Kirsten Mccaffery
Biographic Data
| ID | 3658115 |
|---|---|
| NAME | Kirsten Mccaffery |
| GIVEN NAMES | Kirsten |
| FAMILY NAME | Mccaffery |
| SIGNATURE | MCCAFFERY K |
| AFFILIATIONS | The University of Sydney |
| VERIFIED | No |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 42 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Psychosocial Impact of Breast Density Notification Through Breast Cancer Screening
INTRODUCTION: Breast density notification is now implemented in the United States and parts of Australia and Canada despite limited understanding of how it impacts women and their psychosocial health. This study explored the psychosocial impact of receiving a notification of dense breasts through a population-based breast cancer screening programme. METHODS: We interviewed 19 Australian women who indicated being anxious in a survey. This survey w…
Asking The Right Questions
Background: Type 2 diabetes (T2D) continues to be the leading burden of disease globally. With the growing population of people with diabetes, it is essential to deliver integrated care that is value-based and patient-centred, as well as high-value to providers and the healthcare system. Community-facing digital interventions have transformed the care delivered to these patients. However, few have been co-designed to specifically address patient …
Trust in the healthcare system declines after exposure to information about the harms and benefits of breast cancer screening
Conflicting health messages negatively impact trust. Breast cancer screening (BCS) is one area of healthcare where conflicting messages are common. We examined whether women's healthcare system trust was impacted after exposure to information about harms and benefits of BCS. We enrolled 497 women into this study. Participants were administered a decision aid (DA) containing information about the harms and benefits of BCS and reported their health…
Effect of Virtual Care on Diabetes management
Introduction: Diabetes is an increasingly prevalent and costly chronic disease worldwide and a large cause of unnecessary disease burden. As a growing health issue, diabetes needs a focus on better management by community providers, rather than relying on an overstretched hospital-based specialist service. Conventional outpatient care is increasingly insufficient to manage diabetes. The rapid uptake of telehealth and other forms of virtual care d…
Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney
The findings suggest this integrated care model was feasible and perceived as beneficial by both patients and providers. The clinic offers a promising model of practice that could be developed further to roll out in other regions for rural delivery of care
Early Covid-19 Attitudes and Behaviors and Their Associations With Later Infection
BACKGROUND: At the onset of the pandemic, there was poor public awareness and inaction in response to COVID-19; it is less known whether this translated to subsequent infections. OBJECTIVES: To explore whether adults who perceived COVID-19 as less of a threat and who were not taking early actions were more likely to become infected over the following year. RESEARCH DESIGN: Survey data from the ongoing (COVID-19 & Chronic Conditions (C3) anonymize…
Australian General Practitioners’ Current Knowledge, Understanding, and Feelings Regarding Breast Density Information and Notification
There is strong support for notifying patients of breast density, and interest in further education and training among the surveyed GPs. As GPs play a central role in cancer prevention and control, their involvement in discussions related to breast density notification, evaluation and appraisal of evidence, development of communication strategies, and participation in ongoing research on the topic will be indispensable
How do people understand overtesting and overdiagnosis? Systematic review and meta-synthesis of qualitative research
Impact of diagnostic labels and causal explanations for weight gain on diet intentions, cognitions and emotions
Health literacy and disparities in Covid-19–related knowledge, attitudes, beliefs and behaviours in Australia
OBJECTIVES: To explore the variation in understanding of, attitudes towards, and uptake of, health advice on coronavirus disease 2019 (COVID-19) during the 2020 pandemic stage 3 restrictions ('lockdown') by health literacy in the Australian population. STUDY DESIGN: National cross-sectional community survey. SETTING: Australian general public. PARTICIPANTS: Adults aged over 18 years (N = 4362). MAIN OUTCOME MEASURES: Knowledge, attitudes and beha…
Listening to both sides
This qualitative study compares and contrasts the perspectives of healthcare professionals who treat hepatitis C with those of patients in treatment. Comparative analysis of semi-structured interviews with 20 healthcare professionals and 20 patients undergoing treatment for hepatitis C concluded that patients and healthcare professionals disagreed on the source of communication breakdowns, but both felt that individualised clinical information im…
Decision-Making Preferences and Deprescribing
This study provides a novel typology to describe differences between older people who are happy to take multiple medicines, and those who are open to deprescribing. To enable shared decision-making, prescribers need to adapt their communication about polypharmacy based on their patients' attitudes to medicines and preferences for involvement in decisions
What Australian women want and when they want it
Background New testing technologies and human papillomavirus (HPV) vaccines have recently brought changes to cervical cancer screening. In 2006, the Australian government also changed the protocol for managing abnormal Pap smears. Australian women’s attitudes and preferences to these changes are largely unknown. Quantitative data on information needs and community attitudes to informed decision making in screening in Australia are also limited. O…
