Associate Professor Lyndal Trevena

Associate Professor, Primary Health Care
Public Health, School of Public Health

A27 - Edward Ford Building
The University of Sydney
NSW 2006 Australia

T: +61 2 9351 7788
F: +61 2 9351 5049
W: Related website
Related website
Related website

Research interests

As a key member of CeMPED and an active general practitioner, Dr Trevena's main research interest is the application of evidence in general practice, particularly in evidence-based clinical decision-making. She continues to develop and evaluate a number of decision tools and clinical practice guidelines which assist clinicians and patients to individualise population-level research into practice. Much of this work has been in cancer and other disease prevention. More detail about this research program can be found at

She is particularly interested in preventive primary care strategies in disadvantaged groups & has worked with homeless people low literacy groups and more recently in low income country settings.


Cancer; Preventive health services; Global health; Evidence-based medicine; Primary health care

International links

East Timor. (Dili National Hospital & Institute of Health Sciences) Critical care SCORPIO - IDPF funded.
United States. (Weill Cornell Medical College) Cervical cancer prevention project in Tamil Nadu, India - with Cancer Council Australia and Vellore Christian Medical Hospital.
China. (Shanghai Jiao Tong University) Medical Curriculum reform.
India. (Christian Medical College Vellore, Tamil Nadu) Cervical cancer prevention project in collaboration with Weill Cornell Medical College and Cancer Council Australia.
United Kingdom. (Oxford University) Research Associate in Dept of Primary Care - cancer screening decision resources.
United Kingdom. (Leeds University) Research collaboration in MMR and HPV vaccination.
United Kingdom. (Dundee and St Andrews University - Social Dimensions of Health Institute) Collaborating with Professor Vikki Entwistle on Evidence and Quality in General Practice.
United States. (University of North Carolina) Colonosopy screening decisions in older patients - Professor Michael Pignone and Dr Carmen Lewis.
United Kingdom. (London School of Hygiene and Tropical Medicine) Co-investigator Jack Dowie - NSW Cancer Council funded project grant on decision-making re preventive health activities.


2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008


  • Emery, J., Shaw, K., Williams, B., Mazza, D., Fallon-Ferguson, J., Varlow, M., Trevena, L. (2014), The role of primary care in early detection and follow-up of cancer. Nature Reviews. Clinical Oncology. 11(1), 38-48. [Abstract]
  • Bindihm, N., Freeman, B., Trevena, L. (2014), Pro-smoking apps for smartphones: the latest vehicle for the tobacco industry?. Tobacco Control. 23(1), e4. [Abstract]
  • Vuong, K., Trevena, L., Bonevski, B., Armstrong, B. (2014), Feasibility of a GP delivered skin cancer prevention intervention in Australia. BMC Family Practice. 15(1), 137. [Abstract]
  • Hoffmann, T., Légaré, F., Simmons, M., McNamara, K., McCaffery, K., Trevena, L., Hudson, B., Glasziou, P., Del Mar, C. (2014), Shared decision making: what do clinicians need to know and why should they bother?. The Medical Journal of Australia. 201(1), 35-39. [Abstract]
  • Leung, K., Trevena, L., Waters, D. (2014), Systematic review of instruments for measuring nurses' knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing. 70(10), 2181-2195. [Abstract]
  • Smith, S., Kearney, P., Trevena, L., Barratt, A., Nutbeam, D., McCaffery, K. (2014), Informed choice in bowel cancer screening: a qualitative study to explore how adults with lower education use decision aids. Health Expectations. 17(4), 511-522. [Abstract]
  • Trevena, L. (2014), Assessing, communicating, and managing risk in general practice. The British Journal of General Practice. 64, 166-167. [Abstract]
  • Smith, S., Simpson, J., Trevena, L., McCaffery, K. (2014), Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. Medical Decision Making. 34(6), 756-772. [Abstract]
  • BinDhim, N., McGeechan, K., Trevena, L. (2014), Assessing the effect of an interactive decision-aid smartphone smoking cessation application (app) on quit rates: a double-blind automated randomised control trial protocol. BMJ Open. 4(7), e005371. [Abstract]
  • Isaac, R., Ramamurthy, P., Finkel, M., Kunjuvareed, A., Trevena, L. (2014), An Educational Training on Cervical Cancer Screening Program for Rural Healthcare Providers in India. Indian Journal of Community Health. 26(1), 115-118.
  • Bindhim, N., Naicker, S., Freeman, B., McGeechan, K., Trevena, L. (2014), Apps Promoting Illicit Drugs-A Need for Tighter Regulation?. Journal of Consumer Health On the Internet. 18(1), 31-43.
  • Emery, J., Doorey, J., Jefford, M., King, M., Pirotta, M., Hayne, D., Martin, A., Trevena, L., Lim, T., Constable, R., Hawks, C., Hyatt, A., Hamid, A., Violet, J., Gill, S., Frydenberg, M., Schofield, P. (2014), Protocol for the ProCare Trial: a phase II randomised controlled trial of shared care for follow-up of men with prostate cancer. BMJ Open. 4(3), e004972. [Abstract]
  • BinDhim, N., McGeechan, K., Trevena, L. (2014), Who Uses Smoking Cessation Apps? A Feasibility Study Across Three Countries via Smartphones. JMIR mHealth and uHealth. 2(1), e4. [Abstract]
  • Martins, N., Trevena, L. (2014), Implementing what works: a case study of integrated primary health care revitalisation in Timor-Leste. Asia Pacific Family Medicine. 13(1), 5. [Abstract]
  • BinDhim, N., McGeechan, K., Trevena, L. (2014), Who uses smoking cessation apps?A feasibility study across three countries via smartphones. Journal of Medical Internet Research. 16(2), e4.
  • Flitcroft, K., Gillespie, J., Carter, S., Salkeld, G., Trevena, L. (2014), Incorporating evidence and politics in health policy: can institutionalising evidence review make a difference?. Evidence and Policy. 10(3), 439-455.


