Sarah Larkin
Biographic Data
| ID | 156691 |
|---|---|
| NAME | Sarah Larkin |
| GIVEN NAMES | Sarah |
| FAMILY NAME | Larkin |
| SIGNATURE | LARKIN S |
| AFFILIATIONS | James Cook University |
| ORCID | 0000-0002-7561-3202 |
| VERIFIED | Yes |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2012 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Technology-based teaching to support health students’ clinical skills in stroke recovery
Turning struggles into strengths
INTRODUCTION: Academic difficulty in medical education has potentially negative impacts on students, faculties, and healthcare institutions. A traditional deficit view of the phenomenon offers a limited perspective that narrows student support opportunities and neglects intrapersonal strengths and successes arising from student adversity and struggle. This study explores the lived experiences of medical students and junior doctors who surmounted …
Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians
Objectives To assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined. Methods Scoping review of peer-reviewed evaluations of chronic disease interventions for Aboriginal and Torres Strait Islander patients, in which cultural safety is an outcome. Searches included Scopus, Informit, OVID Medline, Emcare and CINAHL including all articles published until …
Foundations of the Alive National Centre for Mental Health Research Translation
The ALIVE National Centre for Mental Health Research Translation was established in 2021. Funded by the Australian National Health and Medical Research Council's Special Initiative in Mental Health, the Centre aims to foster innovation in mental health care. Central to this aim is embedding the voices of those with lived experience into all Centre structures and activities including leadership and co-design of research priorities for mental healt…
Digital Health Innovation by Design
Digital health innovations (DHIs) have the potential to transform access, continuity, and quality of healthcare in rural, regional, and remote (RRR) settings, yet they often fall short in practice. Barriers extend beyond infrastructure and technology to include workforce challenges and the complex realities of delivering care across diverse geographic, cultural, and social contexts. Effective DHIs must therefore be designed with local needs and s…
Following in Elders' Footsteps
There is a growing body of literature around ageing well for Indigenous Peoples internationally. However, the perspectives of Torres Strait Islander Peoples, one of two First Nations groups in Australia, have not been documented. This qualitative study aims to explore what ageing well means to people living in the Torres Strait and Northern Peninsula Area (NPA) of Australia. Ten yarning circles were conducted with 45 participants from four island…
Clinicians’ Experiences and Perspectives about a New Lung Cancer Referral Pathway in a Regional Health Service
Emerging themes from this study may be used to reduce the barriers and improve uptake of TLCRP and other health care pathways in the local health service and may have wider relevance in other settings
Democratising data to address health system inequities in Australia
Understanding the health status of a population or community is crucial to equitable service planning. Among other uses, data on health status can help local and national planners and policy makers understand patterns and trends in current or emerging health and well-being, especially how disparities relating to geography, ethnicity, language and living with disability influence access to services. In this practice paper we draw attention to the …
Third places in precarious workers’ lives
The contemporary increase in precarious employment has shaped lives marked by employment, economic, and social instability for many workers. While research has demonstrated deleterious physical and mental implications of precarious work, less attention has been paid to social implications, including heightened risk for social isolation. Using a 5-step scoping review process, this paper investigates what is known about the types and characteristic…
(Re)making ‘third places’ in precarious times
Background: Occupational science scholarship has long recognized the relationship of person, occupation, and context, with less focus on the role of occupation in placemaking. Inquiries about ‘third places’ beyond home and work can develop knowledge about how occupations help (re)create and maintain places; such knowledge is especially relevant for understanding how people navigate precarious social and economic conditions.Methods: Through a 5-st…
Aging Well for Indigenous Peoples
As life expectancy increases for Indigenous populations, so does the number of older adults with complex, chronic health conditions and age-related geriatric syndromes. Many of these conditions are associated with modifiable lifestyle factors that, if addressed, may improve the health and wellbeing of Indigenous peoples as they age. If models of healthy aging are to be promoted within health services, a clearer understanding of what aging well me…
The population health role of academic health centres
