
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
2016
Journal Article
Panel debate: manual therapy is a questionable tool in the toolkit of treatments for low back pain
Lonnemann, M. E., Foster, N., Woodhouse, L., Rivett, D. and Cook, C. (2016). Panel debate: manual therapy is a questionable tool in the toolkit of treatments for low back pain. Manual Therapy, 25, e29-e30. doi: 10.1016/j.math.2016.05.023
2016
Journal Article
General practitioners’ and patients’ perceptions towards stratified care: a theory informed investigation
Saunders, Benjamin, Bartlam, Bernadette, Foster, Nadine E., Hill, Jonathan C., Cooper, Vince and Protheroe, Joanne (2016). General practitioners’ and patients’ perceptions towards stratified care: a theory informed investigation. BMC Family Practice, 17 (1) 125. doi: 10.1186/s12875-016-0511-2
2016
Journal Article
Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomized trial protocol
Cherkin, Dan, Balderson, Benjamin, Brewer, Georgie, Cook, Andrea, Estlin, Katherine Talbert, Evers, Sarah C., Foster, Nadine E., Hill, Jonathan C., Hawkes, Rene, Hsu, Clarissa, Jensen, Mark, Laporte, Anne-Marie, Levine, Martin D., Piekara, Diane, Rock, Pam, Sherman, Karen, Sowden, Gail, Wellman, Rob and Yeoman, John (2016). Evaluation of a risk-stratification strategy to improve primary care for low back pain: the MATCH cluster randomized trial protocol. BMC Musculoskeletal Disorders, 17 (1) 361. doi: 10.1186/s12891-016-1219-0
2016
Journal Article
Protocol for a multicentre, parallel-arm, 12-month, randomised, controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome (FASHIoN)
Griffin, D. R., Dickenson, E. J., Wall, P. D. H., Donovan, J. L., Foster, N. E., Hutchinson, C. E., Parsons, N., Petrou, S., Realpe, A., Achten, J., Achana, F., Adams, A., Costa, M. L., Griffin, J., Hobson, R. and Smith, J (2016). Protocol for a multicentre, parallel-arm, 12-month, randomised, controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome (FASHIoN). BMJ Open, 6 (8) e012453, e012453. doi: 10.1136/bmjopen-2016-012453
2016
Journal Article
The role of qualitative research in clinical trial development: the EASE back study
Bartlam, Bernadette, Waterfield, Jacqueline, Bishop, Annette, Holden, Melanie A., Barlas, Panos, Ismail, Khaled M., Kettle, Christine and Foster, Nadine E. (2016). The role of qualitative research in clinical trial development: the EASE back study. Journal of Mixed Methods Research, 12 (3), 325-343. doi: 10.1177/1558689816656740
2016
Journal Article
Implementation interventions to improve the management of non-specific low back pain: a systematic review
Mesner, Simon Alexander, Foster, Nadine E. and French, Simon David (2016). Implementation interventions to improve the management of non-specific low back pain: a systematic review. BMC Musculoskeletal Disorders, 17 (1) 258. doi: 10.1186/s12891-016-1110-z
2016
Book Chapter
Assessing rehabilitation: practical examples
Foster, Nadine Elizabeth (2016). Assessing rehabilitation: practical examples. Randomized Clinical Trials of Nonpharmacological Treatments. (pp. 309-324) edited by Isabelle Boutron, Philippe Ravaud and David Moher. Boca Raton, FL, United States: CRC Press.
2016
Journal Article
UK FASHIoN: feasibility study of a randomised controlled trial of arthroscopic surgery for hip impingement compared with best conservative care
Griffin, Damian, Wall, Peter, Realpe, Alba, Adams, Ann, Parsons, Nick, Hobson, Rachel, Achten, Juul, Fry, Jeremy, Costa, Matthew, Petrou, Stavros, Foster, Nadine and Donovan, Jenny (2016). UK FASHIoN: feasibility study of a randomised controlled trial of arthroscopic surgery for hip impingement compared with best conservative care. Health Technology Assessment, 20 (32), 1-171. doi: 10.3310/hta20320
2016
Conference Publication
Can attitudes and beliefs about exercise predict future physical activity level in older adults with knee pain?
