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
2014
Journal Article
A core outcome set for clinical trials on non-specific low back pain: Study protocol for the development of a core domain set
Chiarotto, Alessandro, Terwee, Caroline B., Deyo, Richard A., Boers, Maarten, Lin, Chung-Wei Christine, Buchbinder, Rachelle, Corbin, Terry P., Costa, Leonardo, Foster, Nadine E., Grotle, Margreth, Koes, Bart W., Kovacs, Francisco M., Maher, Chris G., Pearson, Adam M., Peul, Wilco C., Schoene, Mark L., Turk, Dennis C., van Tulder, Maurits W. and Ostelo, Raymond W. (2014). A core outcome set for clinical trials on non-specific low back pain: Study protocol for the development of a core domain set. Trials, 15 (1) 511. doi: 10.1186/1745-6215-15-511
2014
Journal Article
Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis:
Uthman, Olalekan A., van der Windt, Danielle A., Jordan, Joanne L., Dziedzic, Krysia S., Healey, Emma L., Peat, George M. and Foster, Nadine E. (2014). Exercise for lower limb osteoarthritis: systematic review incorporating trial sequential analysis and network meta-analysis:. British Journal of Sports Medicine, 48 (21), 1579-1579. doi: 10.1136/bjsports-2014-5555rep
2014
Journal Article
Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems:
Salisbury, Chris, Montgomery, Alan A., Hollinghurst, Sandra, Hopper, Cherida, Bishop, Annette, Franchini, Angelo, Kaur, Surinder, Coast, Joanna, Hall, Jeanette, Grove, Sean and Foster, Nadine E. (2014). Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems:. British Journal of Sports Medicine, 48 (18), 1391-1391. doi: 10.1136/bjsports-2014-f43rep
2014
Journal Article
A multicentre, pragmatic, parallel group, randomised controlled trial to compare the clinical and cost-effectiveness of three physiotherapy-led exercise interventions for knee osteoarthritis in older adults: the BEEP trial protocol (ISRCTN: 93634563)
Foster, Nadine E., Healey, Emma L., Holden, Melanie A., Nicholls, Elaine, Whitehurst, David G.T., Jowett, Susan, Jinks, Clare, Roddy, Edward and Hay, Elaine M. (2014). A multicentre, pragmatic, parallel group, randomised controlled trial to compare the clinical and cost-effectiveness of three physiotherapy-led exercise interventions for knee osteoarthritis in older adults: the BEEP trial protocol (ISRCTN: 93634563). BMC Musculoskeletal Disorders, 15 (1) 254. doi: 10.1186/1471-2474-15-254
2014
Journal Article
Rationale, design and methods of the Study of Work and Pain (SWAP): a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669)
Bishop, Annette, Wynne-Jones, Gwenllian, Lawton, Sarah A., van der Windt, Danielle, Main, Chris, Sowden, Gail, Burton, A. Kim, Lewis, Martyn, Jowett, Sue, Sanders, Tom, Hay, Elaine M., Foster, Nadine E. and and on behalf of the SWAP study team (2014). Rationale, design and methods of the Study of Work and Pain (SWAP): a cluster randomised controlled trial testing the addition of a vocational advice service to best current primary care for patients with musculoskeletal pain (ISRCTN 52269669). BMC Musculoskeletal Disorders, 15 (1) 232. doi: 10.1186/1471-2474-15-232
2014
Journal Article
Pain location matters: the impact of leg pain on health care use, work disability and quality of life in patients with low back pain
Hider, Samantha L., Whitehurst, David G. T., Thomas, Elaine and Foster, Nadine E. (2014). Pain location matters: the impact of leg pain on health care use, work disability and quality of life in patients with low back pain. European Spine Journal, 24 (3), 444-451. doi: 10.1007/s00586-014-3355-2
2014
Conference Publication
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. (2014). Is long-term physical activity safe for older adults with knee pain?: a systematic review. 2014 World Congress, Paris, France, 24-27 April 2014. London, United Kingdom: Elsevier. doi: 10.1016/j.joca.2014.02.042
2014
Journal Article
Subacromial impingement syndrome and pain: protocol for a randomised controlled trial of exercise and corticosteroid injection (the SUPPORT trial)
Roddy, Edward, Zwierska, Irena, Hay, Elaine M., Jowett, Sue, Lewis, Martyn, Stevenson, Kay, van der Windt, Danielle, Foster, Nadine E. and the SUPPORT trial team (2014). Subacromial impingement syndrome and pain: protocol for a randomised controlled trial of exercise and corticosteroid injection (the SUPPORT trial). BMC Musculoskeletal Disorders, 15 (1) 81. doi: 10.1186/1471-2474-15-81
2014
Journal Article
Implementing change in physiotherapy: professions, contexts and interventions
Sanders, Tom, Nio Ong, Bie, Sowden, Gail and Foster, Nadine (2014). Implementing change in physiotherapy: professions, contexts and interventions. Journal of Health, Organization and Management, 28 (1), 96-114. doi: 10.1108/jhom-10-2011-0102
2014
Journal Article
Effect of stratified care for low back pain in family practice (IMPaCT Back): a prospective population-based sequential comparison
Foster, N. E., Mullis, R., Hill, J. C., Lewis, M., Whitehurst, D. G. T., Doyle, C., Konstantinou, K., Main, C., Somerville, S., Sowden, G., Wathall, S., Young, J., Hay, E. M. and on behalf of the IMPaCT Back Study team (2014). Effect of stratified care for low back pain in family practice (IMPaCT Back): a prospective population-based sequential comparison. The Annals of Family Medicine, 12 (2), 102-111. doi: 10.1370/afm.1625
2014
Journal Article
Health services changes: is a run-in period necessary before evaluation in randomised clinical trials?
