student profile: Ms Alana Fisher


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Thesis work

Thesis title: Development and evaluation of a treatment decision-aid for individuals with Bipolar II Disorder

Supervisors: Louise SHARPE , Vijaya MANICAVASAGAR, Josephine ANDERSON, Ilona JURASKOVA

Thesis abstract:

Treatment decision-making in Bipolar II disorder (BPII) is complex and should consider both clinician and patient preferences. As most research on treatment efficacy relates to Bipolar I disorder, treatment decisions in BPII have less evidence to support available treatment options and are more finely balanced. Many of these patients also report not sharing in treatment decisions with clinicians to the extent preferred. Decision-aids (DAs) are one way of better involving patients to make decisions based on up-to-date clinical evidence, patients’ values and life situation. This thesis project aims to develop and evaluate the effectiveness of the first known DA for patients considering BPII treatment options. The thesis comprises three primary phases: i) initial qualitative interviews with BPII patients, their family, and experienced clinicians; ii) development and pilot of a DA based on interative review with an expert working party and potential end users (BPII patients and their family); iii) Phase II RCT to evaluative the DA's potential effectiveness at improving patient involvement more informed and values-based treatment decision-making. 

Selected grants

2017

  • Enhancing treatment decision-making in bipolar II disorder: Evaluation of a decision-aid for young adults; Juraskova I, Manicavasagar V, Sharpe L, Fisher A, Anderson J; Australian Rotary Health/Mental Health Research Grants.

Selected publications

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Journals

  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). A Qualitative Exploration of Clinician Views and Experiences of Treatment Decision-Making in Bipolar II Disorder. Community Mental Health Journal, in press. [More Information]
  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). A qualitative exploration of patient and family views and experiences of treatment decisionmaking in bipolar II disorder. Journal of Mental Health, in press. [More Information]
  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). Identifying and Addressing Barriers to Treatment Decision-making in Bipolar II Disorder: Clinicians' Perspective. Australian Psychologist, in press. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Fisher, A., Juraskova, I. (2017). Oncologists' and oncology nurses' attitudes and practices towards family involvement in cancer consultations. European Journal of Cancer Care, 26(1), e12470. [More Information]
  • Honan, C., Allen, S., Fisher, A., Osborne-Crowley, K., McDonald, S. (2017). Social Disinhibition: Piloting a New Clinical Measure in Individuals with Traumatic Brain Injury. Brain Impairment, 18(1), 74-87. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Fisher, A., Juraskova, I. (2016). Attitudes and experiences of family involvement in cancer consultations: a qualitative exploration of patient and family member perspectives. Supportive Care in Cancer, 24(10), 4131-4140. [More Information]
  • Fisher, A., Manicavasagar, V., Kiln, F., Juraskova, I. (2016). Communication and decision-making in mental health: A systematic review focusing on Bipolar disorder. Patient Education and Counseling, 99(7), 1106-1120. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Dear, R., Fisher, A., Coll, J., Juraskova, I. (2016). Exploring the communication of oncologists, patients and family members in cancer consultations: development and application of a coding system capturing family-relevant behaviours (KINcode). Psycho-Oncology, 25(7), 787-794. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Charles, C., Gafni, A., Fisher, A., Juraskova, I. (2016). Family involvement in cancer treatment decision-making: A qualitative study of patient, family, and clinician attitudes and experiences. Patient Education and Counseling, 99(7), 1146-1155. [More Information]
  • Connors, E., Jeremy, R., Fisher, A., Sharpe, L., Juraskova, I. (2015). Adjustment and Coping Mechanisms for Individuals with Genetic Aortic Disorders. Heart, Lung and Circulation, 24(12), 1193-1202. [More Information]
  • Honan, C., McDonald, S., Gowland, A., Fisher, A., Randall, R. (2015). Deficits in comprehension of speech acts after TBI: The role of theory of mind and executive function. Brain and Language, 150, 69-79. [More Information]
  • Juraskova, I., Butow, P., Fisher, A., Bonner, C., Anderson, C., Bu, S., Scarlet, J., Stockler, M., Wetzig, N., Ung, O., et al (2015). Development and piloting of a decision aid for women considering participation in the Sentinel Node Biopsy versus Axillary Clearance 2 breast cancer trial. Clinical Trials, 12(4), 409-417. [More Information]
  • Kiln, F., Fisher, A., Juraskova, I. (2014). Which disease and individual-based factors predict intentions to undergo whole genome sequencing? International Journal of Clinical Medicine, 5, 1248-1260. [More Information]
  • Fisher, A., Bonner, C., Biankin, A., Juraskova, I. (2012). Factors influencing intention to undergo whole genome screening in future healthcare: A single-blind parallel-group randomised trial. Preventive Medicine, 55, 514-520. [More Information]

