Ingrid Hickman - Academia.edu (original) (raw)

Uploads

Papers by Ingrid Hickman

Research paper thumbnail of Myosteatosis is associated with frailty and poor physical function in potential liver transplant candidates

Clinical Nutrition ESPEN, Nov 30, 2023

Research paper thumbnail of Utilizing Technology for Diet and Exercise Change in Complex Chronic Conditions Across Diverse Environments (U-DECIDE): Feasibility Randomised Controlled Trial

Research Square (Research Square), Dec 3, 2023

Research paper thumbnail of Protocol for a randomised trial testing a community fibrosis assessment service for patients with suspected non-alcoholic fatty liver disease: LOCal assessment and triage evaluation of non-alcoholic fatty liver disease (LOCATE-NAFLD)

BMC Health Services Research, Apr 21, 2020

Research paper thumbnail of Agreement and Reliability of Clinician-in-Clinic Versus Patient-at-Home Clinical and Functional Assessments: Implications for Telehealth Services

Archives of rehabilitation research and clinical translation, Sep 1, 2020

Research paper thumbnail of ‘Focus on diet quality’: a qualitative study of clinicians’ perspectives of use of the Mediterranean dietary pattern for non-alcoholic fatty liver disease

British Journal of Nutrition, Mar 26, 2021

Research paper thumbnail of Exercise Training Is Safe and Feasible in Patients Awaiting Liver Transplantation: A Pilot Randomized Controlled Trial

Liver Transplantation, Aug 20, 2019

Research paper thumbnail of Utilizing Technology for Diet and Exercise Change in Complex Chronic Conditions Across Diverse Environments (U-DECIDE): Protocol for a Randomized Controlled Trial

JMIR Research Protocols, Jul 28, 2022

Research paper thumbnail of High-intensity Interval Training for the Management of Nonalcoholic Steatohepatitis: Participant Experiences and Perspectives

Journal of clinical and translational hepatology, Apr 21, 2023

Research paper thumbnail of Causes of raised liver enzymes in a diabetic clinic

Journal of Gastroenterology and Hepatology, Oct 1, 2006

Research paper thumbnail of Obese men cannot utilise intramyocellular lipids or intrahepatic lipids during 1-hour of moderate intensity exercise

International Journal of Obesity, 2008

Research paper thumbnail of Clinician Perspectives of Barriers and Enablers to Implementing the Mediterranean Dietary Pattern in Routine Care for Coronary Heart Disease and Type 2 Diabetes: A Qualitative Interview Study

Journal of the Academy of Nutrition and Dietetics, Jul 1, 2022

BACKGROUND Practice guidelines for coronary heart disease (CHD) and type 2 diabetes (T2D) recomme... more BACKGROUND Practice guidelines for coronary heart disease (CHD) and type 2 diabetes (T2D) recommend promoting the Mediterranean dietary pattern (MDP), which improves cardiometabolic risk markers and may prevent disease progression and complications. It is however unknown to what extent the MDP is recommended in routine care for patients with these conditions, particularly in multi-ethnic settings. OBJECTIVE The study aim was to explore multidisciplinary healthcare professionals' perspectives on recommending the MDP in routine care for patients with CHD or T2D; and barriers and enablers to its implementation. DESIGN A qualitative description design was employed, utilizing semi-structured individual interviews to collect data. PARTICIPANTS AND SETTING Fifty-seven clinicians (21 nurses, 19 doctors, 13 dietitians and 4 physiotherapists) routinely managing relevant patients across hospital and community settings in a metropolitan health service in Australia participated in interviews between November 2019 and March 2020. ANALYSIS PERFORMED Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analysis. RESULTS Four overarching themes were identified highlighting that the MDP was not routinely recommended: current dietary practices (all clinicians perceived they had a role in dietary care but prioritization varied. There was a legacy of single nutrient-based strategies and disease silos); clinician-centered barriers to recommending MDP (limited MDP knowledge and practice skills and variable understanding and acceptance of evidence supporting its use. This was related to lack of education and training about the diet and personal interest/experience); organizational culture and resources influence dietary care (MDP not embedded in service culture or current clinic tools and resources, with limited dietary knowledge exchange within and across multidisciplinary teams); and perceived patient-centered barriers to implementation of MDP (socioeconomic challenges in a multicultural setting, and a lack of belief in patient capabilities to improve diet adherence). CONCLUSIONS Clinician and organizational factors, compounded by perceptions about patient acceptance, impact recommendations of the MDP for patients with CHD or T2D. These factors should be addressed to improve translation of MDP evidence into practice.