BACKGROUND: Academic health centres (AHCs) are organisations that aim to mobilise knowledge into practice by improving the responsiveness of health systems to emerging evidence. This study aims to explore the population health role of AHCs in Australia and England, where AHCs represent novel organisational forms. METHODS: A multiple-case study design using qualitative methods was used to explore population health goals and activities in four disc…
Voice–Validating Outcomes by Including Consumer Experience
Aboriginal and Torres Strait Islander peoples' (hereafter respectfully referred to as Indigenous Australians) experiences of health care are shaped by historical, social and cultural factors, with cultural security critical to effective care provision and engagement between services and community. Positive patient experiences are associated with better health outcomes. Consequently, it is an accreditation requirement that primary health care (PHC…
Respect Is Central
Background: Primary health care (PHC) services are complex systems, shaped by an interplay of factors at individual, organisational and broader system levels. For Aboriginal and Torres Strait Islander PHC services, closer relationships with the people they serve, local knowledge of community, and cultural awareness are critical. Continuous quality improvement (CQI) has proven to be an effective process for identification of priority issues in hea…
“We learnt it, then we lived it”
Objective The James Cook University (JCU) medical school has a mission to produce graduates committed to practising with underserved populations. This study explores the views of final-year students regarding the influence of the JCU medical curriculum on their self-reported commitment to socially-accountable practice, intentions for rural practice, and desired postgraduate training pathway.Methods Cross-sectional survey of final year JCU medical…
From the Frontline
Health systems in the Asia-Pacific region are poorly prepared for pandemic threats, particularly in rural/provincial areas. Yet future emerging infectious diseases are highly likely to emerge in these rural/provincial areas, due to high levels of contact between animals and humans (domestically and through agricultural activities), over-stretched and under-resourced health systems, notably within the health workforce, and a diverse array of socio…
Training a Fit-For-Purpose Rural Health Workforce for Low- and Middle-Income Countries (LMICs)
Equity in health outcomes for rural and remote populations in low- and middle-income countries (LMICs) is limited by a range of socio-economic, cultural and environmental determinants of health. Health professional education that is sensitive to local population needs and that attends to all elements of the rural pathway is vital to increase the proportion of the health workforce that practices in underserved rural and remote areas. The Training …
WOmen's Action for Mums and Bubs (Womb) Trial Protocol
Introduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women’s Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomised, cluster stepped-wedge implementation of a complex intervention with mixed methods evaluation, this study aims to tes…
Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature
INTRODUCTION: Much of the existing work around implementation of cancer optimal care pathways (OCP) has either focused exclusively on the clinical elements of care or has targeted individual stages in the cancer trajectory, rather than using a patient-centred or service delivery lens to inform the integration of care across the continuum. This review aimed to identify and summarise the available literature on lung cancer OCP. METHODS: A scoping r…
Long-term out of pocket expenditure of people with cancer
Indigenous people with cancer had lower out-of-pocket expenditure, but also accessed fewer Medicare services compared to their non-Indigenous counterparts. Indigenous people with cancer were less likely to access specialist attendances, pathology tests, and diagnostic imaging through MBS, and more likely to access primary health care, such as services provided by general practitioners
Conceptualizing the Association Between Community Participation and CQI in Aboriginal and Torres Strait Islander PHC Services
Drawing from Australian Aboriginal and Torres Strait Islander perspectives, we conceptualize the association between community participation and continuous quality improvement (CQI) processes in Indigenous primary health care (PHC) services. Indigenous experiences of community participation were drawn from our study identifying contextual factors affecting CQI processes in high-improving PHC services. Using case study design, we collected quantit…
Improving preventive health care in Aboriginal and Torres Strait Islander primary care settings
BACKGROUND: Like other colonised populations, Indigenous Australians experience poorer health outcomes than non-Indigenous Australians. Preventable chronic disease is the largest contributor to the health differential between Indigenous and non-Indigenous Australians, but recommended best-practice preventive care is not consistently provided to Indigenous Australians. Significant improvement in health care delivery could be achieved through ident…