Rathod, Trishna, Belcher, John, Montgomery, Alan A., Salisbury, Chris and Foster, Nadine E. (2014). Health services changes: is a run-in period necessary before evaluation in randomised clinical trials?. Trials, 15 (1) 41. doi: 10.1186/1745-6215-15-41
2014
Journal Article
La méthode McKenzie n’apporte pas d’amélioration clinique importante en plus des soins habituels pour le traitement de la lombalgie aiguë
Foster, Nadine (2014). La méthode McKenzie n’apporte pas d’amélioration clinique importante en plus des soins habituels pour le traitement de la lombalgie aiguë. Kinesitherapie, 14 (151), 15-16. doi: 10.1016/j.kine.2014.05.006
2013
Journal Article
Exercise for lower limb osteoarthritis: Systematic review incorporating trial sequential analysis and network meta-analysis
Uthman, Olalekan A., Van Der Windt, Danielle A., Jordan, Joanne L., Dziedzic, Krysia S., Healey, Emma L., Peat, George M. and Foster, Nadine E. (2013). Exercise for lower limb osteoarthritis: Systematic review incorporating trial sequential analysis and network meta-analysis. BMJ (Online), 347 (7928) f5555. doi: 10.1136/bmj.f5555
2013
Journal Article
Characteristics of Acupuncture Treatment Associated with Outcome: An Individual Patient Meta-Analysis of 17,922 Patients with Chronic Pain in Randomised Controlled Trials
MacPherson, Hugh, Maschino, Alexandra C., Lewith, George, Foster, Nadine E., Witt, Claudia, Vickers, Andrew J. and on behalf of the Acupuncture Trialists' Collaboration (2013). Characteristics of Acupuncture Treatment Associated with Outcome: An Individual Patient Meta-Analysis of 17,922 Patients with Chronic Pain in Randomised Controlled Trials. PLoS ONE, 8 (10) e77438, e77438. doi: 10.1371/journal.pone.0077438
2013
Journal Article
A pragmatic randomised controlled trial of ‘PhysioDirect’ telephone assessment and advice services for patients with musculoskeletal problems: economic evaluation
Hollinghurst, Sandra, Coast, Joanna, Busby, John, Bishop, Annette, Foster, Nadine E, Franchini, Angelo, Grove, Sean, Hall, Jeanette, Hopper, Cherida, Kaur, Surinder, Montgomery, Alan A and Salisbury, Chris (2013). A pragmatic randomised controlled trial of ‘PhysioDirect’ telephone assessment and advice services for patients with musculoskeletal problems: economic evaluation. BMJ Open, 3 (10) e003406, e003406. doi: 10.1136/bmjopen-2013-003406
2013
Journal Article
Stratified models of care
Foster, Nadine E., Hill, Jonathan C., O'Sullivan, Peter and Hancock, Mark (2013). Stratified models of care. Best Practice & Research Clinical Rheumatology, 27 (5), 649-661. doi: 10.1016/j.berh.2013.10.005
2013
Journal Article
Conceptual overlap of psychological constructs in low back pain
Campbell, Paul, Bishop, Annette, Dunn, Kate M., Main, Chris J., Thomas, Elaine and Foster, Nadine E. (2013). Conceptual overlap of psychological constructs in low back pain. Pain, 154 (9), 1783-1791. doi: 10.1016/j.pain.2013.05.035
2013
Journal Article
SAPC hot topic: is it a dangerous idea to make physiotherapists the gatekeepers of frontline primary care for all patients with musculoskeletal problems?
Bishop, Annette, Foster, Nadine E. and Croft, Peter (2013). SAPC hot topic: is it a dangerous idea to make physiotherapists the gatekeepers of frontline primary care for all patients with musculoskeletal problems?. Primary Health Care Research & Development, 14 (04), 413-415. doi: 10.1017/s1463423613000364
2013
Journal Article
Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study
Campbell, Paul, Foster, Nadine E., Thomas, Elaine and Dunn, Kate M. (2013). Prognostic Indicators of Low Back Pain in Primary Care: Five-Year Prospective Study. The Journal of Pain, 14 (8), 873-883. doi: 10.1016/j.jpain.2013.03.013
2013
Journal Article
Identifying patients’ beliefs about treatments for chronic low back pain in primary care: a focus group study
Dima, Alexandra, Lewith, George T, Little, Paul, Moss-Morris, Rona, Foster, Nadine E and Bishop, Felicity L (2013). Identifying patients’ beliefs about treatments for chronic low back pain in primary care: a focus group study. British Journal of General Practice, 63 (612), e490-e498. doi: 10.3399/bjgp13x669211
Funding
Current funding
Past funding
Supervision
Availability
- Professor Nadine Foster is:
- Available for supervision
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Available projects
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Please contact me to discuss potential projects before making any application
Supervision history
Current supervision
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Doctor Philosophy
Understanding and optimising recruitment in the FORENSIC low back pain trial (FusiOn veRsus bEst coNServatIve Care)
Principal Advisor
Other advisors: Dr Nathalia Costa, Dr Jonathan Quicke
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Doctor Philosophy
Collaborative clinical practice in healthcare
Principal Advisor
Other advisors: Professor Rebecca Olson, Dr Lisa Anemaat
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Master Philosophy
Prevalence of Frailty and Sarcopenia in Patients with Knee Osteoarthritis and Implications for Service Delivery in Queensland Health
Associate Advisor
Other advisors: Dr Jonathan Quicke
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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
ConsumeR involvEment for parTicipAnt retentIon incliNical trials (RETAIN)
Associate Advisor
Other advisors: Dr Bec Jenkinson
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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