
Overview
Background
Nadine is a physiotherapist, NHMRC Leadership Fellow (leadership level 2) focused on musculoskeletal pain and orthopaedic research, particularly clinical trials, and Academic Director of the University of Queensland's Clinical Trials Centre. Nadine is also the program lead for the Health Research Accelerator (HERA 2) program focused on innovation in clinical trials (ULTRA - UQ's Clinical Trial Capability) and a theme lead for clinical trials in the Centre of Innovation in Pain and Health Research (CIPHeR) at UQ. She is passionate about supporting multidisciplinary groups to work together, with critical mass, to design, conduct, analyse and translate the results of high quality clinical trials, in ways that improve patient and service outcomes.
Nadine is a lifetime Fellow of the Chartered Society of Physiotherapy in the UK, and has held previous National Institute for Health Research (NIHR) Senior Investigator awards and is the only physiotherapist to have held an NIHR Research Professorship in the UK. Having moved to Australia in January 2021, she was the inaugural Director of the STARS Research and Education Alliance between the University of Queensland and Metro North Health in Queensland (STARS is the Surgical, Treatment and Rehabilitation Service, the newest public hospital in Brisbane). Nadine is part of the STARS Alliance multidisciplinary team including conjoint appointments between the University and hospital, across the disciplines of physiotherapy, nursing, occupational therapy, psychology, consumer involvement in research, interdisciplinary collaborative practice in education and practice, and research management.
Nadine's research focuses on musculoskeletal pain, including low back pain, osteoarthritis and shoulder problems, and she has a particular interest in developing, testing and implementing treatments and health services. She has led or collaborated on more than 31 randomised trials, attracting over $145 million in research funding from, for example, the National Institute for Health Research (NIHR), Versus Arthritis, and the Medical Research Council in the UK, PCORI in the USA and the NHMRC and MRFF in Australia. Current examples include international collaborative RCTs funded through the NIHR-NHMRC collaborative trial scheme focused on comparative effectiveness of surgery and conservative care for persistent, severe low back pain and comparative effectiveness of different approaches to shoulder joint replacement for patients with shoulder osteoarthritis. She has supervised 15 PhD students to completion, and 19 Masters research project students (nearly all were healthcare professionals), with 5 PhDs currently in progress in the UK, Europe and Australia. Nadine has led or contributed to over 311 peer reviewed publications, including the Lancet Series on Low Back Pain in 2018.
Examples of recognition as a national and international leader in the field include:
2024 - Elected to the Board of Directors, Australian Clinical Trials Alliance (ACTA)
2024-2029 - NHMRC Investigator Grant, Leadership level 2, supporting a program of research focused on new musculoskeletal RCTs and sharing existing RCT data to answer further research questions
2023 - Stanley Paris Visiting Fellowship award, University of Otago, New Zealand, supporting visiting fellowship in March 2024
2022 - Chief Executive's Award for Research, Metro North Health and Hospital Service Research Excellence Award
2020 - Senior Investigator award from the National Institute for Health Research (NIHR) in the UK, awarded to the top 200 clinical researchers in the country
2019 - PEDro recognition for the UK FASHIoN trial - chosen by a panel of international trialists as one of the five most important physiotherapy trials published in 2014-2019.
2019 - Invited member of the International Research Strategy Advisory Committee for the Health Research Board’s (Ireland) new five year research strategy development
2018 - Miegunyah Distinguished Visiting Fellowship 2019, University of Melbourne, Australia. February-March 2019
Availability
- Professor Nadine Foster is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Bachelor (Honours), University of Ulster
- Doctor of Philosophy, University of Ulster
Research interests
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Musculoskeletal pain including low back pain pain, osteoarthritis, shoulder pain
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Rehabilitation
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Health services research
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Interprofessional collaborative practice in health services
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Clinical trials
Research impacts
How to get the right treatment to the right musculoskeletal (MSK) patient at the right time is a key challenge. Prof Foster's clinical research program is internationally renowned for establishing the effectiveness of interventions through randomised controlled trials (RCTs), and evidencing new models of care (eg. stratified and stepped care) that has widely influenced health policy and practice.
