Fay Karpouzis - Academia.edu (original) (raw)

Papers by Fay Karpouzis

Research paper thumbnail of Primary-school-aged children inspire their peers and families to eat more vegetables in the KiiDSAY project: a qualitative descriptive study

BMC pediatrics, Mar 9, 2024

Research paper thumbnail of Impact and process evaluation of a primary-school Food Education and Sustainability Training (FEAST) program in 10-12-year-old children in Australia: pragmatic cluster non-randomized controlled trial

BMC public health, Mar 1, 2024

Research paper thumbnail of Children with Attention Deficit Hyperactivity Disorder (ADHD) Managed by the Neuro Emotional Technique (NET): Twenty Case Series

Research paper thumbnail of Quality of reporting of randomized controlled trials in chiropractic using the CONSORT checklist: a protocol for a review

Chiropractic Journal of Australia, 2016

Research paper thumbnail of Children with attention deficit hyperactivity disorder managed by the Neuro Emotional Technique (NET): Twenty case series

Karpouzis, F., Pollard, H. and Bonello, R. <http://researchrepository.murdoch.edu.au/view/author/Bonello, Rod.html> (2008) Children with attention deficit hyperactivity disorder managed by the Neuro Emotional Technique (NET): Twenty case series. The Journal of Alternative and Complementary Medici..., 2008

Research paper thumbnail of Chiropractic care for paediatric and adolescent Attention-Deficit/Hyperactivity Disorder: A systematic review

Chiropractic & Osteopathy, 2010

Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The e... more Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders such as AD/HD are increasing with as many as 68% of parents having sought help from alternative practitioners, including chiropractors. Objective: The review seeks to answer the question of whether chiropractic care can reduce symptoms of inattention, impulsivity and hyperactivity for paediatric and adolescent AD/HD. Methods: Electronic databases (Cochrane CENTRAL register of Controlled Trials, Cochrane Database of Systematic reviews, MEDLINE, PsycINFO, CINAHL, Scopus, ISI Web of Science, Index to Chiropractic Literature) were searched from inception until July 2009 for English language studies for chiropractic care and AD/HD. Inclusion and exclusion criteria were applied to select studies. All randomised controlled trials were evaluated using the Jadad score and a checklist developed from the CONSORT (Consolidated Standards of Reporting Trials) guidelines. Results: The search yielded 58 citations of which 22 were intervention studies. Of these, only three studies were identified for paediatric and adolescent AD/HD cohorts. The methodological quality was poor and none of the studies qualified using inclusion criteria. Conclusions: To date there is insufficient evidence to evaluate the efficacy of chiropractic care for paediatric and adolescent AD/HD. The claim that chiropractic care improves paediatric and adolescent AD/HD, is only supported by low levels of scientific evidence. In the interest of paediatric and adolescent health, if chiropractic care for AD/HD is to continue, more rigorous scientific research needs to be undertaken to examine the efficacy and effectiveness of chiropractic treatment. Adequately-sized RCTs using clinically relevant outcomes and standardised measures to examine the effectiveness of chiropractic care verses no-treatment/placebo control or standard care (pharmacological and psychosocial care) are needed to determine whether chiropractic care is an effective alternative intervention for paediatric and adolescent AD/HD.

Research paper thumbnail of A Model of the research process for the design of a randomised controlled trial (RCT) investigating whether the addition of the Neuro Emotional Technique (NET) to an existing treatment can improve outcomes of children with ADHD

Research paper thumbnail of A model of the research process for the design of a RCT investigating whether the addition of the NET to an existing treatment can improve outcomes of children with ADHD

Research paper thumbnail of Short term data on the effect of NET on a cohort of children with medically diagnosed ADHD

Research paper thumbnail of Final data of the effects of the Neuro Emotional Technique (NET) for pediatric Attention-Deficit/Hyperactivity Disorder (AD/HD): A randomized controlled trial

Clinical Chiropractic, 2011

Combine Challenges. Over 500 h of after-school care have been provided and over 80 games have bee... more Combine Challenges. Over 500 h of after-school care have been provided and over 80 games have been staffed by the CIs and supervisors. Conclusion: The health needs of amateur sports teams can provide rich opportunities to train future chiropractors to best meet the needs of their communities. Future studies are warranted to improve the role chiropractors can play to not only detect and manage injuries but to promote the health, fitness and performance of SAs.