Insights into the concept and measurement of health literacy from a study of shared decision-making in a low literacy population
This article explores the concept and measurement of health literacy in the context of shared health decision-making. It draws upon a series of qualitative and quantitative studies undertaken in the development and evaluation of a bowel cancer screening decision aid for low literacy populations. The findings indicate that different types of health literacy (functional, interactive and critical) are required in decision-making and present a set of…
Supporting Patient Autonomy
HPV Vaccine Promotion
Exploring patient involvement in healthcare decision making across different education and functional health literacy groups
Assessing psychosocial/quality of life outcomes in screening
High quality research on the psychosocial outcomes of screening programmes is urgently needed. Assessing non-medical outcomes of screening presents constant challenges. Marteau and colleagues1 offer some insight into the complexities of assessing non-medical outcomes in their study of abdominal aortic aneurysm (AAA) screening. The paper reports that self assessed health (SAH) was lower among men who were found to have an aortic aneurysm than men …
Measuring cancer knowledge
Studies evaluating public knowledge of the warning signs and risk factors associated with cancer have varied in the question format used. Those using a prompted (recognition) format have tended to find higher levels of knowledge than those using an unprompted, recall format. The aim of this study was to quantify the effect of prompting on knowledge of the seven warning signs of cancer, and risk factors for breast and bowel cancer, using data from…
Socioeconomic differences in cancer screening participation
Declining the offer of flexible sigmoidoscopy screening for bowel cancer
Exploring patient involvement in healthcare decision making across different education and functional health literacy groups
Declining the offer of flexible sigmoidoscopy screening for bowel cancer
Socioeconomic differences in cancer screening participation
Insights into the concept and measurement of health literacy from a study of shared decision-making in a low literacy population
This article explores the concept and measurement of health literacy in the context of shared health decision-making. It draws upon a series of qualitative and quantitative studies undertaken in the development and evaluation of a bowel cancer screening decision aid for low literacy populations. The findings indicate that different types of health literacy (functional, interactive and critical) are required in decision-making and present a set of…
Decision-Making Preferences and Deprescribing
This study provides a novel typology to describe differences between older people who are happy to take multiple medicines, and those who are open to deprescribing. To enable shared decision-making, prescribers need to adapt their communication about polypharmacy based on their patients' attitudes to medicines and preferences for involvement in decisions
Measuring cancer knowledge
Studies evaluating public knowledge of the warning signs and risk factors associated with cancer have varied in the question format used. Those using a prompted (recognition) format have tended to find higher levels of knowledge than those using an unprompted, recall format. The aim of this study was to quantify the effect of prompting on knowledge of the seven warning signs of cancer, and risk factors for breast and bowel cancer, using data from…
Declining the offer of flexible sigmoidoscopy screening for bowel cancer
Assessing psychosocial/quality of life outcomes in screening
High quality research on the psychosocial outcomes of screening programmes is urgently needed. Assessing non-medical outcomes of screening presents constant challenges. Marteau and colleagues1 offer some insight into the complexities of assessing non-medical outcomes in their study of abdominal aortic aneurysm (AAA) screening. The paper reports that self assessed health (SAH) was lower among men who were found to have an aortic aneurysm than men …
Measuring cancer knowledge
Studies evaluating public knowledge of the warning signs and risk factors associated with cancer have varied in the question format used. Those using a prompted (recognition) format have tended to find higher levels of knowledge than those using an unprompted, recall format. The aim of this study was to quantify the effect of prompting on knowledge of the seven warning signs of cancer, and risk factors for breast and bowel cancer, using data from…
Socioeconomic differences in cancer screening participation
Exploring patient involvement in healthcare decision making across different education and functional health literacy groups
Supporting Patient Autonomy
HPV Vaccine Promotion
What Australian women want and when they want it
Background New testing technologies and human papillomavirus (HPV) vaccines have recently brought changes to cervical cancer screening. In 2006, the Australian government also changed the protocol for managing abnormal Pap smears. Australian women’s attitudes and preferences to these changes are largely unknown. Quantitative data on information needs and community attitudes to informed decision making in screening in Australia are also limited. O…
Insights into the concept and measurement of health literacy from a study of shared decision-making in a low literacy population