Her program of research has led to paradigm-changing discoveries, producing 311 peer reviewed full papers cited widely in >129 countries, >27 disciplines (eg. medicine, health professions, neuroscience, social sciences, engineering, decision sciences), and in 765 news outlets and underpinned 31 patents.
Four of Prof Foster's program interventions were recommended by Public Health England based on their return-on-investment (ROI) and included in a ROI tool used by >200 Clinical Commissioning Groups in England. Her research has developed internationally agreed and widely adopted core outcome sets and set the international bar for stratified care trials in musculoskeletal pain, leading to >12 trials globally including in other fields (eg. arthritis, whiplash).
Prof Foster's research has provided best evidence about treatments and challenged the 'one-size-fits-all' musculoskeletal healthcare approach, influencing 88 policy documents including NICE and the WHO, 35 guidelines in 8 countries, including the UK NICE Low Back Pain and Osteoarthritis Clinical Guidelines, and the Australian Commission on Safety and Quality in Healthcare Back Pain Standards. Her program transformed patient care pathways including the UK's National Back Pain & Sciatica Pathway. Many hospital medical centres (eg. Massachusetts General Hospital) and universities (eg. Harvard Medical School and Oxford University) cite her program of research, and collaborations with IT industry partners EMIS Health & SystmOne embedded her stratified care tools in clinical practice (eg. the STarTBack tool, with >42 language translations).
Works
Search Professor Nadine Foster’s works on UQ eSpace
2025
Journal Article
Development and application of predictive clinical biomarkers for low back pain care: recommendations from the ISSLS phenotype/precision spine focus group
Hodges, Paul W., Sowa, Gwendolyn, O’Neill, Conor, Vo, Nam, Foster, Nadine, Samartzis, Dino and Lotz, Jeffrey (2025). Development and application of predictive clinical biomarkers for low back pain care: recommendations from the ISSLS phenotype/precision spine focus group. European Spine Journal, 34 (4), 1309-1318. doi: 10.1007/s00586-025-08720-4
2025
Journal Article
Clinical and cost-effectiveness of individualised exercises and foot orthoses in the treatment of plantar heel pain: protocol for the TREADON randomised multi-arm multi-stage adaptive trial
Thomas, Martin J, Hughes, Gemma, Cooke, Kendra, Butler-Walley, Stephanie, Marshall, Emma, Bowyer, Laura, Wathall, Simon, Smith, Jo, Lawton, Sarah A, Brammar, June, Burnett, Thomas, Drake, Chris, Foster, Nadine E, Hendry, Gordon J, Holden, Melaine A, Jaki, Thomas, Joseph, Royes, Keenan, Anne-Maree, Kigozi, Jesse, Lewis, Martyn, Mallen, Christian D, Menz, Hylton B, Mozgunov, Pavel and Roddy, Edward (2025). Clinical and cost-effectiveness of individualised exercises and foot orthoses in the treatment of plantar heel pain: protocol for the TREADON randomised multi-arm multi-stage adaptive trial. NIHR Open Research, 5 42, 42. doi: 10.3310/nihropenres.13930.1
2024
Journal Article
Stratified health care for low back pain using the STarT Back approach: Holy Grail or doomed to fail?
