodological challenges facing the field. To this end, Cochrane Re...
Article
Over the last 50 years, increasingly complex care (such as tracheostomy management, dialysis or enteral feeding) has shifted from hospital to home, with a concomitant rise in patient self-management and care given by family members. Recognition of the importance of the contribution of family care to the health system is also growing. This article r...
Article
Introduction The aim of this review was to identify and synthesise findings from all published qualitative research investigating the experiences of working-aged adults with neurological conditions living in residential aged care facilities. Methods A qualitative metasynthesis approach was used. Two authors independently screened all citations and...
Article
Objective: To explore what helps and hinders recovery and adaptation after disabling traumatic brain injury (TBI) and make recommendations for improving service responsiveness. Design: A longitudinal qualitative descriptive study across all TBI severities. Setting: Community. Participants: Forty people with TBI, and 22 significant others, 6...
Article
Introduction Successful recovery of upper extremity function after stroke is more likely when the affected limb is used regularly in daily life. We developed an iPad (Apple) application called the ‘Aid for Decision-Making in Occupation Choice for Hand’ to facilitate daily upper extremity use. This study examined the suitability of items and picture...
Article
Background: With more care taking place in the home, family carers play an important role in supporting patients. Some family carers undertake technical health procedures generally managed by health professionals in hospital settings (e.g. managing a tracheostomy or enteral feeding). Aim: To explore how family carers learn to manage technical he...
Article
Introduction The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke. Method We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the revi...
Article
Full-text available
Objective To explore the ways in which participation in a community singing group contributed to the health and well-being of patients with chronic obstructive pulmonary disease (COPD). Design Qualitative description, based on transcripts from individual interviews and a focus group meeting with people with COPD participating in the singing group,...
Article
We wish to announce to the readers of PTJ , as well as all those of the other journals relevant to physical and rehabilitation medicine (PRM), the launch of Cochrane PRM, which will have its Official Exploratory Meeting in Brescia, Italy, September 19–20, 2016. The purpose of this meeting will be to complete the business plan currently under develo...
Article
Background: The mechanism of action of disulfiram is not clear and recent systematic reviews have reached differing conclusions. The purpose of this research was to develop a conceptual model of the mechanisms that underpin the effective use of disulfiram in management of alcohol used disorder. Methods: Grounded theory was used, based on anonymi...
Article
Background and purpose: The 'body' is central to the practice of physiotherapy, but clinical theory largely neglects the body as a concept. A better understanding of the embodied experience could enhance delivery of physiotherapy. The purpose of this study was to gain an in-depth understanding of embodiment for people after stroke while transition...
Article
Full-text available
Objectives To explore the experience of fatigue and sleep difficulties over the first 2 years after traumatic brain injury (TBI). Design Longitudinal qualitative descriptive analysis of interviews completed as part of a larger longitudinal study of recovery following TBI. Data relating to the experience of fatigue and/or sleep were extracted and co...
Article
Aims: To describe the learning process of family carers who manage technical health procedures (such as enteral tube feeding, intravenous therapy, dialysis or tracheostomy care) at home. Background: Increasingly, complex procedures are being undertaken at home but little attention has been paid to the experiences of family carers who manage such...
Article
Full-text available
Background: Pulmonary rehabilitation is known to improve function and quality of life for people with chronic obstructive pulmonary disease (COPD). However, little research has been conducted on the influence of culture on experiences of pulmonary rehabilitation. This study examined factors influencing uptake of pulmonary rehabilitation by Māori wi...
Article
Introduction: Goal setting is considered an essential part of rehabilitation, but approaches to goal setting vary with no consensus regarding the best approach. The aim of this systematic review and meta-analysis was to assess the effects of goal setting and strategies to enhance the pursuit of goals on improving outcomes in adult rehabilitation....
Article
Full-text available
Community based rehabilitation (CBR) is a World Health Organisation initiative to support people with disabilities to attain maximal life participation through locally based programmes. Te Vaerua Community Rehabilitation Team (Te Vaerua) is a provider of CBR in the Cook Islands. This study used a Participatory Action Research (PAR) framework to exp...
Article
Full-text available
Background Mental health inpatient wards are stressful places to work and concerns have been raised regarding quality of patient care and staff wellbeing on these wards. Recent research has suggested that robust support systems and conditions that allow staff to exercise professional autonomy in their clinical work result in better staff morale. St...
Conference Paper
Background and aim: Cultural beliefs and environmental considerations are important factors for equipment use after stroke, however there are inadequate examples of how these influences are dealt with in rehabilitation. This presentation explores the perspective of people who use equipment and health professionals as they fit equipment to life afte...
Article
Background: People with chronic obstructive pulmonary disease (COPD) are believed be at higher risk of problems with sexual function than age-matched peers. Problems with sexuality or sexual function associated with COPD may arise as a results of hormonal, physiological, or psychological problems, or as a result of changes in intimate relationship...
Conference Paper
Introduction: Equipment is commonly prescribed to optimise occupational performance after stroke, however the extent that equipment provision achieves this aim is not well understood. Objectives: The aim of this study was to understand how the services for equipment currently operate, specifically the relationships between policy, health service pr...
Article
Goal setting is considered a key component of rehabilitation for adults with acquired disability, yet there is little consensus regarding the best strategies for undertaking goal setting and in which clinical contexts. It has also been unclear what effect, if any, goal setting has on health outcomes after rehabilitation. To assess the effects of go...
Article
Full-text available
To explore the experiences of family carers who manage technical health procedures at home and describe their learning process. A qualitative study using grounded theory. New Zealand family carers (21 women, 5 men) who managed technical health procedures such as enteral feeding, peritoneal dialysis, tracheostomy care, a central venous line or urina...
Article
This is the protocol for a review and there is no abstract. The objectives are as follows: To evaluate the effectiveness of interventions for sexual dysfunction in people with COPD.