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Dr Kirsten McCaffery

Faculty: Public Health Qualifications: BSc Hons, PhD Position/s:

Deputy Director of CeMPED Senior Research Fellow

Contact information

Edward Ford Building (A27) School of Public Health Edward Ford Building, A27 University of Sydney NSW 2006

Phone: +61 2 9351 7220 Fax: +61 2 9351 5049 Email: [email protected]

Background Membership of Professional Organisations (Affiliations)

Member of the British Psychological Society (BPS) Member of BPS Division of Health Psychology Society of Behavioral Medicine

Research Interests

Psychosocial outcomes in screening, testing and monitoring. Informed decision making and risk communication Health literacy and health decision making Human papillomavirus (HPV) testing and vaccination Social and cultural differences in psychosocial outcomes and decision making Mixed methods (qualitative and quantitative methods of research)

Current research projects

a) IMAP study ­Improving management of minor abnormal Pap smears (2002 ­ ongoing) Kirsten McCaffery, Les Irwig, Alex Barratt, Kirsten Howard, Glenn Salkeld, Edith Weisberg. The

study investigates psychosocial/QOL outcomes and consumer preferences for HPV triage testing for women with a minor abnormal Pap smear. b) Low literacy decision aid project (2005- ongoing) Kirsten McCaffery, Lyndal Trevena, Sian Smith, Alex Barratt, Judy Simpson, Don Nutbeam. Development and evaluation of a literacy sensitive decision for colorectal cancer screening with FOBT. c) Risk communication among adults with low literacy. Kirsten McCaffery, Ann Dixon, Lyndal Trevena, Sian Smith, Judy Simpson, Don Nutbeam d) Monitoring Asthma in Pregnancy (MAP) Assessing the psychosocial outcomes of new monitoring strategies for pregnant women with asthma. e) HPV vaccination. Mixed methods evaluation of the implementation of HPV vaccination in Australia.

Projects HPV testing Decision Aid for women with Minor Atypia on Pap smear (The IMAP Study) McCaffery K, Irwig L, Howard K, Davey E, Barratt A, Salkeld G, Lewicka M, Weisberg E. This study will compare the psychosocial outcomes of different management strategies for women with a mildly abnormal Pap smear: (a) usual care (repeat Pap smear), (b) HPV testing, a new management proposed for this group, and (c) the choice of either management using a decision aid to support women to make their preferred choice. The study will assess psychosocial and quality of life outcomes and will model the effectiveness of each management strategy.

HPV vaccination survey of GPs Jackson, Leask, McCaffery K, Trevena L, Brotherton. This project is a survey of GPs on implementation of HPV vaccination program.

An interactive decision aid for prioritising health-check activities Trevena L, Barratt A, Del Mar, Dobbins T, McCaffery K, This will involve a randomized controlled trial of a web-based tool for health check activities amongst healthy Australians presenting to the GP for a check-up. It is funded by NSW Cancer Council for three years.

Development and evaluation of a literacy sensitive decision aid for colorectal cancer screening McCaffery K, Smith S, Trevena L, Barratt A, Simpson J, Nutbeam D. Associate investigators: Butow P, Irwig L This project is funded by the Sydney Cancer Research Fund and the NHMRC. The project will develop and evaluate by randomised trial a FOBT screening decision aid for adults with limited literacy. The project also includes a substudy investigating optimal graphic formats for presenting risk information to adults with limited literacy and numeracy skills. The findings from this will inform the presentation of quantitative risk information included in the decision aid.

Publications

Peer Reviewed/Refereed Journal Articles McCaffery, K.J., Irwig, L., and Bossuyt, P. Patient decision aids to support clinical decision making: evaluating the decision or the outcomes of the decision. Special Issue: Decision Aids. Medical Decision Making. Sep-Oct;27(5):619-25. Epub 2007 Sep 14. 2. McCaffery K, Waller J, Nazroo J. and Wardle J. Social and psychological impact of HPV testing in cervical screening: a qualitative study. Sex Transm Infect 2006;82:169-174. Irwig L, McCaffery K, Salkeld G. and Bossuyt P. Informed choice for screening: implications for evaluation. BMJ 2006;332:1148-50. J Waller, K McCaffrey, S Forrest, A Szarewski, L Cadman, J Austin and J Wardle. Acceptability of unsupervised HPV self-sampling using written instructions. Journal of Medical Screening Volume 13, 208-213 2006 Waller J, McCaffery KJ, Nazroo JN, Wardle J. Making sense of information about HPV in cervical screening: a qualitative study. British Journal of Cancer 2005;92(2):265-70. McCaffery K and Irwig L. Australian women's needs and preference for information about human papillomavirus in cervical screening. J Med Screen 2005;12(3):134-141. Forrest S, McCaffery K, Waller J, Desai M, Szarewski Z, Cadman L, Wardle J. Attitudes to selfsampling for HPV among Indian, Pakistani, African-Caribbean and white British women in Manchester, UK. Journal of Medical Screening 2004; 11:85-88 Waller J, McCaffery KJ, Forrest S. and Wardle J. Human Papillomavirus and Cervical Cancer: Issues for Biobehavioral and Psychosocial Research. Ann Behav Med 2004, 27(1):68-79 Waller J., McCaffery K., Forrest S., Wardle J. Human papillomavirus (HPV) and cervical cancer: issues for biobehavioural and psychosocial research. Annals of Behavioural Medicine 2004;27(1):68-79.