Research paper thumbnail of Nutritional complementary and alternative medicine for pediatric attention-deficit/hyperactivity disorder

Ethical Human Psychology and Psychiatry, 2012

Increasing prevalence rates of pédiatrie and adolescent attention-deficit/hyperactivity disorder ... more Increasing prevalence rates of pédiatrie and adolescent attention-deficit/hyperactivity disorder (ADHD), concerns over the safety and efficacy of psychostimulants, and fears about long-term use of psychostimulants have led many parents to seek alternative therapies for their children. Numerous environmental factors have been suspected of influencing ADHD. Over the last few decades, there has been an increasing awareness of the importance of nutrition and the potential role it has on influencing ADHD and ADHD symptomatology. This article focuses on nutrition, dietary modifications, and nutraceuticals, which are the most commonly used complementary and alternative medicine (CAM) therapies for the management of pédiatrie and adolescent ADHD. The aim is to present a narrative literature review for dietary modificatioris and nutritional supplementation for pédiatrie and adolescent ADHD. Searches were made in full-text English language articles from 2000 to February 2012 in the PubMed Central, Medline, Cochrane Library, Psych INFO, Scopus, and CINAHL databases. The review revealed a full range of research strategies, but this article concentrates on randomized controlled trials, observational studies, longitudinal studies, epidemiological studies, surveys, qualitative reviews, narrative reviews, systematic reviews, and meta-analyses. The literature reveals a mixture of results in respect to dietary modifications and nutritional supplementation for children and adolescents with ADHD; however, the future of nutritional research appears promising.

Research paper thumbnail of Evaluating OzHarvest’s primary-school Food Education and Sustainability Training (FEAST) program in 10–12-year-old children in Australia: protocol for a pragmatic cluster non-randomized controlled trial

BMC Public Health

Background The promotion of healthy eating is a public health priority. Poor dietary behaviours, ... more Background The promotion of healthy eating is a public health priority. Poor dietary behaviours, including low fruit and vegetable (F&V) consumption are of particular concern among children. Novel nutrition promotion strategies are needed to improve F&V consumption. Sustainability education could be used to support nutrition education within the school context. The purpose of this paper is to report the protocol for impact and process evaluation of the school-based Food Education and Sustainability Training (FEAST) program, designed to educate children about sustainability, food waste and nutrition, using hands-on cooking activities. Methods A pragmatic, parallel, cluster non-randomized controlled trial with pre- and post-measures, will be implemented among 20 primary schools (10 intervention vs 10 wait-list-control) within NSW, Australia, involving children in Grades 5–6. FEAST is a curriculum-aligned program, delivered as a 1.5-h lesson/week, for a 10-week unit of inquiry, incorpo...

Research paper thumbnail of Preliminary RCT Data: New Psychosocial Therapy, Neuro Emotional Technique (NET) for Childhood Attention Deficit Hyperactivity Disorder (ADHD)

Research paper thumbnail of Attention-Deficit/Hyperactivity Disorder: A

Research paper thumbnail of Methodology : designing a randomised controlled trial (RCT) utilizing the PEDro Scale to determine whether the Neuro Emotional Technique (NET) is effective in the treatment of children with Separation Anxiety Disorder (SAD)

Research paper thumbnail of Paediatric attention-deficit/hyperactivity disorder and complementary and alternative therapies

According to the systematic reviews the data on the safety, effectiveness and efficacy and long-t... more According to the systematic reviews the data on the safety, effectiveness and efficacy and long-term use of stimulant medications for paediatric Attention-Deficit/Hyperactivity Disorder (AD/HD) is conflicting. Uncertainty still surrounds the balance of risks and benefits of long-term drug treatment. Current evidence strongly points to significant parental concerns about exposing their children to psychopharmacological interventions. This appears to be the case despite the evidence base for the use of stimulant medications. Children with AD/HD who are treated with stimulants often show side-effects. Across studies, the most frequently examined adverse effects of stimulant medications have been appetite suppression, weight loss, sleep disturbances, irritability, stomach aches, headaches, rashes, nausea, fatigue and occasionally the development or aggravation of tics. Cardiovascular effects and reductions in growth velocity have also been reported. Controversy over the safety and appropriateness of stimulant treatment has led to increased parental anxiety and the increased use of complementary and alternative medicine (CAM) therapies. Many parents prefer to find more natural treatments for their children with AD/HD. In general, parents seek CAM therapies for their children because a particular allopathic treatment was considered ineffective, dissatisfaction with conventional medicine, fear of drug adverse effects and a need for more personal attention for their children. As a result of this controversy, CAM therapies are sought more often by parents who have children with developmental and behavioural disorders such as AD/HD, than with any other condition. The following chapter outlines the variety of CAM therapies available for paediatric AD/HD.28 page(s