Croft, Peter, Hill, Jonathan C., Foster, Nadine E., Dunn, Kate M. and van der Windt, Danielle A. (2024). Stratified health care for low back pain using the STarT Back approach: Holy Grail or doomed to fail?. Pain, 165 (12), 2679-2692. doi: 10.1097/j.pain.0000000000003319
2024
Journal Article
Structured tailored rehabilitation after hip fragility fracture: The 'Stratify' feasibility and pilot randomised controlled trial protocol
Sheehan, Katie J., Guerra, Stefanny, Ayis, Salma, Goubar, Aicha, Foster, Nadine E., Martin, Finbarr C., Godfrey, Emma, Cameron, Ian D., Gregson, Celia L., Walsh, Nicola E., Montague, Anna Ferguson, Edwards, Rebecca, Adams, Jodie, Jones, Gareth D., Gibson, Jamie, Sackley, Catherine and Whitney, Julie (2024). Structured tailored rehabilitation after hip fragility fracture: The 'Stratify' feasibility and pilot randomised controlled trial protocol. PLoS One, 19 (12) e0306870, 1-27. doi: 10.1371/journal.pone.0306870
2024
Journal Article
Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study
Bullock, Laurna, Holden, Melanie A., Jinks, Clare, Atiah Asamane, Evans, Herron, Dan, Borrelli, Belinda, Callaghan, Michael J., Birrell, Fraser, Halliday, Nicola, Marshall, Michelle, Sowden, Gail, Ingram, Carol, McBeth, John, Dziedzic, Krysia, Foster, Nadine E., Jowett, Sue, Lawton, Sarah, Mallen, Christian D. and Peat, George (2024). Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study. Musculoskeletal Care, 22 (4) e70021, 1-13. doi: 10.1002/msc.70021
2024
Journal Article
Knee braces for knee osteoarthritis: a scoping review and narrative synthesis of interventions in randomised controlled trials
Holden, M. A., Murphy, M., Simkins, J., Thomas, M. J., Huckfield, L., Quicke, J. G., Halliday, N., Birrell, F. N., Borrelli, B., Callaghan, M. J., Dziedzic, K., Felson, D., Foster, N. E., Ingram, C., Jinks, C., Jowett, S., Nicholls, E. and Peat, G. (2024). Knee braces for knee osteoarthritis: a scoping review and narrative synthesis of interventions in randomised controlled trials. Osteoarthritis and Cartilage, 32 (11), 1371-1396. doi: 10.1016/j.joca.2024.08.010
2024
Journal Article
Exploring experiences of people with knee osteoarthritis who received a physiotherapist‐delivered dietary weight loss and exercise intervention: a mixed methods study
Lawford, Belinda J., Allison, Kim, Nelligan, Rachel, Campbell, Penny, Hinman, Rana S., Jones, Sarah E., Pardo, Jesse, Quicke, Jonathan G., Sumithran, Priya, Prendergast, Jodie, George, Elena S., Holden, Melanie A., Foster, Nadine E. and Bennell, Kim L. (2024). Exploring experiences of people with knee osteoarthritis who received a physiotherapist‐delivered dietary weight loss and exercise intervention: a mixed methods study. Arthritis Care and Research, 76 (11), 1479-1492. doi: 10.1002/acr.25401
2024
Conference Publication
A randomised controlled trial to evaluate the clinical and cost effectiveness of the action falls rehabilitation programme to reduce falls in stroke survivors (FISS-UK)
Logan, P., Booth, V., Allen, F., Darby, J., Rick, C., Gordon, A., Hepburn, T., Leighton, P., Mcmanus, R., Connell, L., Doig, E., Foster, N., Lannin, N., Cox, E., James, M., Higton, F. and Gee, R. (2024). A randomised controlled trial to evaluate the clinical and cost effectiveness of the action falls rehabilitation programme to reduce falls in stroke survivors (FISS-UK). 16th World Stroke Congress, Abu Dhabi, United Arab Emirates, 23-26 October 2024. London, United Kingdom: Sage Publications. doi: 10.1177/17474930241274956
2024
Journal Article
Musculoskeletal patients’ preferences for care from physiotherapists or support workers: a discrete choice experiment
Sarigiovannis, Panos, Loría-Rebolledo, Luis Enrique, Foster, Nadine E., Jowett, Sue and Saunders, Benjamin (2024). Musculoskeletal patients’ preferences for care from physiotherapists or support workers: a discrete choice experiment. BMC Health Services Research, 24 (1) 1095, 1-13. doi: 10.1186/s12913-024-11585-w
2024
Conference Publication
Lumbar spine fusion surgery versus best conservative care for patients with severe, persistent low back pain: A UK cross-sectional survey of clinicians and their views regarding equipoise to randomise patients in a future trial