Waller J, McCaffery K. and Wardle J. Beliefs about the risk factors for cervical cancer in a British population sample Preventive Medicine 2004;38:645-753. Waller J, McCaffery K. and Wardle J. Measuring cancer knowledge: Comparing prompted and unprompted recall. British Journal of Psychology 2004;95:219-234. Wardle J, McCaffery KJ, Nadel M, Atkins W. Socioeconomic differences in cancer screening participation: comparing congnitive and psychosocial explanations. Social Science and Medicine 2004;59(2):249-261. Waller J, McCaffery KJ, Wardle J. Beliefs about the risk factors for cervical cancer in a British population sample. Preventive Medicine 2004;38:745-753. Waller J, McCaffery KJ, Wardle J. Measuring cancer knowledge: Comparing prompted and unprompted recall. British Journal of Psychology 2004;95:219-234. McCaffery K.J, Waller J, Forrest S, Cadman L, Szarewski A, Wardle J. Testing positive for human papillomavirus in routine cervical screening: examniation of psychosocial impact. Br J Obstet Gynaecol 2004;111:1-7. McCaffery K, Barratt A. Assessing psychosocial/quality of life outcomes in screening: how do we do it better? Journal of Epidemiology and Community Health.2004;58:968-970. Roberts CL, Raynes-Greenow CH, Nassar N, Trevena L, McCaffery K. Protocol for a randomised controlled trial of a decision aid for the management of pain in labour and childbirth. BMC Pregnancy and Childbirth 2004;4:24. Barratt A, Trevena LJ, Davey HM, McCaffery KM. Use of decision aids to support informed choices about screening. British Medical Journal 2004;329:507-10. McCaffery K, Forrest S, Waller J, Desai M, Szarewski A, Wardle J. Attitudes towards HPV testing: a qualitative study of beliefs among Indian, Pakistani, African Caribbean and white British women in the UK. BJC. 2003; 88: 42-46 Wardle J., Williamson S., Sutton S., Biran A., McCaffery K., Cuzick J., Atkin W. Psychological impact of colorectal cancer screening. Health Psychology 2003;22(1):54-9. UK Flexible Sigmoidoscopy Screening Trial Investigators, Including McCaffery K. and Atkin WS. Single flexible sigmoidoscopy screening to prevent colorectal cancer: baseline findings of a UK multicentre randomised trial, The Lancet 2002;359(9314):1291-1300. Wardle J, Sutton S, Williamson S, Taylor T, McCaffery K, Edwards R, Cuzick J, Hart A, Atkin W. Psychosocial influences on participation in bowel cancer screening. Preventive Medicine 2000;31:323-334. Sutton S, Wardle J, Taylor T, McCaffery K, Williamson S, Edwards R, Cuzick J, Hart A, Northover J, Atkin W. Predictors of attendance in the UK flexible sigmoidoscopy screening trial. Journal of Medical Screening 2000;7(2):99-104. Other publications Trevena LJ, Barratt A, McCaffrey K, Armstrong B, O`Connor A. Sydney Health Decision Group. Making decisions: Should I use hormone replacement therapy? (HRT). Canberra,

National Health and Medical Research Council, Commonwealth of Australia 2005. http://www.nhmrc.gov.au/publications/_files/wh37.pdf Editorials McCaffery K, Barratt A. Assessing psychosocial/quality of life outcomes in screening: how do we do it better? Journal of Epidemiology and Community Health. 2004;58:968-970. News Reports/Feature Articles McCaffery, K. Review of 'Psychology and Health Promotion' by Bennett, P. and Murphy, S. In Health Psychology Update. Newsletter of the Division of Health Psychology. Issue 39. March.(2000) ISSN 0954-2027. Letters to Editor Trevena LJ, Barratt A, McCaffery KJ, Irwig L. (Letter) More haste, less speed in the implementation of screening decision aids. BMJ. 2003; 327: 869

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