Implementation of oral health initiatives by Australian rural communities
In this paper, we consider factors significant in the success of community participation in the implementation of new oral health services. Our analysis draws on data from the Rural Engaging Communities in Oral Health (Rural ECOH) study (2014-2016). We aimed to assess the Australian relevance of a Scottish community participation framework for health service development; Remote Service Futures. Internationally, community participation in planning…
A Role for Communities in Primary Prevention of Chronic Illness? Case Studies in Regional Australia
In regional Australia "communities of place," defined as bounded geographic locations with a local society, undertake community-wide primary prevention programs. In helping to prevent chronic illness, communities provide valuable resources to the health system. To understand the role of community-health sector partnerships for primary prevention and the community contextual factors that affect them, we studied eight partnerships. We used an embed…
Community and health sector partnerships for primary prevention in Australia
The Australian health system requires novel strategies to implement widespread primary prevention to reduce the burden of chronic illness. One approach is for health sectors to draw on resources available in communities of place and to form partnerships which maximize the relevance and uptake of initiatives designed to promote healthy lifestyles. This article presents a typology of conceptual approaches to community and health sector partnerships…
A Role for Communities in Primary Prevention of Chronic Illness? Case Studies in Regional Australia
In regional Australia "communities of place," defined as bounded geographic locations with a local society, undertake community-wide primary prevention programs. In helping to prevent chronic illness, communities provide valuable resources to the health system. To understand the role of community-health sector partnerships for primary prevention and the community contextual factors that affect them, we studied eight partnerships. We used an embed…
(Re)making ‘third places’ in precarious times
Background: Occupational science scholarship has long recognized the relationship of person, occupation, and context, with less focus on the role of occupation in placemaking. Inquiries about ‘third places’ beyond home and work can develop knowledge about how occupations help (re)create and maintain places; such knowledge is especially relevant for understanding how people navigate precarious social and economic conditions.Methods: Through a 5-st…
Community and health sector partnerships for primary prevention in Australia
The Australian health system requires novel strategies to implement widespread primary prevention to reduce the burden of chronic illness. One approach is for health sectors to draw on resources available in communities of place and to form partnerships which maximize the relevance and uptake of initiatives designed to promote healthy lifestyles. This article presents a typology of conceptual approaches to community and health sector partnerships…
Community and health sector partnerships for primary prevention in Australia
The Australian health system requires novel strategies to implement widespread primary prevention to reduce the burden of chronic illness. One approach is for health sectors to draw on resources available in communities of place and to form partnerships which maximize the relevance and uptake of initiatives designed to promote healthy lifestyles. This article presents a typology of conceptual approaches to community and health sector partnerships…
A Role for Communities in Primary Prevention of Chronic Illness? Case Studies in Regional Australia
In regional Australia "communities of place," defined as bounded geographic locations with a local society, undertake community-wide primary prevention programs. In helping to prevent chronic illness, communities provide valuable resources to the health system. To understand the role of community-health sector partnerships for primary prevention and the community contextual factors that affect them, we studied eight partnerships. We used an embed…
Improving preventive health care in Aboriginal and Torres Strait Islander primary care settings
BACKGROUND: Like other colonised populations, Indigenous Australians experience poorer health outcomes than non-Indigenous Australians. Preventable chronic disease is the largest contributor to the health differential between Indigenous and non-Indigenous Australians, but recommended best-practice preventive care is not consistently provided to Indigenous Australians. Significant improvement in health care delivery could be achieved through ident…
Implementation of oral health initiatives by Australian rural communities
In this paper, we consider factors significant in the success of community participation in the implementation of new oral health services. Our analysis draws on data from the Rural Engaging Communities in Oral Health (Rural ECOH) study (2014-2016). We aimed to assess the Australian relevance of a Scottish community participation framework for health service development; Remote Service Futures. Internationally, community participation in planning…