Research paper thumbnail of ReviewChiropractic care for paediatric and adolescent Attention-Deficit / Hyperactivity Disorder : A systematic review

Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The e... more Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders such as AD/HD are increasing with as many as 68% of parents having sought help from alternative practitioners, including chiropractors. Objective: The review seeks to answer the question of whether chiropractic care can reduce symptoms of inattention, impulsivity and hyperactivity for paediatric and adolescent AD/HD. Methods: Electronic databases (Cochrane CENTRAL register of Controlled Trials, Cochrane Database of Systematic reviews, MEDLINE, PsycINFO, CINAHL, Scopus, ISI Web of Science, Index to Chiropractic Literature) were searc...

Research paper thumbnail of Methodology: Designing a RCT utilising the PEDro scale to determine whether the NET technique is effective in the treatment of children with seaparation anxiety disorder (SAD)

Research paper thumbnail of A clinical investigation of chiropractic neuro emotional technique (NET) for attention-deficit/hyperactivity disorder (AD/HD) in children

Research paper thumbnail of Separation anxiety disorder in a 13-year–old boy managed by the Neuro Emotional Technique as a biopsychosocial intervention

Journal of Chiropractic Medicine, 2008

Objective: To describe a case of an adolescent with separation anxiety disorder (SAD) presenting ... more Objective: To describe a case of an adolescent with separation anxiety disorder (SAD) presenting to a chiropractor for treatment. Clinical features: The patient was a 13-year-old boy who had consulted with a clinical psychologist and had been diagnosed with SAD using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria. The patient was unable to attend school camps or sleep at friends' homes because of anxiety. Intervention/outcome: The patient underwent 8 sessions with a chiropractor certified in the Neuro Emotional Technique (NET). Two days after his last NET treatment, he attended his first school camp without incident. He also slept away from home at a friend's home for the first time without incident. Six months postintervention, he returned to his clinical psychologist, where she independently reevaluated him stating that he no longer met the criteria for SAD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Conclusion: This single case report cannot provide a causal relationship between the clinical outcome and NET without further investigations. Neuro Emotional Technique is a unique therapy that does not take the place of psychotherapy; however, it may be used as an adjunct to it. It is possible that, with valid and reliable follow-up research, the biopsychosocial principles that NET addresses may be of value to children and adolescents with SAD.

Research paper thumbnail of Primary-school-aged children inspire their peers and families to eat more vegetables in the KiiDSAY project: a qualitative descriptive study

BMC pediatrics, Mar 9, 2024

Research paper thumbnail of Impact and process evaluation of a primary-school Food Education and Sustainability Training (FEAST) program in 10-12-year-old children in Australia: pragmatic cluster non-randomized controlled trial

BMC public health, Mar 1, 2024

Research paper thumbnail of Children with Attention Deficit Hyperactivity Disorder (ADHD) Managed by the Neuro Emotional Technique (NET): Twenty Case Series

Research paper thumbnail of Quality of reporting of randomized controlled trials in chiropractic using the CONSORT checklist: a protocol for a review

Chiropractic Journal of Australia, 2016

Research paper thumbnail of Children with attention deficit hyperactivity disorder managed by the Neuro Emotional Technique (NET): Twenty case series

Karpouzis, F., Pollard, H. and Bonello, R. <http://researchrepository.murdoch.edu.au/view/author/Bonello, Rod.html> (2008) Children with attention deficit hyperactivity disorder managed by the Neuro Emotional Technique (NET): Twenty case series. The Journal of Alternative and Complementary Medici..., 2008

Research paper thumbnail of Chiropractic care for paediatric and adolescent Attention-Deficit/Hyperactivity Disorder: A systematic review

