Julie Ratcliffe
Biographic Data
| ID | 347048 |
|---|---|
| NAME | Julie Ratcliffe |
| GIVEN NAMES | Julie |
| FAMILY NAME | Ratcliffe |
| SIGNATURE | RATCLIFFE J |
| AFFILIATIONS | Flinders University |
| ORCID | 0000-0001-7365-1988 |
| VERIFIED | Yes |
| TOTAL WORKS | 59 |
| TOTAL CITATIONS | 70 |
| AUTHOR COUNT | 59 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Cognitive behavioural therapy for older adults with depressive symptoms living in residential aged care
Quality of care experience- aged care consumers (QCE-ACC) in residential aged care
A scoping review of preference-based instruments for measuring carer outcomes in economic evaluations
Carer-specific preference-based instruments have been developed to capture outcomes for economic evaluations but the body of evidence has yet to be collated to guide instrument selection and identify knowledge gaps for future research. This scoping review aimed to identify carer-related, preference-based instruments and summarise and assess their performance, valuation and application. Nine databases (ASSIA, CINAHL, Cochrane, DARE, Econlit, EMBAS…
Process Evaluation of a Dementia Prevention Program for Aboriginal Australians (Dampaa) Using a Theory of Change Framework
A co-designed, Aboriginal health practitioner-led dementia risk management program (DAMPAA) was implemented from 2021 to 2024 to address the growing concern of dementia among Aboriginal and Torres Strait Islander peoples in Western Australia. Key features of DAMPAA included group walking and yarning sessions incorporating health and well-being education twice a week, alongside a six-month home program. A theory of change framework guided a parall…
Just transitions in the Australian automotive sector
The closure of the Australian passenger vehicle industry in 2017 ended an important phase in the nation’s economic history. Closure affected up to 100, 000 employees working across the Original Equipment Manufacturers (OEMs) and the supply chain, with the impacts concentrated in two Australian states. This paper examines both the processes and the outcomes of this closure, making use of a Just Transitions lens to assess the wider impacts of this …
Life after retrenchment
This paper examines if unemployment following retrenchment from the automobile industry is negatively associated with mental and physical health. Australian adults (> retrenched as a result of automotive plant closures in 2017 participated. The unemployed had the highest prevalence of poor mental health (45%) relative to those in paid employment (20%), self-employed (21%) and fully or semi-retired (6% and 9% respectively). Poor physical health wa…
Public Attitudes for Quality and Funding of Long‐Term Care
There has been growing interest in exploring factors that influence the success or otherwise of welfare policies in democratic countries, such as the interrelationships between the proposed policy and the context it will be introduced into, such as the sociodemographic characteristics of the population and the population’s previous experience with welfare policies. However, there has been little exploration of factors that could influence general…
Evidence for the external validity of the Consumer Choice Index Six Dimension (CCI-6D) for people living in residential aged care with dementia
The large proportion of people living in residential aged care services with dementia necessitates that any instrument used to measure quality of care is meaningful and practical to be completed by this group. This study assessed the external validity of using the Consumer Choice Index Six Dimension (CCI-6D) instrument to assess quality of care in a large sample of people living in residential aged care, including those with dementia. We applied …
Development of the What Matters 2 Adults (WM2A) wellbeing measure for Aboriginal and Torres Strait Islander adults
The unique combination of Indigenist and psychometric methodologies to develop WM2A ensures a culturally and psychometrically robust measure, relevant across a range of settings and applications
One and the same or different? An empirical comparison of aged care recipient and non-aged care recipient preferences for quality of aged care amongst older Australians
The Quality of Care Experience Aged Care Consumers (QCE-ACC) is a new preference-based instrument recently adopted by the Australian government nationally as a new quality indicator for aged care. This study employed a discrete choice experiment (DCE) approach to develop an aged care user-specific value set for the QCE-ACC instrument. This is crucial for establishing the relative importance of key QCE-ACC dimensions for informing quality assessme…
How do older adults receiving aged care services understand and respond to the EQ-5D-5L? A think-aloud study in residential care
Older adults may bring a different understanding to the EQ-5D-5L descriptive system than that expected given testing with general population samples. Dimension descriptors that are more relevant to this population may facilitate responses that better align with the underlying EQ-5D-5L concept model
Feasibility of self-reported health related quality of life assessment with older people in residential care
This exploratory study applying eye tracking technology provides novel insights and evidence of the feasibility of self-reported HRQoL assessments in older people in aged care settings where cognitive impairment and dementia are highly prevalent
Measuring Quality of Life in Residential Aged Care Using the EQ-5D-5L
Quality of life (QoL) is an important outcome in aged care, but self-report is not always possible due to the high prevalence of cognitive impairment in older aged care residents. This study aims to assess the impact of family member proxy perspective (proxy-proxy or proxy-person) on interrater agreement with resident self-report by different cognition levels. The influence of proxy perspective and cognition level is a significant gap in the exta…