Long-term out of pocket expenditure of people with cancer
Indigenous people with cancer had lower out-of-pocket expenditure, but also accessed fewer Medicare services compared to their non-Indigenous counterparts. Indigenous people with cancer were less likely to access specialist attendances, pathology tests, and diagnostic imaging through MBS, and more likely to access primary health care, such as services provided by general practitioners
Conceptualizing the Association Between Community Participation and CQI in Aboriginal and Torres Strait Islander PHC Services
Drawing from Australian Aboriginal and Torres Strait Islander perspectives, we conceptualize the association between community participation and continuous quality improvement (CQI) processes in Indigenous primary health care (PHC) services. Indigenous experiences of community participation were drawn from our study identifying contextual factors affecting CQI processes in high-improving PHC services. Using case study design, we collected quantit…
From the Frontline
Health systems in the Asia-Pacific region are poorly prepared for pandemic threats, particularly in rural/provincial areas. Yet future emerging infectious diseases are highly likely to emerge in these rural/provincial areas, due to high levels of contact between animals and humans (domestically and through agricultural activities), over-stretched and under-resourced health systems, notably within the health workforce, and a diverse array of socio…
Training a Fit-For-Purpose Rural Health Workforce for Low- and Middle-Income Countries (LMICs)
Equity in health outcomes for rural and remote populations in low- and middle-income countries (LMICs) is limited by a range of socio-economic, cultural and environmental determinants of health. Health professional education that is sensitive to local population needs and that attends to all elements of the rural pathway is vital to increase the proportion of the health workforce that practices in underserved rural and remote areas. The Training …
WOmen's Action for Mums and Bubs (Womb) Trial Protocol
Introduction: In Australia, there have been improvements in Aboriginal and Torres Strait Islander maternal health, however inequities remain. There is increasing international evidence illustrating the effectiveness of Participatory Women’s Groups (PWGs) in improving Maternal and Child Health (MCH) outcomes. Using a non-randomised, cluster stepped-wedge implementation of a complex intervention with mixed methods evaluation, this study aims to tes…
Optimal Care Pathways for People with Lung Cancer- a Scoping Review of the Literature
INTRODUCTION: Much of the existing work around implementation of cancer optimal care pathways (OCP) has either focused exclusively on the clinical elements of care or has targeted individual stages in the cancer trajectory, rather than using a patient-centred or service delivery lens to inform the integration of care across the continuum. This review aimed to identify and summarise the available literature on lung cancer OCP. METHODS: A scoping r…
Respect Is Central
Background: Primary health care (PHC) services are complex systems, shaped by an interplay of factors at individual, organisational and broader system levels. For Aboriginal and Torres Strait Islander PHC services, closer relationships with the people they serve, local knowledge of community, and cultural awareness are critical. Continuous quality improvement (CQI) has proven to be an effective process for identification of priority issues in hea…
“We learnt it, then we lived it”
Objective The James Cook University (JCU) medical school has a mission to produce graduates committed to practising with underserved populations. This study explores the views of final-year students regarding the influence of the JCU medical curriculum on their self-reported commitment to socially-accountable practice, intentions for rural practice, and desired postgraduate training pathway.Methods Cross-sectional survey of final year JCU medical…
Aging Well for Indigenous Peoples
As life expectancy increases for Indigenous populations, so does the number of older adults with complex, chronic health conditions and age-related geriatric syndromes. Many of these conditions are associated with modifiable lifestyle factors that, if addressed, may improve the health and wellbeing of Indigenous peoples as they age. If models of healthy aging are to be promoted within health services, a clearer understanding of what aging well me…
The population health role of academic health centres
BACKGROUND: Academic health centres (AHCs) are organisations that aim to mobilise knowledge into practice by improving the responsiveness of health systems to emerging evidence. This study aims to explore the population health role of AHCs in Australia and England, where AHCs represent novel organisational forms. METHODS: A multiple-case study design using qualitative methods was used to explore population health goals and activities in four disc…
Voice–Validating Outcomes by Including Consumer Experience