Bada, E., Gardner, A., Beard, D., Ahuja, S., Window, P. and Foster, N. (2024). Lumbar spine fusion surgery versus best conservative care for patients with severe, persistent low back pain: A UK cross-sectional survey of clinicians and their views regarding equipoise to randomise patients in a future trial. 48th Annual Conference of the Association of Surgeons in Training (ASiT), Bournemouth, United Kingdom, 8-10 March 2024. Oxford, United Kingdom: Oxford University Press. doi: 10.1093/bjs/znae163.688
2024
Journal Article
Recurrent patellar dislocation: personalised therapy or operative treatment? The REPPORT randomised trial protocol
Arnold, Susanne, Haque, Aminul, Aujla, Manjit, Barrows, Raegan, Beard, David, Chandler, Craig, Chandler, Elizabeth, Ellard, David R., Eldridge, Jonathan, Ferreira, Manuela, Foster, Nadine E., Griffin, James, Mason, James, Mandalia, Vipul, Parsons, Helen, Ray, Georgina, Stewart, Kimberley, Thompson, Peter, Underwood, Martin, Whitehouse, Michael R., Zanganeh, Mandana, Metcalfe, Andrew and Smith, Toby (2024). Recurrent patellar dislocation: personalised therapy or operative treatment? The REPPORT randomised trial protocol. BMJ Open, 14 (8) e090233, 1-10. doi: 10.1136/bmjopen-2024-090233
2024
Conference Publication
Characteristics of sciatica patients listed for a spinal epidural steroid injection and clinical outcomes: results from the poise cohort study
Stynes, S., Daud, N., Cherrington, A., Snell, K.I.E., Konstantinou, K., O'Dowd, J., Ostelo, R., Dunn, K.M. and Foster, N.E. (2024). Characteristics of sciatica patients listed for a spinal epidural steroid injection and clinical outcomes: results from the poise cohort study. The Society for Back Pain Research (SBPR) 2024 Annual General Meeting, Aberdeen, Scotland, 13–14 June 2024. London, United Kingdom: British Editorial Society of Bone and Joint Surgery. doi: 10.1302/1358-992x.2024.15.003
2024
Journal Article
Willingness to randomize patients to lumbar spine fusion surgery or conservative care in the forensic-UK and forensic-Australia trials
Foster, N E, Bada, E, Window, P, Stovell, M, Ahuja, S, Beard, D and Gardner, A (2024). Willingness to randomize patients to lumbar spine fusion surgery or conservative care in the forensic-UK and forensic-Australia trials. Orthopaedic Proceedings, 106-B (SUPP_15), 19-19. doi: 10.1302/1358-992x.2024.15.019
2024
Journal Article
Prognostic factors and treatment effect modifiers for physical health, opioid prescription, and health care utilization in patients with musculoskeletal disorders in primary care: exploratory secondary analysis of the STEMS randomized trial of direct access to physical therapist–led care
Zouch, James, Bhimani, Nazim, Bussières, André, Ferreira, Manuela, Foster, Nadine E. and Ferreira, Paulo (2024). Prognostic factors and treatment effect modifiers for physical health, opioid prescription, and health care utilization in patients with musculoskeletal disorders in primary care: exploratory secondary analysis of the STEMS randomized trial of direct access to physical therapist–led care. Physical Therapy, 104 (8) pzae066, 1-10. doi: 10.1093/ptj/pzae066
2024
Journal Article
Agreeing priority categories and items for inclusion in a future best practice delegation framework for musculoskeletal outpatient physiotherapy services: A consensus groups study
Sarigiovannis, P., Foster, N. E., Jowett, S. and Saunders, B. (2024). Agreeing priority categories and items for inclusion in a future best practice delegation framework for musculoskeletal outpatient physiotherapy services: A consensus groups study. Musculoskeletal Science and Practice, 72 102977, 1-7. doi: 10.1016/j.msksp.2024.102977
2024
Journal Article
Effectiveness and cost-effectiveness of radiofrequency denervation versus placebo for chronic and moderate to severe low back pain: study protocol for the RADICAL randomised controlled trial
Ashton, Kate E., Price, Cathy, Fleming, Leah, Blom, Ashley W., Culliford, Lucy, Evans, Rebecca Nicole, Foster, Nadine E., Hollingworth, William, Jameson, Catherine, Jeynes, Nouf, Moore, Andrew J., Orpen, Neil, Palmer, Cecily, Reeves, Barnaby C., Rogers, Chris A. and Wylde, Vikki (2024). Effectiveness and cost-effectiveness of radiofrequency denervation versus placebo for chronic and moderate to severe low back pain: study protocol for the RADICAL randomised controlled trial. BMJ Open, 14 (7) e079173. doi: 10.1136/bmjopen-2023-079173