Valuing indigenous quality of life
Indigenous perspectives of quality of life (QoL) are different to that of non-Indigenous populations. Determining how to identify and value what is important to QoL for people from diverse cultural backgrounds is crucial for assessing effective outcomes for quality assessment and health economic evaluation to guide evidence-based decision making. This is particularly important for older Indigenous people who have complex care and support needs wi…
Knowledge is everything?’ How well do the general public understand aged care and how does this affect their attitudes towards quality of care and future funding
The recent Royal Commission into Aged Care Quality and Safety in Australia has documented systemic failures and shocking incidences of abuse and neglect, a not uncommon story internationally. As aged care in many countries is predominantly publicly funded, it is important to understand the general public's attitudes towards aged care quality, what aspects of care quality they think are most important and their willingness to contribute to increas…
Assessing the construct validity of the Quality-of-Life-Aged Care Consumers (QOL-ACC)
The study provides evidence of the construct validity of the QOL-ACC descriptive system. A preference-weighted value set is currently being developed for the QOL-ACC, which when finalised will be subjected to further validation assessments
Do we agree or disagree? A systematic review of the application of preference-based instruments in self and proxy reporting of quality of life in older people
Public perspectives on acquired brain injury rehabilitation and components of care
BACKGROUND: Brain injury rehabilitation is an expensive and long-term endeavour. Very little published information or debate has underpinned policy for service delivery in Australia. Within the context of finite health budgets and the challenges associated with providing optimal care to persons with brain injuries, members of the public were asked 'What considerations are important to include in a model of care of brain injury rehabilitation?' ME…
The Fabric of Aboriginal and Torres Strait Islander Wellbeing
Wellbeing is culturally bound and is shaped by many aspects of life, including experiences, beliefs and values. As such, in order to accurately measure wellbeing for a specific cultural group, it is necessary to understand the experiences, beliefs and values that influence the conception and experience of wellbeing of that group. This paper presents a conceptual model of wellbeing for Aboriginal and Torres Strait Islander people, which was develo…
What Matters 2 Adults (WM2Adults)
Aboriginal and Torres Strait Islander people experience a greater range of health and social disadvantages compared to other Australians. Wellbeing is a culturally-bound construct, and to date, a national evidence base around the components of wellbeing for Aboriginal and Torres Strait Islander people is lacking. Understanding and measurement of wellbeing for this population is critical in achieving health equity. This paper aims to identify and …
Australian adolescent population norms for the child health utility index 9D—results from the young minds matter survey
The longitudinal validity of proxy-reported CHU9D
This study provides the first evidence on responsiveness for CHU9D in a mental health context. The findings demonstrate that CHU9D is an appropriate HRQOL measure for use in mental health trials. Furthermore, the results show that the preference weights generated from an adolescent population resulted in the larger mean differences between groups
Using discrete choice experiments to elicit the service preferences of people with mild intellectual disability
The National Disability Insurance Scheme (NDIS) in Australia and other similar international movements towards consumer direction have highlighted the importance of including consumers to ensure their service preferences are operationalised. Discrete Choice Experiments (DCEs) are an established method to quantify consumer preferences. The feasibility of using DCEs with people with intellectual disability is largely untested. Consenting participan…
Quality of care experience in aged care
A preference for quality
Investigating consumers' and informal carers' views and preferences for consumer directed care
The urban and regional impacts of plant closures
Work on large-scale plant closures has provided a rich vein of scholarship and academic debate. This paper articulates a new set of methods and concepts for understanding how large-scale redundancies associated with the closure of manufacturing plants affects society and the economy at the local, regional and national scales. It posits the need for a more comprehensive exercise in data collection and experimentation with previously unused methods…
Consumer Directed Care in A ustralia
The study aimed to identify the shared issues and challenges being experienced by staff, their clients and informal carers, with the introduction of Consumer Directed Care (CDC). Secondary analysis was undertaken of data that had been initially collected, via semi-structured in-depth interviews, to inform the development of a discrete choice experiment. The raw staff and client/carer data were re-examined using an iterative inductive process. The…
Using willingness to pay to value alternative models of antenatal care
Quality of care experience in aged care
Important features of home-based support services for older Australians and their informal carers
In Australia, newly initiated, publicly subsidised 'Home-Care Packages' designed to assist older people (≥ 65 years of age) living in their own home must now be offered on a 'consumer-directed care' (CDC) basis by service providers. However, CDC models have largely developed in the absence of evidence on users' views and preferences. The aim of this study was to determine what features (attributes) of consumer-directed, home-based support service…
