Lucas, C, Power, T, Kennedy, DS, Forrest, G, Hemsley, B, Freeman-Sanderson, A, Courtney-Harris, M, Ferguson, C & Hayes, C 2020, 'Conceptualisation and development of the RIPE-N model (reflective interprofessional education-network model) to enhance interprofessional collaboration across multiple health professions', Reflective Practice, vol. 21, no. 5, pp. 712-730.
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© 2020, © 2020 Informa UK Limited, trading as Taylor & Francis Group. This paper describes a novel model of learning, designed to enhance interprofessional education (IPE) and interprofessional collaboration (IPC). Lessons learned, plans for sustainability and future directions for policy, practice, implementation, and curriculum training are also discussed. The RIPE-N model (Reflective Interprofessional Education–Network model) was developed for an interprofessional simulation environment involving five health professions–pharmacy, nursing, orthoptics, physiotherapy, and speech pathology with the potential to increase the number of health professions involved. The RIPE-N model was adapted from the original RIPE Model (Reflective Interprofessional Education Model), utilising unfolding multidisciplinary case from admission through to discharge. Key adaptations of RIPE to include a greater focus on professional practice and the opportunity for collaboration by all disciplines. Reflection is critical to the RIPE-N model to develop the reflective practitioner, hence the inclusion of collaborative reflective (‘pause and reflect’) stations aimed at improving collaborative clinical decision-making skills among diverse healthcare professionals.
Shariflou, S, Agar, A, Rose, K, Bowd, C & Golzan, SM 2020, 'Objective Quantification of Spontaneous Retinal Venous Pulsations Using a Novel Tablet-Based Ophthalmoscope', Translational Vision Science & Technology, vol. 9, no. 4, pp. 19-19.
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Purpose:Dynamic assessment of retinal vascular characteristics can aid in identifying glaucoma-specific biomarkers. More specifically, a loss of spontaneous retinal venous pulsations (SVPs) has been reported in glaucoma, but a lack of readily available tools has limited the ability to explore the full potential of SVP analysis in glaucoma assessment. Advancements in smart technology have paved the way for the development of portable, noninvasive, and inexpensive imaging modalities. By combining off-the-shelf optical elements and smart devices, the current study aims to determine whether SVPs can be detected and quantified using a novel tablet-based ophthalmoscope in glaucoma and glaucoma suspects. Methods:Thirty patients, including 21 with confirmed glaucoma (9 men; average age 75 ± 8 years) and 9 glaucoma suspects (5 men; average age 64 ± 9 years), were studied. All patients had intraocular pressure measurements, Humphrey visual field assessment, optical coherence tomography, and a 10-second videoscopy of the retinal circulation. The retinal vasculature recordings (46° field of view at 30 frames per second) were analyzed to extract SVP amplitudes. Results:SVPs were detected and quantified in 100% of patients with glaucoma and those with suspected glaucoma using the novel device. The average SVP amplitudes in glaucoma and glaucoma suspects were 42.6% ± 10.7% and 34% ± 6.7%, respectively. Conclusions:Our results suggest that a novel tablet-based ophthalmoscope can aid in documenting and objectively quantifying SVPs in all patients. Translational Relevance:Outcomes of this study provide an innovative, portable, noninvasive, and inexpensive solution for objective assessment of SVPs, which may have clinical relevance in glaucoma screening.
Sorbello, S, Quang Do, V, Palagyi, A & Keay, L 2020, 'Poorer Visual Acuity is Independently Associated With Impaired Balance and Step Length But Not Overall Physical Performance in Older Adults', Journal of Aging and Physical Activity, vol. 28, no. 5, pp. 756-764.
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This study examined the association between varying levels of visual acuity (VA) and physical performance (Short Physical Performance Battery) in older adults. A cross-sectional analysis of participants aged ≥50 years with a clinical diagnosis of vision loss across two studies was undertaken. Of 434 (96%) participants with available VA data, 74% (320/434) had nil, 7% (32/434) had mild, 8% (33/434) had moderate, and 11% (49/434) had severe visual impairment. Poorer VA of both better and worse eye was found to be significantly associated with poorer standing balance (p = .006 and p = .004, respectively); worse VA of the better eye was significantly associated with increased number of steps per meter (p = .005). Mean total Short Physical Performance Battery score of this study population was lower than published normative data for this age group. Physical activity programs for older people with reduced VA should be targeted at improving balance and gait skills to reduce falls risk.
Bryant, L, Bluff, A, Barnett, D, Hemsley, B, Nguyen, V, Jacobs, C, Power, E, Bailey, B, Stubbs, P & Lucas, C 1970, 'Opportunities for immersive virtual reality in rehabilitation: Focus on communication disability', Proceedings of the Annual Hawaii International Conference on System Sciences, pp. 3567-3576.
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Virtual reality (VR) technologies are emerging as novel platforms for physical and cognitive interventions, though applications in communication rehabilitation are scarce. Consultation with end-users on implementation of VR in clinical contexts is a vital first step to investigating the feasibility VR in communication rehabilitation. The aim of this study was to explore the views of professionals with expertise in health, rehabilitation, and VR technology, on the populations that might benefit from VR-based rehabilitation, and potential barriers and facilitators to their use of VR. Thematic content analysis of one interdisciplinary focus group and one in-depth interview identified two content themes relating to the use of VR in rehabilitation, and four themes related to the use of VR to maximize its clinical benefit and uptake. Consideration of these results in the development of VR programs in rehabilitation might lead to better acceptance and implementation of VR for improved health and participation outcomes.
Bryant, L, Hemsley, B, Bailey, B, Bluff, A, Nguyen, V, Stubbs, P, Barnett, D, Jacobs, C, Lucas, C & Power, E 1970, 'Opportunities for the Implementation of Immersive Virtual Reality in Rehabilitation', Proceedings of the Annual Hawaii International Conference on System Sciences, Hawaii International Conference on System Sciences, Hawaii International Conference on System Sciences, Wailea, Maui, HI, pp. 3567-3576.
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Virtual reality (VR) technologies are emerging as novel platforms for physical and cognitive interventions, though applications in communication rehabilitation are scarce. Consultation with end-users on implementation of VR in clinical contexts is a vital first step to investigating the feasibility VR in communication rehabilitation. The aim of this study was to determine the views of professionals with expertise in health, rehabilitation, and VR technology, on the populations that might benefit from VR-based rehabilitation, and potential barriers and facilitators to their use of VR. Thematic content analysis of one interdisciplinary focus group and one in-depth interview identified two content themes relating to the use of VR in rehabilitation, and four themes related to the use of VR to maximize its clinical benefit and uptake. Consideration of these results in the development of VR programs in rehabilitation might lead to better acceptance and implementation of VR for improved health and participation outcomes.