Research paper thumbnail of The Effect of Diet and Exercise Interventions on Body Composition in Liver Cirrhosis: A Systematic Review

Research paper thumbnail of Food and dietary behaviours as cardiometabolic risk factors in liver transplant recipients

Journal of Nutrition and Intermediary Metabolism, Jun 1, 2017

Research paper thumbnail of The inter‐ and intrarater reliability and feasibility of dietetic assessment of sarcopenia and frailty in potential liver transplant recipients: A mixed‐methods study

Clinical transplantation, Dec 19, 2020

Research paper thumbnail of Postprandial total and HMW adiponectin following a high-fat meal in lean, obese and diabetic men

European Journal of Clinical Nutrition, Mar 6, 2013

Research paper thumbnail of U-DECIDE: Utilising technology for Diet & Exercise Change In complex chronic conditions across Diverse Environments: Protocol for a Randomised Controlled Trial (Preprint)

BACKGROUND Background: The metabolic syndrome (MetS) is common across many complex chronic diseas... more BACKGROUND Background: The metabolic syndrome (MetS) is common across many complex chronic disease groups. Advances in health technology have provided opportunities to support lifestyle interventions. Implementation of health technology driven services in a tertiary setting remains untested. OBJECTIVE The purpose of this study is to test the feasibility of a health technology-assisted lifestyle intervention in a patient-led model of care. METHODS Methods: The study is a single-centre, 26-week randomised controlled trial. The setting is specialist kidney and liver disease clinics at a large Australian tertiary hospital. The participants will be adults with a complex chronic condition who are referred for dietetic assessment and display at least one feature of the MetS. All participants will receive an individualised assessment and advice on diet quality from a dietitian, a wearable activity monitor and standard care. Participants randomised to the intervention group will receive acce...

Research paper thumbnail of The independent effects of dietary energy restriction and circuit exercise training on fat oxidation in patients with NAFLD

Obesity Research & Clinical Practice, 2019

Research paper thumbnail of The Prevalence of Metabolic Derangements after Liver Transplantation Is Higher in Patients with Hepatitis C

American Journal of Transplantation, 2009

Research paper thumbnail of The effect of a lifestyle intervention on visceral fat, liver fat and intramyocellular lipids in obese men

International Journal of Obesity, 2008

Research paper thumbnail of Obesity is linked with increased clot strength and impaired fibrinolysis in nonalcoholic fatty liver disease

International Journal of Obesity, 2008

Research paper thumbnail of Myosteatosis is associated with frailty and poor physical function in potential liver transplant candidates

Clinical Nutrition ESPEN, Nov 30, 2023

Research paper thumbnail of Utilizing Technology for Diet and Exercise Change in Complex Chronic Conditions Across Diverse Environments (U-DECIDE): Feasibility Randomised Controlled Trial

Research Square (Research Square), Dec 3, 2023

Research paper thumbnail of Protocol for a randomised trial testing a community fibrosis assessment service for patients with suspected non-alcoholic fatty liver disease: LOCal assessment and triage evaluation of non-alcoholic fatty liver disease (LOCATE-NAFLD)

BMC Health Services Research, Apr 21, 2020

Research paper thumbnail of Agreement and Reliability of Clinician-in-Clinic Versus Patient-at-Home Clinical and Functional Assessments: Implications for Telehealth Services

Archives of rehabilitation research and clinical translation, Sep 1, 2020

Research paper thumbnail of ‘Focus on diet quality’: a qualitative study of clinicians’ perspectives of use of the Mediterranean dietary pattern for non-alcoholic fatty liver disease

British Journal of Nutrition, Mar 26, 2021

Research paper thumbnail of Exercise Training Is Safe and Feasible in Patients Awaiting Liver Transplantation: A Pilot Randomized Controlled Trial

Liver Transplantation, Aug 20, 2019

Research paper thumbnail of Utilizing Technology for Diet and Exercise Change in Complex Chronic Conditions Across Diverse Environments (U-DECIDE): Protocol for a Randomized Controlled Trial

JMIR Research Protocols, Jul 28, 2022

Research paper thumbnail of High-intensity Interval Training for the Management of Nonalcoholic Steatohepatitis: Participant Experiences and Perspectives

Journal of clinical and translational hepatology, Apr 21, 2023

Research paper thumbnail of Causes of raised liver enzymes in a diabetic clinic

Journal of Gastroenterology and Hepatology, Oct 1, 2006

Research paper thumbnail of Obese men cannot utilise intramyocellular lipids or intrahepatic lipids during 1-hour of moderate intensity exercise

International Journal of Obesity, 2008

Research paper thumbnail of Clinician Perspectives of Barriers and Enablers to Implementing the Mediterranean Dietary Pattern in Routine Care for Coronary Heart Disease and Type 2 Diabetes: A Qualitative Interview Study