Valuing the Child Health Utility 9D
An assessment of the relationship between informal caring and quality of life in older community-dwelling adults - more positives than negatives
The main objective of the study was to apply the recently developed Index of Capability (ICECAP-O) instrument to measure and value the quality of life of a representative sample of the older South Australian population (aged ≥ 65 years) according to carer status. A Health Omnibus survey including the ICECAP-O instrument, carer status (informal carer vs. non-carer) and several socio-demographic questions was administered in 2009 as a face-to-face …
Further challenges to medical dominance? The case of nurse and pharmacist supplementary prescribing
Doctors have traditionally been viewed as the dominant healthcare profession, with the authority to prescribe medicines, but recent non-medical prescribing initiatives have been viewed as possible challenges to such dominance. Using the example of the introduction of supplementary prescribing in the UK, this study sought to explore whether such initiatives represent a challenge to medical authority. Ten case study sites in England involving prima…
Investigating women’s preferences for intrapartum care
There is an increasing amount of evidence to suggest that the clinical outcomes associated with a home birth for low risk women are at least as good, if not better than, the clinical outcomes associated with giving birth in hospital. If it is the case that there is little or no difference in clinical outcomes between the two modes of delivery, then traditional measures of benefit used in health economics, e.g. quality adjusted life years (QALYs),…
A preference for quality
Evaluating the quality of care received in long-term care facilities from a consumer perspective
The Consumer Choice Index – Six Dimension (CCI-6D) is a new instrument designed specifically to evaluate the quality of care received in long-term care from a consumer perspective. This study aims to demonstrate the construct validity of the CCI-6D. Older residents living in long-term care facilities and proxy family carers (where severely impaired cognition precluded resident consent) participated as consumers of long-term care. Data collected i…
Just transitions in the Australian automotive sector
The closure of the Australian passenger vehicle industry in 2017 ended an important phase in the nation’s economic history. Closure affected up to 100, 000 employees working across the Original Equipment Manufacturers (OEMs) and the supply chain, with the impacts concentrated in two Australian states. This paper examines both the processes and the outcomes of this closure, making use of a Just Transitions lens to assess the wider impacts of this …
Assessing quality of care in nursing homes using discrete choice experiments
Using the discrete choice experimental design to investigate decision-making about pressure ulcer prevention by community nurses
This study investigates the preferences of senior community nurses who work as district nurse team leaders in selecting preventive care plans for elderly people at high risk of pressure ulcer formation. The discrete choice experiment (DCE) technique was used. Focus group work produced the following five attributes of nurse decision-making: ‘ease of care plan management’, ‘impact of care plan on patient's lifestyle’, ‘speed of obtaining the equipm…
Cost effectiveness of a mass media-led anti-smoking campaign in Scotland
Provided that the benefits of smoking cessation are broadly accurate, and the assumed level of quitting can be directly attributed to Smokeline, then this mass media-led anti-smoking campaign appears to have been cost effective
Using willingness to pay to value alternative models of antenatal care
Health-related quality of life following liver transplantation
Investigating women’s preferences for intrapartum care
There is an increasing amount of evidence to suggest that the clinical outcomes associated with a home birth for low risk women are at least as good, if not better than, the clinical outcomes associated with giving birth in hospital. If it is the case that there is little or no difference in clinical outcomes between the two modes of delivery, then traditional measures of benefit used in health economics, e.g. quality adjusted life years (QALYs),…
Principles of distributive justice used by members of the general public in the allocation of donor liver grafts for transplantation
Objective To investigate the nature of public preferences in the allocation of donor liver grafts for transplantation. Design A qualitative study based upon the transcripts of four focus groups. Setting Derby, Derbyshire, UK. Participants Twenty‐two members of the public in the Derby locality, recruited to one of four focus groups through local community groups. Main outcome measures The views of focus group members as to the importance (or other…
Using the discrete choice experimental design to investigate decision-making about pressure ulcer prevention by community nurses
This study investigates the preferences of senior community nurses who work as district nurse team leaders in selecting preventive care plans for elderly people at high risk of pressure ulcer formation. The discrete choice experiment (DCE) technique was used. Focus group work produced the following five attributes of nurse decision-making: ‘ease of care plan management’, ‘impact of care plan on patient's lifestyle’, ‘speed of obtaining the equipm…
The precision of health state valuation by members of the general public using the standard gamble
An assessment of the construct validity of the CHU9D in the Australian adolescent general population
Using the knee-specific Hughston Clinic Questionnaire, EQ-5D and SF-6D following arthroscopic partial meniscectomy surgery