2024
Journal Article
Lumbar spine fusion surgery versus best conservative care for patients with severe, persistent low back pain : a UK cross-sectional survey of clinicians and their views regarding randomization of patients into a future trial
Bada, Eniola S., Gardner, Adrian C., Ahuja, Sashin, Beard, David J., Window, Peter, Foster, Nadine E. and The FORENSIC study group (2024). Lumbar spine fusion surgery versus best conservative care for patients with severe, persistent low back pain : a UK cross-sectional survey of clinicians and their views regarding randomization of patients into a future trial. Bone and Joint Open, 5 (7), 612-620. doi: 10.1302/2633-1462.57.bjo-2023-0147.r1
2024
Journal Article
Musculoskeletal health and work: development and internal – external cross-validation of a model to predict risk of work absence and presenteeism in people seeking primary healthcare
Archer, Lucinda, Peat, George, Snell, Kym I. E., Hill, Jonathan C., Dunn, Kate M., Foster, Nadine E., Bishop, Annette, van der Windt, Danielle and Wynne-Jones, Gwenllian (2024). Musculoskeletal health and work: development and internal – external cross-validation of a model to predict risk of work absence and presenteeism in people seeking primary healthcare. Journal of Occupational Rehabilitation, 35 (3), 578-591. doi: 10.1007/s10926-024-10223-w
2024
Journal Article
Developing an international consensus Reporting guideline for intervention Fidelity in Non-Drug, non-surgical trials: The ReFiND protocol
Sousa Filho, Luis Fernando, Farlie, Melanie K., Haines, Terry, Borrelli, Belinda, Carroll, Christopher, Mathews, Catherine, Ribeiro, Daniel C., Fritz, Julie M., Underwood, Martin, Foster, Nadine E., Lamb, Sarah E., Sanchez, Zila M. and Malliaras, Peter (2024). Developing an international consensus Reporting guideline for intervention Fidelity in Non-Drug, non-surgical trials: The ReFiND protocol. Contemporary Clinical Trials, 142 107575, 1-7. doi: 10.1016/j.cct.2024.107575
2024
Journal Article
Supporting self-management of low back pain with an internet intervention with and without telephone support in primary care (SupportBack 2): a randomised controlled trial of clinical and cost-effectiveness
Geraghty, Adam W A, Becque, Taeko, Roberts, Lisa C, Hill, Jonathan C, Foster, Nadine E, Yardley, Lucy, Stuart, Beth, Turner, David A, Hay, Elaine, Griffiths, Gareth, Webley, Frances, Durcan, Lorraine, Morgan, Alannah, Hughes, Stephanie, Bathers, Sarah, Butler-Walley, Stephanie, Wathall, Simon, Mansell, Gemma, White, Malcolm, Davies, Firoza and Little, Paul (2024). Supporting self-management of low back pain with an internet intervention with and without telephone support in primary care (SupportBack 2): a randomised controlled trial of clinical and cost-effectiveness. The Lancet Rheumatology, 6 (7), e424-e437. doi: 10.1016/s2665-9913(24)00086-9
Funding
Current funding
Past funding
Supervision
Availability
- Professor Nadine Foster is:
- Available for supervision
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Supervision history
Current supervision
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Doctor Philosophy
Collaborative clinical practice in healthcare
Principal Advisor
Other advisors: Associate Professor Rebecca Olson, Dr Lisa Anemaat
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Doctor Philosophy
Attitudes, beliefs and behaviours regarding the management of shoulder osteoarthritis
Associate Advisor
Other advisors: Dr Jonathan Quicke
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Doctor Philosophy
Understanding and optimising recruitment in the FORENSIC low back pain trial (FusiOn veRsus bEst coNServatIve Care)
Associate Advisor
Other advisors: Dr Jonathan Quicke, Dr Nathalia Costa
Media
Enquiries
Contact Professor Nadine Foster directly for media enquiries about:
- arthritis
- back pain
- clinical trials
- joint pain
- knee pain
- musculoskeletal disorders
- osteoarthritis
- pain
- physiotherapy
- rehabilitation
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