Quicke, J. G., Foster, N. E., Ogollah, R. O., Croft, P. R. and Holden, M. A. (2016). Can attitudes and beliefs about exercise predict future physical activity level in older adults with knee pain?. 2016 OARSI World Congress on Osteoarthritis: Promoting Clinical and Basic Research in Osteoarthritis, Amsterdam, The Netherlands, 31 March-3 April 2016. London, United Kingdom: Elsevier. doi: 10.1016/j.joca.2016.01.894
2016
Journal Article
Evaluating acupuncture and standard carE for pregnant women with back pain (EASE Back): a feasibility study and pilot randomised trial
Foster, Nadine E., Bishop, Annette, Bartlam, Bernadette, Ogollah, Reuben, Barlas, Panos, Holden, Melanie, Ismail, Khaled, Jowett, Sue, Kettle, Christine, Kigozi, Jesse, Lewis, Martyn, Lloyd, Alison, Waterfield, Jackie and Young, Julie (2016). Evaluating acupuncture and standard carE for pregnant women with back pain (EASE Back): a feasibility study and pilot randomised trial. Health Technology Assessment, 20 (33), 1-236. doi: 10.3310/hta20330
2016
Journal Article
The acceptability to patients of PhysioDirect telephone assessment and advice services; A qualitative interview study
Pearson, Jennifer, Richardson, Jane, Calnan, Michael, Salisbury, Chris and Foster, Nadine E. (2016). The acceptability to patients of PhysioDirect telephone assessment and advice services; A qualitative interview study. BMC Health Services Research, 16 (1) 104, 1-11. doi: 10.1186/s12913-016-1349-y
2016
Journal Article
Infection and low back pain: seeking evidence or fear of exploring new indications for antibiotics?
Artus, Majid, Fairbank, Jeremy, Scarborough, Matthew and Foster, Nadine (2016). Infection and low back pain: seeking evidence or fear of exploring new indications for antibiotics?. European Spine Journal, 25 (12), 3859-3861. doi: 10.1007/s00586-016-4513-5
2016
Journal Article
An analysis of the complementarity of ICECAP-A and EQ-5D-3 L in an adult population of patients with knee pain
Keeley, T., Coast, J., Nicholls, E., Foster, N. E., Jowett, S. and Al-Janabi, H. (2016). An analysis of the complementarity of ICECAP-A and EQ-5D-3 L in an adult population of patients with knee pain. Health and Quality of Life Outcomes, 14 (1) 36. doi: 10.1186/s12955-016-0430-x
2016
Journal Article
Current management of pregnancy-related low back pain: a national cross-sectional survey of UK physiotherapists
Bishop, A., Holden, M.A., Ogollah, R.O. and Foster, N.E. (2016). Current management of pregnancy-related low back pain: a national cross-sectional survey of UK physiotherapists. Physiotherapy, 102 (1), 78-85. doi: 10.1016/j.physio.2015.02.003
2016
Journal Article
Western medical acupuncture in a group setting for knee osteoarthritis: results of a pilot randomised controlled trial
White, Adrian, Tough, Liz, Eyre, Vicky, Vickery, Jane, Asprey, Anthea, Quinn, Cath, Warren, Fiona, Pritchard, Colin, Foster, Nadine E., Taylor, Rod S., Underwood, Martin and Dieppe, Paul (2016). Western medical acupuncture in a group setting for knee osteoarthritis: results of a pilot randomised controlled trial. Pilot and Feasibility Studies, 2 (1) 10. doi: 10.1186/s40814-016-0051-5
2016
Journal Article
Impairment-targeted exercises for older adults with knee pain: A proof-of-principle study (TargET-Knee-Pain)
Wood, Laurence R. J., Blagojevic-Bucknall, Milica, Stynes, Siobhán, D'Cruz, Deborah, Mullis, Ricky, Whittle, Rebecca, Peat, George and Foster, Nadine E. (2016). Impairment-targeted exercises for older adults with knee pain: A proof-of-principle study (TargET-Knee-Pain). BMC Musculoskeletal Disorders, 17 (1) 47, 1-11. doi: 10.1186/s12891-016-0899-9
2015
Journal Article
“Lovely Pie in the Sky Plans” : A Qualitative Study of Clinicians’ Perspectives on Guidelines for Managing Low Back Pain in Primary Care in England
Bishop, Felicity L., Dima, Alexandra L., Ngui, Jason, Little, Paul, Moss-Morris, Rona, Foster, Nadine E. and Lewith, George T. (2015). “Lovely Pie in the Sky Plans” : A Qualitative Study of Clinicians’ Perspectives on Guidelines for Managing Low Back Pain in Primary Care in England. SPINE, 40 (23), 1842-1850. doi: 10.1097/brs.0000000000001215
2015
Journal Article
Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration
Waterfield, Jackie, Bartlam, Bernadette, Bishop, Annette, Holden, Melanie A., Barlas, Panos and Foster, Nadine E. (2015). Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration. Physical Therapy, 95 (9), 1234-1243. doi: 10.2522/ptj.20140298
2015