This article explores the concept and measurement of health literacy in the context of shared health decision-making. It draws upon a series of qualitative and quantitative studies undertaken in the development and evaluation of a bowel cancer screening decision aid for low literacy populations. The findings indicate that different types of health literacy (functional, interactive and critical) are required in decision-making and present a set of…
Decision-Making Preferences and Deprescribing
This study provides a novel typology to describe differences between older people who are happy to take multiple medicines, and those who are open to deprescribing. To enable shared decision-making, prescribers need to adapt their communication about polypharmacy based on their patients' attitudes to medicines and preferences for involvement in decisions
Listening to both sides
This qualitative study compares and contrasts the perspectives of healthcare professionals who treat hepatitis C with those of patients in treatment. Comparative analysis of semi-structured interviews with 20 healthcare professionals and 20 patients undergoing treatment for hepatitis C concluded that patients and healthcare professionals disagreed on the source of communication breakdowns, but both felt that individualised clinical information im…
Health literacy and disparities in Covid-19–related knowledge, attitudes, beliefs and behaviours in Australia
OBJECTIVES: To explore the variation in understanding of, attitudes towards, and uptake of, health advice on coronavirus disease 2019 (COVID-19) during the 2020 pandemic stage 3 restrictions ('lockdown') by health literacy in the Australian population. STUDY DESIGN: National cross-sectional community survey. SETTING: Australian general public. PARTICIPANTS: Adults aged over 18 years (N = 4362). MAIN OUTCOME MEASURES: Knowledge, attitudes and beha…
How do people understand overtesting and overdiagnosis? Systematic review and meta-synthesis of qualitative research
Impact of diagnostic labels and causal explanations for weight gain on diet intentions, cognitions and emotions
Australian General Practitioners’ Current Knowledge, Understanding, and Feelings Regarding Breast Density Information and Notification
There is strong support for notifying patients of breast density, and interest in further education and training among the surveyed GPs. As GPs play a central role in cancer prevention and control, their involvement in discussions related to breast density notification, evaluation and appraisal of evidence, development of communication strategies, and participation in ongoing research on the topic will be indispensable
Early Covid-19 Attitudes and Behaviors and Their Associations With Later Infection
BACKGROUND: At the onset of the pandemic, there was poor public awareness and inaction in response to COVID-19; it is less known whether this translated to subsequent infections. OBJECTIVES: To explore whether adults who perceived COVID-19 as less of a threat and who were not taking early actions were more likely to become infected over the following year. RESEARCH DESIGN: Survey data from the ongoing (COVID-19 & Chronic Conditions (C3) anonymize…
Effect of Virtual Care on Diabetes management
Introduction: Diabetes is an increasingly prevalent and costly chronic disease worldwide and a large cause of unnecessary disease burden. As a growing health issue, diabetes needs a focus on better management by community providers, rather than relying on an overstretched hospital-based specialist service. Conventional outpatient care is increasingly insufficient to manage diabetes. The rapid uptake of telehealth and other forms of virtual care d…
Qualitative and Quantitative Evaluation of an Innovative Primary and Secondary Diabetes Clinic in Western Sydney
The findings suggest this integrated care model was feasible and perceived as beneficial by both patients and providers. The clinic offers a promising model of practice that could be developed further to roll out in other regions for rural delivery of care
Asking The Right Questions
Background: Type 2 diabetes (T2D) continues to be the leading burden of disease globally. With the growing population of people with diabetes, it is essential to deliver integrated care that is value-based and patient-centred, as well as high-value to providers and the healthcare system. Community-facing digital interventions have transformed the care delivered to these patients. However, few have been co-designed to specifically address patient …
Trust in the healthcare system declines after exposure to information about the harms and benefits of breast cancer screening
Conflicting health messages negatively impact trust. Breast cancer screening (BCS) is one area of healthcare where conflicting messages are common. We examined whether women's healthcare system trust was impacted after exposure to information about harms and benefits of BCS. We enrolled 497 women into this study. Participants were administered a decision aid (DA) containing information about the harms and benefits of BCS and reported their health…
Psychosocial Impact of Breast Density Notification Through Breast Cancer Screening
INTRODUCTION: Breast density notification is now implemented in the United States and parts of Australia and Canada despite limited understanding of how it impacts women and their psychosocial health. This study explored the psychosocial impact of receiving a notification of dense breasts through a population-based breast cancer screening programme. METHODS: We interviewed 19 Australian women who indicated being anxious in a survey. This survey w…
Medicine (18 works) · Psychology (14 works) · Health care (8 works) · Family medicine (7 works) · Cancer (6 works) · Internal Medicine (6 works) · Nursing (6 works) · Political science (6 works) · Social Psychology (6 works) · Patient-Provider Communication in Healthcare (5 works)