Aboriginal and Torres Strait Islander peoples' (hereafter respectfully referred to as Indigenous Australians) experiences of health care are shaped by historical, social and cultural factors, with cultural security critical to effective care provision and engagement between services and community. Positive patient experiences are associated with better health outcomes. Consequently, it is an accreditation requirement that primary health care (PHC…
Democratising data to address health system inequities in Australia
Understanding the health status of a population or community is crucial to equitable service planning. Among other uses, data on health status can help local and national planners and policy makers understand patterns and trends in current or emerging health and well-being, especially how disparities relating to geography, ethnicity, language and living with disability influence access to services. In this practice paper we draw attention to the …
Third places in precarious workers’ lives
The contemporary increase in precarious employment has shaped lives marked by employment, economic, and social instability for many workers. While research has demonstrated deleterious physical and mental implications of precarious work, less attention has been paid to social implications, including heightened risk for social isolation. Using a 5-step scoping review process, this paper investigates what is known about the types and characteristic…
(Re)making ‘third places’ in precarious times
Background: Occupational science scholarship has long recognized the relationship of person, occupation, and context, with less focus on the role of occupation in placemaking. Inquiries about ‘third places’ beyond home and work can develop knowledge about how occupations help (re)create and maintain places; such knowledge is especially relevant for understanding how people navigate precarious social and economic conditions.Methods: Through a 5-st…
Clinicians’ Experiences and Perspectives about a New Lung Cancer Referral Pathway in a Regional Health Service
Emerging themes from this study may be used to reduce the barriers and improve uptake of TLCRP and other health care pathways in the local health service and may have wider relevance in other settings
Determining the cultural safety of chronic disease interventions for Aboriginal and Torres Strait Islander Australians
Objectives To assess how the cultural safety of primary care-based chronic disease interventions for Aboriginal and Torres Strait Islander Australians is determined. Methods Scoping review of peer-reviewed evaluations of chronic disease interventions for Aboriginal and Torres Strait Islander patients, in which cultural safety is an outcome. Searches included Scopus, Informit, OVID Medline, Emcare and CINAHL including all articles published until …
Foundations of the Alive National Centre for Mental Health Research Translation
The ALIVE National Centre for Mental Health Research Translation was established in 2021. Funded by the Australian National Health and Medical Research Council's Special Initiative in Mental Health, the Centre aims to foster innovation in mental health care. Central to this aim is embedding the voices of those with lived experience into all Centre structures and activities including leadership and co-design of research priorities for mental healt…
Digital Health Innovation by Design
Digital health innovations (DHIs) have the potential to transform access, continuity, and quality of healthcare in rural, regional, and remote (RRR) settings, yet they often fall short in practice. Barriers extend beyond infrastructure and technology to include workforce challenges and the complex realities of delivering care across diverse geographic, cultural, and social contexts. Effective DHIs must therefore be designed with local needs and s…
Following in Elders' Footsteps
There is a growing body of literature around ageing well for Indigenous Peoples internationally. However, the perspectives of Torres Strait Islander Peoples, one of two First Nations groups in Australia, have not been documented. This qualitative study aims to explore what ageing well means to people living in the Torres Strait and Northern Peninsula Area (NPA) of Australia. Ten yarning circles were conducted with 45 participants from four island…
Technology-based teaching to support health students’ clinical skills in stroke recovery
Turning struggles into strengths
INTRODUCTION: Academic difficulty in medical education has potentially negative impacts on students, faculties, and healthcare institutions. A traditional deficit view of the phenomenon offers a limited perspective that narrows student support opportunities and neglects intrapersonal strengths and successes arising from student adversity and struggle. This study explores the lived experiences of medical students and junior doctors who surmounted …
Medicine (18 works) · Political science (16 works) · Nursing (14 works) · Health care (13 works) · Sociology (11 works) · Health Policy Implementation Science (9 works) · Public relations (9 works) · Business (7 works) · Indigenous Health, Education, and Rights (7 works) · Public health (7 works)