Journal Article
Using an internet intervention to support self-management of low back pain in primary care: protocol for a randomised controlled feasibility trial (SupportBack)
Geraghty, Adam W. A., Stanford, Rosie, Little, Paul, Roberts, Lisa, Foster, Nadine E., Hill, Jonathan C., Hay, Elaine, Stuart, Beth, Turner, David and Yardley, Lucy (2015). Using an internet intervention to support self-management of low back pain in primary care: protocol for a randomised controlled feasibility trial (SupportBack). BMJ Open, 5 (9) e009524, e009524. doi: 10.1136/bmjopen-2015-009524
2015
Journal Article
Is long-term physical activity safe for older adults with knee pain?: A systematic review
Quicke, J. G., Foster, N. E., Thomas, M. J. and Holden, M. A. (2015). Is long-term physical activity safe for older adults with knee pain?: A systematic review. Osteoarthritis and Cartilage, 23 (9), 1445-1456. doi: 10.1016/j.joca.2015.05.002
Funding
Current funding
Past funding
Supervision
Availability
- Professor Nadine Foster is:
- Available for supervision
Before you email them, read our advice on how to contact a supervisor.
Available projects
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Exploring how the Action Falls Intervention reduces falls in stroke survivors
We are seeking a PhD candidate who is eligible for a UQ Graduate School Scholarship, to undertake a PhD in the field of falls rehabilitation following stroke. The project is part the Australian Falls In Stroke Study (FISS-Australia) Trial (https://shrs.uq.edu.au/research/fiss-australia-trial), funded by the National Health and Research Medical Council (NHMRC) and National Institute for Health Research (NIHR). The FISS-Australia trial is a national, multi-centre, randomised controlled trial that will determine the effectiveness and cost-effectiveness of the Action Falls intervention in stroke survivors who are discharged from hospital to home.
The Action Falls Intervention is a systematic falls prevention intervention involving clinician-led assessment of falls risks, followed by personalised action planning. Action Falls has been shown in previous research to reduce falls by 43% in older people living in nursing home settings in the UK and is cost effective compared to other falls interventions, but its effectiveness for reducing falls in people with stroke living at home has not been tested.
The project is led by researchers at the University of Queensland in collaboration with researchers at the University of Nottingham, La Trobe University, University of Sydney, and the University of Canberra. The overarching aim of the trial is to determine if the Action Falls intervention reduces the rate of falls in stroke survivors and is more cost effective than the usual care. The trial will include a nested, process evaluation guided by a realist approach, designed to explore the mechanisms by which Action Falls reduces falls, seeking to explore for which stroke survivors, in what circumstances Action Falls is effective.
The successful PhD candidate will use qualitative (eg. interviews with health care professionals, people with stroke and their significant others) and quantitative methods (eg. analyse data about implementation of the Action Falls intervention, frequency of falls, health care usage) to explore the Action Falls Intervention. The findings of this evaluation will inform future delivery of Action Falls to stroke survivors.
The PhD student will be supervised by a team that may include Dr Emmah Doig, Prof Pip Logan, Prof Nadine Foster, A/Professor Jacki Liddle. The PhD candidate would be based at the Surgical Treatment and Rehabilitation Service (STARS) Education and Research Alliance.
Eligible candidates will be supported to apply for a UQ Graduate School Scholarship that provides a 3-year scholarship (with possible extension for 6 months if required) at a rate of $35,000 p.a. tax free.
Essential criteria: An undergraduate degree with first or second class honours in a health profession (eg. occupational therapy, physiotherapy, nursing); eligibility for admission as a PhD candidate at The University of Queensland; excellent communication skills (written and verbal) in English.
Desirable criteria: Experience in and interest in stroke and/or falls rehabilitation practice or research.
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
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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