Chiropractic & Osteopathy, 2010

Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The e... more Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders such as AD/HD are increasing with as many as 68% of parents having sought help from alternative practitioners, including chiropractors. Objective: The review seeks to answer the question of whether chiropractic care can reduce symptoms of inattention, impulsivity and hyperactivity for paediatric and adolescent AD/HD. Methods: Electronic databases (Cochrane CENTRAL register of Controlled Trials, Cochrane Database of Systematic reviews, MEDLINE, PsycINFO, CINAHL, Scopus, ISI Web of Science, Index to Chiropractic Literature) were searched from inception until July 2009 for English language studies for chiropractic care and AD/HD. Inclusion and exclusion criteria were applied to select studies. All randomised controlled trials were evaluated using the Jadad score and a checklist developed from the CONSORT (Consolidated Standards of Reporting Trials) guidelines. Results: The search yielded 58 citations of which 22 were intervention studies. Of these, only three studies were identified for paediatric and adolescent AD/HD cohorts. The methodological quality was poor and none of the studies qualified using inclusion criteria. Conclusions: To date there is insufficient evidence to evaluate the efficacy of chiropractic care for paediatric and adolescent AD/HD. The claim that chiropractic care improves paediatric and adolescent AD/HD, is only supported by low levels of scientific evidence. In the interest of paediatric and adolescent health, if chiropractic care for AD/HD is to continue, more rigorous scientific research needs to be undertaken to examine the efficacy and effectiveness of chiropractic treatment. Adequately-sized RCTs using clinically relevant outcomes and standardised measures to examine the effectiveness of chiropractic care verses no-treatment/placebo control or standard care (pharmacological and psychosocial care) are needed to determine whether chiropractic care is an effective alternative intervention for paediatric and adolescent AD/HD.

Research paper thumbnail of A Model of the research process for the design of a randomised controlled trial (RCT) investigating whether the addition of the Neuro Emotional Technique (NET) to an existing treatment can improve outcomes of children with ADHD

Research paper thumbnail of A model of the research process for the design of a RCT investigating whether the addition of the NET to an existing treatment can improve outcomes of children with ADHD

Research paper thumbnail of Short term data on the effect of NET on a cohort of children with medically diagnosed ADHD

Research paper thumbnail of Final data of the effects of the Neuro Emotional Technique (NET) for pediatric Attention-Deficit/Hyperactivity Disorder (AD/HD): A randomized controlled trial

Clinical Chiropractic, 2011

Combine Challenges. Over 500 h of after-school care have been provided and over 80 games have bee... more Combine Challenges. Over 500 h of after-school care have been provided and over 80 games have been staffed by the CIs and supervisors. Conclusion: The health needs of amateur sports teams can provide rich opportunities to train future chiropractors to best meet the needs of their communities. Future studies are warranted to improve the role chiropractors can play to not only detect and manage injuries but to promote the health, fitness and performance of SAs.

Research paper thumbnail of Nutritional complementary and alternative medicine for pediatric attention-deficit/hyperactivity disorder

Ethical Human Psychology and Psychiatry, 2012

Increasing prevalence rates of pédiatrie and adolescent attention-deficit/hyperactivity disorder ... more Increasing prevalence rates of pédiatrie and adolescent attention-deficit/hyperactivity disorder (ADHD), concerns over the safety and efficacy of psychostimulants, and fears about long-term use of psychostimulants have led many parents to seek alternative therapies for their children. Numerous environmental factors have been suspected of influencing ADHD. Over the last few decades, there has been an increasing awareness of the importance of nutrition and the potential role it has on influencing ADHD and ADHD symptomatology. This article focuses on nutrition, dietary modifications, and nutraceuticals, which are the most commonly used complementary and alternative medicine (CAM) therapies for the management of pédiatrie and adolescent ADHD. The aim is to present a narrative literature review for dietary modificatioris and nutritional supplementation for pédiatrie and adolescent ADHD. Searches were made in full-text English language articles from 2000 to February 2012 in the PubMed Central, Medline, Cochrane Library, Psych INFO, Scopus, and CINAHL databases. The review revealed a full range of research strategies, but this article concentrates on randomized controlled trials, observational studies, longitudinal studies, epidemiological studies, surveys, qualitative reviews, narrative reviews, systematic reviews, and meta-analyses. The literature reveals a mixture of results in respect to dietary modifications and nutritional supplementation for children and adolescents with ADHD; however, the future of nutritional research appears promising.

Research paper thumbnail of Evaluating OzHarvest’s primary-school Food Education and Sustainability Training (FEAST) program in 10–12-year-old children in Australia: protocol for a pragmatic cluster non-randomized controlled trial

BMC Public Health

Background The promotion of healthy eating is a public health priority. Poor dietary behaviours, ... more Background The promotion of healthy eating is a public health priority. Poor dietary behaviours, including low fruit and vegetable (F&V) consumption are of particular concern among children. Novel nutrition promotion strategies are needed to improve F&V consumption. Sustainability education could be used to support nutrition education within the school context. The purpose of this paper is to report the protocol for impact and process evaluation of the school-based Food Education and Sustainability Training (FEAST) program, designed to educate children about sustainability, food waste and nutrition, using hands-on cooking activities. Methods A pragmatic, parallel, cluster non-randomized controlled trial with pre- and post-measures, will be implemented among 20 primary schools (10 intervention vs 10 wait-list-control) within NSW, Australia, involving children in Grades 5–6. FEAST is a curriculum-aligned program, delivered as a 1.5-h lesson/week, for a 10-week unit of inquiry, incorpo...