  • Rebbeck, T., Macedo, L., Paul, P., Trevena, L., Cameron, I. (2013), General practitioners' knowledge of whiplash guidelines improved with online education. Australian Health Review. 37(5), 688-694. [Abstract]
  • Dieng, M., Trevena, L., Turner, R., Wadolowski, M., McCaffery, K. (2013), What Australian women want and when they want it: cervical screening testing preferences, decision-making styles and information needs. Health Expectations. 16(2), 177-188. [Abstract]
  • Meiser, B., Schofield, P., Trevena, L., Wilde, A., Barlow-Stewart, K., Proudfoot, J., Peate, M., Dobbins, T., Christensen, H., Sherman, K., Karatas, J., Mitchell, P. (2013), Cluster randomized controlled trial of a psycho-educational intervention for people with a family history of depression for use in general practice. BMC Psychiatry. 13(1), 325. [Abstract]
  • Trevena, L., Lipkus, I., Ozanne, E., Peters, E., Timmermans, D., Woloshin, S., Zikmund-Fisher, B., Edwards, A., Gaissmaier, W., Galesic, M., Han, P., King, J., Lawson, M., Linder, S. (2013), Presenting quantitative information about decision outcomes: A risk communication primer for patient decision aid developers. BMC Medical Informatics and Decision Making. 13:Suppl2, S7.


  • Smith, S., Barratt, A., Trevena, L., Simpson, J., Jansen, J., McCaffery, K. (2012), A theoretical framework for measuring knowledge in screening decision aid trials. Patient Education and Counseling. 89(2), 330-336. [Abstract]
  • Isaac, R., Finkel, M., Olver, I., Annie, I., Prashanth, H., Subhashini, J., Viswanathan, P., Trevena, L. (2012), Translating Evidence into Practice in Low Resource Settings: Cervical Cancer Screening Tests are Only Part of the Solution in Rural India. Asian Pacific Journal of Cancer Prevention. 13(8), 4169-4172. [Abstract]
  • Stiggelbout, A., Van der Weijden, T., De Wit, M., Frosch, D., Légaré, F., Montori, V., Trevena, L., Elwyn, G. (2012), Shared decision making: really putting patients at the centre of healthcare. BMJ. 344, e256. [Abstract]
  • Leung, K., Trevena, L., Waters, D. (2012), Development of an appraisal tool to evaluate strength of an instrument or outcome measure. Nurse Researcher. 20(2), 13-19. [Abstract]