2017

  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). A Qualitative Exploration of Clinician Views and Experiences of Treatment Decision-Making in Bipolar II Disorder. Community Mental Health Journal, in press. [More Information]
  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). A qualitative exploration of patient and family views and experiences of treatment decisionmaking in bipolar II disorder. Journal of Mental Health, in press. [More Information]
  • Fisher, A., Manicavasagar, V., Sharpe, L., Laidsaar-Powell, R., Juraskova, I. (2017). Identifying and Addressing Barriers to Treatment Decision-making in Bipolar II Disorder: Clinicians' Perspective. Australian Psychologist, in press. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Fisher, A., Juraskova, I. (2017). Oncologists' and oncology nurses' attitudes and practices towards family involvement in cancer consultations. European Journal of Cancer Care, 26(1), e12470. [More Information]
  • Honan, C., Allen, S., Fisher, A., Osborne-Crowley, K., McDonald, S. (2017). Social Disinhibition: Piloting a New Clinical Measure in Individuals with Traumatic Brain Injury. Brain Impairment, 18(1), 74-87. [More Information]

2016

  • Laidsaar-Powell, R., Butow, P., Bu, S., Fisher, A., Juraskova, I. (2016). Attitudes and experiences of family involvement in cancer consultations: a qualitative exploration of patient and family member perspectives. Supportive Care in Cancer, 24(10), 4131-4140. [More Information]
  • Fisher, A., Manicavasagar, V., Kiln, F., Juraskova, I. (2016). Communication and decision-making in mental health: A systematic review focusing on Bipolar disorder. Patient Education and Counseling, 99(7), 1106-1120. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Dear, R., Fisher, A., Coll, J., Juraskova, I. (2016). Exploring the communication of oncologists, patients and family members in cancer consultations: development and application of a coding system capturing family-relevant behaviours (KINcode). Psycho-Oncology, 25(7), 787-794. [More Information]
  • Laidsaar-Powell, R., Butow, P., Bu, S., Charles, C., Gafni, A., Fisher, A., Juraskova, I. (2016). Family involvement in cancer treatment decision-making: A qualitative study of patient, family, and clinician attitudes and experiences. Patient Education and Counseling, 99(7), 1146-1155. [More Information]

2015

  • Connors, E., Jeremy, R., Fisher, A., Sharpe, L., Juraskova, I. (2015). Adjustment and Coping Mechanisms for Individuals with Genetic Aortic Disorders. Heart, Lung and Circulation, 24(12), 1193-1202. [More Information]
  • Honan, C., McDonald, S., Gowland, A., Fisher, A., Randall, R. (2015). Deficits in comprehension of speech acts after TBI: The role of theory of mind and executive function. Brain and Language, 150, 69-79. [More Information]
  • Juraskova, I., Butow, P., Fisher, A., Bonner, C., Anderson, C., Bu, S., Scarlet, J., Stockler, M., Wetzig, N., Ung, O., et al (2015). Development and piloting of a decision aid for women considering participation in the Sentinel Node Biopsy versus Axillary Clearance 2 breast cancer trial. Clinical Trials, 12(4), 409-417. [More Information]

2014

  • Kiln, F., Fisher, A., Juraskova, I. (2014). Which disease and individual-based factors predict intentions to undergo whole genome sequencing? International Journal of Clinical Medicine, 5, 1248-1260. [More Information]

2012

  • Fisher, A., Bonner, C., Biankin, A., Juraskova, I. (2012). Factors influencing intention to undergo whole genome screening in future healthcare: A single-blind parallel-group randomised trial. Preventive Medicine, 55, 514-520. [More Information]

Note: This profile is for a student at the University of Sydney. Views presented here are not necessarily those of the University.