Research paper thumbnail of Preliminary RCT Data: New Psychosocial Therapy, Neuro Emotional Technique (NET) for Childhood Attention Deficit Hyperactivity Disorder (ADHD)

Research paper thumbnail of Attention-Deficit/Hyperactivity Disorder: A

Research paper thumbnail of Methodology : designing a randomised controlled trial (RCT) utilizing the PEDro Scale to determine whether the Neuro Emotional Technique (NET) is effective in the treatment of children with Separation Anxiety Disorder (SAD)

Research paper thumbnail of Paediatric attention-deficit/hyperactivity disorder and complementary and alternative therapies

According to the systematic reviews the data on the safety, effectiveness and efficacy and long-t... more According to the systematic reviews the data on the safety, effectiveness and efficacy and long-term use of stimulant medications for paediatric Attention-Deficit/Hyperactivity Disorder (AD/HD) is conflicting. Uncertainty still surrounds the balance of risks and benefits of long-term drug treatment. Current evidence strongly points to significant parental concerns about exposing their children to psychopharmacological interventions. This appears to be the case despite the evidence base for the use of stimulant medications. Children with AD/HD who are treated with stimulants often show side-effects. Across studies, the most frequently examined adverse effects of stimulant medications have been appetite suppression, weight loss, sleep disturbances, irritability, stomach aches, headaches, rashes, nausea, fatigue and occasionally the development or aggravation of tics. Cardiovascular effects and reductions in growth velocity have also been reported. Controversy over the safety and appropriateness of stimulant treatment has led to increased parental anxiety and the increased use of complementary and alternative medicine (CAM) therapies. Many parents prefer to find more natural treatments for their children with AD/HD. In general, parents seek CAM therapies for their children because a particular allopathic treatment was considered ineffective, dissatisfaction with conventional medicine, fear of drug adverse effects and a need for more personal attention for their children. As a result of this controversy, CAM therapies are sought more often by parents who have children with developmental and behavioural disorders such as AD/HD, than with any other condition. The following chapter outlines the variety of CAM therapies available for paediatric AD/HD.28 page(s

Research paper thumbnail of ReviewChiropractic care for paediatric and adolescent Attention-Deficit / Hyperactivity Disorder : A systematic review

Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The e... more Background: Psychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders such as AD/HD are increasing with as many as 68% of parents having sought help from alternative practitioners, including chiropractors. Objective: The review seeks to answer the question of whether chiropractic care can reduce symptoms of inattention, impulsivity and hyperactivity for paediatric and adolescent AD/HD. Methods: Electronic databases (Cochrane CENTRAL register of Controlled Trials, Cochrane Database of Systematic reviews, MEDLINE, PsycINFO, CINAHL, Scopus, ISI Web of Science, Index to Chiropractic Literature) were searc...

Research paper thumbnail of Methodology: Designing a RCT utilising the PEDro scale to determine whether the NET technique is effective in the treatment of children with seaparation anxiety disorder (SAD)

Research paper thumbnail of A clinical investigation of chiropractic neuro emotional technique (NET) for attention-deficit/hyperactivity disorder (AD/HD) in children

Research paper thumbnail of Separation anxiety disorder in a 13-year–old boy managed by the Neuro Emotional Technique as a biopsychosocial intervention

Journal of Chiropractic Medicine, 2008

Objective: To describe a case of an adolescent with separation anxiety disorder (SAD) presenting ... more Objective: To describe a case of an adolescent with separation anxiety disorder (SAD) presenting to a chiropractor for treatment. Clinical features: The patient was a 13-year-old boy who had consulted with a clinical psychologist and had been diagnosed with SAD using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria. The patient was unable to attend school camps or sleep at friends' homes because of anxiety. Intervention/outcome: The patient underwent 8 sessions with a chiropractor certified in the Neuro Emotional Technique (NET). Two days after his last NET treatment, he attended his first school camp without incident. He also slept away from home at a friend's home for the first time without incident. Six months postintervention, he returned to his clinical psychologist, where she independently reevaluated him stating that he no longer met the criteria for SAD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Conclusion: This single case report cannot provide a causal relationship between the clinical outcome and NET without further investigations. Neuro Emotional Technique is a unique therapy that does not take the place of psychotherapy; however, it may be used as an adjunct to it. It is possible that, with valid and reliable follow-up research, the biopsychosocial principles that NET addresses may be of value to children and adolescents with SAD.