  • Trevena, L., Cameron, I. (2011), Traumatic brain injury - Long term care of patients in general practice. Australian Family Physician. 40(12), 956-961. [Abstract]
  • Trevena, L. (2011), PatientsLikeMe and the tale of three brothers. The Medical Journal of Australia. 195(5), 258-259. [Abstract]
  • Shepherd, H., Barratt, A., Trevena, L., McGeechan, K., Carey, K., Epstein, R., Butow, P., Del Mar, C., Entwistle, V., Tattersall, M. (2011), Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial. Patient education and counseling. 84(3), 379-85. [Abstract]
  • Tong, S., Low, W., Ismail, S., Trevena, L., Willcock, S. (2011), Physician's intention to initiate health check-ups discussions with men: a qualitative study. Family practice. 28(3), 307-16. [Abstract]
  • Tang, S., Huang, G., Liu, J., Liu, T., Treven, L., Song, S., Zhang, C., Pan, L., Zhang, T. (2011), Usefulness of 18F-FDG PET, combined FDG-PET/CT and EUS in diagnosing primary pancreatic carcinoma: a meta-analysis. European Journal of Radiology. 78(1), 142-150. [Abstract]
  • Flitcroft, K., Gillespie, J., Salkeld, G., Carter, S., Trevena, L. (2011), Getting evidence into policy: The need for deliberative strategies?. Social science & medicine. 72(7), 1039-0146. [Abstract]
  • Pignone, M., Flitcroft, K., Howard, K., Trevena, L., Salkeld, G., St John, D. (2011), Costs and cost-effectiveness of full implementation of a biennial faecal occult blood test screening program for bowel cancer in Australia. The Medical Journal of Australia. 194(4), 180-185. [Abstract]
  • Flitcroft, K., Gillespie, J., Carter, S., Trevena, L., Salkeld, G. (2011), When good evidence is not enough: the role of context in bowel cancer screening policy in New Zealand. Evidence & Policy: A Journal of Research, Debate and Practice. 7(3), 307-326.
  • Tong, S., Low, W., Ismail, S., Trevena, L., Willcock, S. (2011), Malaysian primary care doctors' views on men's health: an unresolved jigsaw puzzle. BMC family practice. 12(1), 29. [Abstract]
  • Trevena, L. (2011), WikiProject Medicine. BMJ. 342, d3387. [Abstract]
  • Flitcroft, K., St John, D., Howard, K., Carter, S., Pignone, M., Salkeld, G., Trevena, L. (2011), A comparative case study of bowel cancer screening in the UK and Australia: evidence lost in translation?. Journal of Medical Screening. 18(4), 193-203. [Abstract]
  • Trevena, L. (2011), Screening and Early Detection of Disease: Focus on Colon Cancer. In: Public Health in The 21st Century. Volume 2: Disease Management. (pp.139-154).United States: Praeger.
  • McCaffery, K., Smith, S., Shepherd, H., Sze, M., Dhillon, H., Jansen, J., Juraskova, I., Butow, P., Trevena, L., Carey, K., Tattersall, M., Barratt, A. (2011), Shared decision making in Australia in 2011. Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen. 105(4), 234-239. [Abstract]