An assessment of the relationship between informal caring and quality of life in older community-dwelling adults - more positives than negatives
The main objective of the study was to apply the recently developed Index of Capability (ICECAP-O) instrument to measure and value the quality of life of a representative sample of the older South Australian population (aged ≥ 65 years) according to carer status. A Health Omnibus survey including the ICECAP-O instrument, carer status (informal carer vs. non-carer) and several socio-demographic questions was administered in 2009 as a face-to-face …
Further challenges to medical dominance? The case of nurse and pharmacist supplementary prescribing
Doctors have traditionally been viewed as the dominant healthcare profession, with the authority to prescribe medicines, but recent non-medical prescribing initiatives have been viewed as possible challenges to such dominance. Using the example of the introduction of supplementary prescribing in the UK, this study sought to explore whether such initiatives represent a challenge to medical authority. Ten case study sites in England involving prima…
Measuring caregiver outcomes in palliative care
Family meetings for older adults in intermediate care settings
BACKGROUND: Clinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (HLC) influence patient preference for consultation involvement and information but overall, a shared-decision-making (SDM) approach is favoured. However, it is not known whether these characteristics and the presence of cognitive impa…
“I have never experienced any problem with my health. So far, it hasn’t been harmful”
Smoking among older Greek-Australian smokers has been associated with a number of influences and these need to be addressed in smoking cessation efforts targeted at this group. Promoting knowledge about the health impacts of smoking, changing attitudes towards smoking, and ultimately, decreasing tobacco consumption are critical to the maintenance of health among older Greek Australians. Cultural and experiential influences may increase the diffic…
Understanding Socio-cultural Influences on Smoking among Older Greek-Australian Smokers Aged 50 and over
Smokers of all ages can benefit by quitting, but many smokers continue to smoke. Older Greek-Australian smokers, one of the largest ethnic groups in Australia, have higher rates of smoking than other groups of older Australians. This qualitative study aimed to explore older Greek-Australians' views about socio-cultural influences on their smoking. A snowball sampling technique was used to identify twenty Greek-Australian smokers (12 males and eig…
Important features of home-based support services for older Australians and their informal carers
In Australia, newly initiated, publicly subsidised 'Home-Care Packages' designed to assist older people (≥ 65 years of age) living in their own home must now be offered on a 'consumer-directed care' (CDC) basis by service providers. However, CDC models have largely developed in the absence of evidence on users' views and preferences. The aim of this study was to determine what features (attributes) of consumer-directed, home-based support service…
Investigating consumers' and informal carers' views and preferences for consumer directed care
Does one size fit all? Assessing the preferences of older and younger people for attributes of quality of life
Opalesence
The evaluation of complex systems-wide public health interventions requires evaluation research that is underpinned by theory. This article presents and discusses the trans-disciplinary evaluation research framework developed to support the evaluation of a South Australian program called OPAL (Obesity Prevention and Lifestyle). The aim is to provide insights into the research design, methods and implementation of the evaluation and contribute to …
Consumer Directed Care in A ustralia
The study aimed to identify the shared issues and challenges being experienced by staff, their clients and informal carers, with the introduction of Consumer Directed Care (CDC). Secondary analysis was undertaken of data that had been initially collected, via semi-structured in-depth interviews, to inform the development of a discrete choice experiment. The raw staff and client/carer data were re-examined using an iterative inductive process. The…
Valuing the Child Health Utility 9D
Assessing Knowledge and Attitudes towards Cervical Cancer Screening among Rural Women in Eastern China
There is a heavy burden of cervical cancer in China. Although the Chinese government provides free cervical cancer screening for rural women aged 35 to 59 years, the screening rate remains low even in the more developed regions of eastern China. This study aimed to assess knowledge and attitudes about cervical cancer and its screening among rural women aged 30 to 65 years in eastern China. A cross-sectional study was conducted in four counties of…
Empirical Comparison Between Capability and Two Health-Related Quality of Life Measures
An empirical comparison of the measurement properties of the EQ-5D-5L, Demqol-U and Demqol-Proxy-U for older people in residential care
The findings suggest that the EQ-5D-5L, DEMQOL-U and DEMQOL-Proxy-U capture distinct aspects of HRQoL for this population. The measurement and valuation of HRQoL form an essential component of economic evaluation in residential care. However, high levels of cognitive impairment may preclude self-completion for a majority. Further research is needed to determine cognition thresholds beyond which an individual is unable to reliably self-report thei…
Scoring the Child Health Utility 9D instrument
Medicine (50 works) · Psychology (35 works) · Nursing (30 works) · Health Systems, Economic Evaluations, Quality of Life (25 works) · Gerontology (22 works) · Public health (16 works) · Quality of life (healthcare (16 works) · Economic and Environmental Valuation (15 works) · Political science (15 works) · Population (15 works)