Journal of the Academy of Nutrition and Dietetics, Jul 1, 2022

BACKGROUND Practice guidelines for coronary heart disease (CHD) and type 2 diabetes (T2D) recomme... more BACKGROUND Practice guidelines for coronary heart disease (CHD) and type 2 diabetes (T2D) recommend promoting the Mediterranean dietary pattern (MDP), which improves cardiometabolic risk markers and may prevent disease progression and complications. It is however unknown to what extent the MDP is recommended in routine care for patients with these conditions, particularly in multi-ethnic settings. OBJECTIVE The study aim was to explore multidisciplinary healthcare professionals' perspectives on recommending the MDP in routine care for patients with CHD or T2D; and barriers and enablers to its implementation. DESIGN A qualitative description design was employed, utilizing semi-structured individual interviews to collect data. PARTICIPANTS AND SETTING Fifty-seven clinicians (21 nurses, 19 doctors, 13 dietitians and 4 physiotherapists) routinely managing relevant patients across hospital and community settings in a metropolitan health service in Australia participated in interviews between November 2019 and March 2020. ANALYSIS PERFORMED Interviews were audio-recorded, transcribed verbatim and analyzed using thematic analysis. RESULTS Four overarching themes were identified highlighting that the MDP was not routinely recommended: current dietary practices (all clinicians perceived they had a role in dietary care but prioritization varied. There was a legacy of single nutrient-based strategies and disease silos); clinician-centered barriers to recommending MDP (limited MDP knowledge and practice skills and variable understanding and acceptance of evidence supporting its use. This was related to lack of education and training about the diet and personal interest/experience); organizational culture and resources influence dietary care (MDP not embedded in service culture or current clinic tools and resources, with limited dietary knowledge exchange within and across multidisciplinary teams); and perceived patient-centered barriers to implementation of MDP (socioeconomic challenges in a multicultural setting, and a lack of belief in patient capabilities to improve diet adherence). CONCLUSIONS Clinician and organizational factors, compounded by perceptions about patient acceptance, impact recommendations of the MDP for patients with CHD or T2D. These factors should be addressed to improve translation of MDP evidence into practice.

Research paper thumbnail of The Effect of Diet and Exercise Interventions on Body Composition in Liver Cirrhosis: A Systematic Review

Research paper thumbnail of Food and dietary behaviours as cardiometabolic risk factors in liver transplant recipients

Journal of Nutrition and Intermediary Metabolism, Jun 1, 2017

Research paper thumbnail of The inter‐ and intrarater reliability and feasibility of dietetic assessment of sarcopenia and frailty in potential liver transplant recipients: A mixed‐methods study

Clinical transplantation, Dec 19, 2020

Research paper thumbnail of Postprandial total and HMW adiponectin following a high-fat meal in lean, obese and diabetic men

European Journal of Clinical Nutrition, Mar 6, 2013

Research paper thumbnail of U-DECIDE: Utilising technology for Diet & Exercise Change In complex chronic conditions across Diverse Environments: Protocol for a Randomised Controlled Trial (Preprint)

BACKGROUND Background: The metabolic syndrome (MetS) is common across many complex chronic diseas... more BACKGROUND Background: The metabolic syndrome (MetS) is common across many complex chronic disease groups. Advances in health technology have provided opportunities to support lifestyle interventions. Implementation of health technology driven services in a tertiary setting remains untested. OBJECTIVE The purpose of this study is to test the feasibility of a health technology-assisted lifestyle intervention in a patient-led model of care. METHODS Methods: The study is a single-centre, 26-week randomised controlled trial. The setting is specialist kidney and liver disease clinics at a large Australian tertiary hospital. The participants will be adults with a complex chronic condition who are referred for dietetic assessment and display at least one feature of the MetS. All participants will receive an individualised assessment and advice on diet quality from a dietitian, a wearable activity monitor and standard care. Participants randomised to the intervention group will receive acce...

Research paper thumbnail of The independent effects of dietary energy restriction and circuit exercise training on fat oxidation in patients with NAFLD

Obesity Research & Clinical Practice, 2019

Research paper thumbnail of The Prevalence of Metabolic Derangements after Liver Transplantation Is Higher in Patients with Hepatitis C

American Journal of Transplantation, 2009

Research paper thumbnail of The effect of a lifestyle intervention on visceral fat, liver fat and intramyocellular lipids in obese men

International Journal of Obesity, 2008

Research paper thumbnail of Obesity is linked with increased clot strength and impaired fibrinolysis in nonalcoholic fatty liver disease

International Journal of Obesity, 2008

Log In