  • Brotherton, J., Leask, J., Jackson, C., McCaffery, K., Trevena, L. (2010), National survey of general practitioners' experience of delivering the National Human Papillomavirus Vaccination Program. Sexual Health. 7(3), 291-298. [Abstract]
  • Flitcroft, K., Salkeld, G., Gillespie, J., Trevena, L., Irwig, L. (2010), Fifteen years of bowel cancer screening policy in Australia: putting evidence into practice?. Medical Journal of Australia. 193(1), 37-42. [Abstract]
  • Lewis, C., Golin, C., DeLeon, C., Griffith, J., Ivey, J., Trevena, L., Pignone, M. (2010), A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial. BMC Medical Informatics and Decision Making. 10, 54. [Abstract]
  • Smith, S., Trevena, L., Simpson, J., Barratt, A., Nutbeam, D., McCaffery, K. (2010), A decision aid to support informed choices about bowel cancer screening among adults with low education: randomised controlled trial. BMJ. 341, c5370. [Abstract]
  • Raynes-Greenow, C., Nassar, N., Torvaldsen, S., Trevena, L., Roberts, C. (2010), Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet. BMC Pregnancy and Childbirth. 10, 15. [Abstract]
  • Jackson, C., Cheater, F., Peacock, R., Leask, J., Trevena, L. (2010), Evaluating a web-based MMR decision aid to support informed decision-making by UK parents: A before-and-after feasibility study. Health Education Journal. 69(1), 74-83.


  • Smith, S., Trevena, L., Nutbeam, D., Dixon, A., McCaffery, K. (2009), Exploring patient involvement in healthcare decision making across different education and functional health literacy groups. Social science & medicine (1982). 69(12), 1805-12. [Abstract]
  • Raynes-Greenow, C., Roberts, C., Nassar, N., Trevena, L. (2009), Do audio-guided decision aids improve outcomes? A randomized controlled trial of an audio-guided decision aid compared with a booklet decision aid for Australian women considering labour analgesia. Health Expectations. 12(4), 407-416. [Abstract]
  • Leask, J., Jackson, C., Trevena, L., McCaffery, K., Brotherton, J. (2009), Implementation of the Australian HPV vaccination program for adult women: Qualitative key informant interviews. Vaccine. 27(40), 5505-12. [Abstract]
  • Smith, S., Trevena, L., Barratt, A., Dixon, A., Nutbeam, D., Simpson, J., McCaffery, K. (2009), Development and preliminary evaluation of a bowel cancer screening decision aid for adults with lower literacy. Patient Education and Counseling. 75(3), 358-367. [Abstract]
  • Trevena, L. (2009), Cancer screening - pros, cons, choice, and the patient. Australian Family Physician. 38(4), 188-192. [Abstract]
  • Eigenmann, C., Colagiuri, R., Skinner, T., Trevena, L. (2009), Are current psychometric tools suitable for measuring outcomes of diabetes education?. Diabetic Medicine. 26(4), 425-436. [Abstract]
  • Trevena, L. (2009), An introduction to Evidence-Based Medicine. In: Oxford Handbook of Key Clinical Evidence. (pp.27-45).United Kingdom: Oxford University Press.
  • Trevena, L., Leask, J. (2009), Decision aids for MMR vaccination. In: Shared Decision-Making in Health Care: Achieving evidence-based patient choice. (pp.345-352).United Kingdom: Oxford University Press.


  • Smith, S., Trevena, L., Nutbeam, D., Barratt, A., McCaffery, K. (2008), Information needs and preferences of low and high literacy consumers for decisions about colorectal cancer screening: utilizing a linguistic model. Health Expectations. 11(2), 123-136. [Abstract]
  • Trevena, L., Barratt, A., McCaffery, K. (2008), Decision aids to assist with clinical reasoning. In: Clinical Reasoning in the Health Professions. (pp.367-375).Germany: Butterworth-Heinemann Ltd.
  • Sefton, A., Trevena, L., Loftus, S. (2008), Working with groups: Consulting, advocating, mediating and negotiating. In: Communicating in the Health Sciences. (pp.117-124).Australia: Oxford University Press.
  • Irwig, L., Irwig, J., Trevena, L., Sweet, M. (2008), Smart Health Choices: Making sense of health advice. United Kingdom: Hammersmith Press.
  • Entwistle, V., Carter, S., Trevena, L., Flitcroft, K., Irwig, L., McCaffery, K., Salkeld, G. (2008), Communicating about screening. BMJ. 337(0), a1591. [Abstract]
  • Trevena, L., Irwig, L., Barratt, A. (2008), Randomized trial of a self-administered decision aid for colorectal cancer screening. Journal of medical screening. 15(2), 76-82. [Abstract]