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Professor Nadine Foster
Professor

Nadine Foster

Email: 

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

Qualifications

  • Bachelor (Honours), University of Ulster
  • Doctor of Philosophy, University of Ulster

Research interests

  • Musculoskeletal pain including low back pain pain, osteoarthritis, shoulder pain

  • Rehabilitation

  • Health services research

  • Interprofessional collaborative practice in health services

  • 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

399 works between 1995 and 2026

281 - 300 of 399 works

2013

Journal Article

A home-based program of simple quadriceps exercises reduces pain and improves knee function in overweight people with knee pain Un programme à domicile d'exercices simples du quadriceps diminue la douleur et améliore la fonction du genou chez les personnes ayant une surcharge pondérale souffrant de gonalgie

Foster, Nadine (2013). A home-based program of simple quadriceps exercises reduces pain and improves knee function in overweight people with knee pain Un programme à domicile d'exercices simples du quadriceps diminue la douleur et améliore la fonction du genou chez les personnes ayant une surcharge pondérale souffrant de gonalgie. Kinesitherapie, 13 (138), 9-10. doi: 10.1016/j.kine.2013.03.006

A home-based program of simple quadriceps exercises reduces pain and improves knee function in overweight people with knee pain Un programme à domicile d'exercices simples du quadriceps diminue la douleur et améliore la fonction du genou chez les personnes ayant une surcharge pondérale souffrant de gonalgie

2013

Journal Article

PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial

Bishop, Annette, Gamlin, Jill, Hall, Jeanette, Hopper, Cherida and Foster, Nadine E. (2013). PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial. Physiotherapy, 99 (2), 113-118. doi: 10.1016/j.physio.2012.08.002

PhysioDirect: Supporting physiotherapists to deliver telephone assessment and advice services within the context of a randomised trial

2013

Journal Article

The end of the acupuncture debate in chronic pain?

Vickers, A. J., Chronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Witt, C. M., Linde, K. and Doerfler, Wolfgang (2013). The end of the acupuncture debate in chronic pain?. Forschende Komplementarmedizin, 20 (1), 80-82. doi: 10.1159/000348371

The end of the acupuncture debate in chronic pain?

2013

Journal Article

Acceptability to Patients of PhysioDirect Telephone Advice and Treatment Services: A Qualitative Investigation

Pearson, Jennifer, Richardson, Jane, Calnan, Michael, Salisbury, Chris and Foster, Nadine (2013). Acceptability to Patients of PhysioDirect Telephone Advice and Treatment Services: A Qualitative Investigation. Physiotherapy Research International, 18 (1), 63-63. doi: 10.1002/pri.1519

Acceptability to Patients of PhysioDirect Telephone Advice and Treatment Services: A Qualitative Investigation

2013

Journal Article

Biopsychosocial care and the physiotherapy encounter: physiotherapists’ accounts of back pain consultations

Sanders, Tom, Foster, Nadine E, Bishop, Annette and Ong, Bie Nio (2013). Biopsychosocial care and the physiotherapy encounter: physiotherapists’ accounts of back pain consultations. BMC Musculoskeletal Disorders, 14 (1) 65. doi: 10.1186/1471-2474-14-65

Biopsychosocial care and the physiotherapy encounter: physiotherapists’ accounts of back pain consultations

2013

Journal Article

Nonoperative Treatment for Femoroacetabular Impingement: A Systematic Review of the Literature

Wall, Peter D.H., Fernandez, Miguel, Griffin, Damian R. and Foster, Nadine E. (2013). Nonoperative Treatment for Femoroacetabular Impingement: A Systematic Review of the Literature. PM&R, 5 (5), 418-426. doi: 10.1016/j.pmrj.2013.02.005

Nonoperative Treatment for Femoroacetabular Impingement: A Systematic Review of the Literature

2013

Journal Article

A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of 'PhysioDirect' telephone assessment and advice services for physiotherapy

Salisbury, C., Foster, N. E., Hopper, C., Bishop, A., Hollinghurst, S., Coast, J., Kaur, S., Pearson, J., Franchini, A., Hall, J., Grove, S., Calnan, M., Busby, J. and Montgomery, A. A. (2013). A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of 'PhysioDirect' telephone assessment and advice services for physiotherapy. Health Technology Assessment, 17 (2) 2, 1-157. doi: 10.3310/hta17020

A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of 'PhysioDirect' telephone assessment and advice services for physiotherapy

2013

Journal Article

Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems: pragmatic randomised controlled trial

Salisbury, C., Montgomery, A. A., Hollinghurst, S., Hopper, C., Bishop, A., Franchini, A., Kaur, S., Coast, J., Hall, J., Grove, S. and Foster, N. E. (2013). Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems: pragmatic randomised controlled trial. BMJ, 346 (jan29 3) f43. doi: 10.1136/bmj.f43

Effectiveness of PhysioDirect telephone assessment and advice services for patients with musculoskeletal problems: pragmatic randomised controlled trial

2013

Journal Article

Musculoskeletal pain illness perceptions: Factor structure of the Illness Perceptions Questionnaire-Revised

Nicholls, Elaine E., Hill, Susan and Foster, Nadine E. (2013). Musculoskeletal pain illness perceptions: Factor structure of the Illness Perceptions Questionnaire-Revised. Psychology & Health, 28 (1), 84-102. doi: 10.1080/08870446.2012.714782

Musculoskeletal pain illness perceptions: Factor structure of the Illness Perceptions Questionnaire-Revised

2012

Journal Article

Exercise therapy for chronic low back pain: Protocol for an individual participant data meta-analysis

Hayden, Jill A., Cartwright, Jennifer L., Riley, Richard D., vanTulder, Maurits W., Bendix, Tom, Cairns, Melinda, Cecchi, Francesca, Costa, Leonardo, Dufour, Ninna, Ferreira, Manuela, Foster, Nadine, Frost, Helen, Gudavalli, Ram, Hartvigsen, Jan, Helmhout, Pieter, Kool, Jan, Koumantakis, George, Kovacs, Francisco, Kuukkanen, Tiina, Long, Audrey, Machado, Luciana, Maher, Chris, Mehling, Wolf, Rasmussen-Barr, Eva, Ryan, Cormac, Sherman, Karen, Sjögren, Tuulikki, Smeets, Rob, Staal, Bart ... Vollenbroek, Miriam (2012). Exercise therapy for chronic low back pain: Protocol for an individual participant data meta-analysis. Systematic Reviews, 1 (1) 64. doi: 10.1186/2046-4053-1-64

Exercise therapy for chronic low back pain: Protocol for an individual participant data meta-analysis

2012

Journal Article

Acupuncture for chronic pain: Individual patient data meta-analysis

Vickers, A. J., Cronin, A. M., Maschino, A. C., Lewith, G., MacPherson, H., Foster, N. E., Sherman, K. J., Witt, C. M., Linde, K. and Cramer, H. (2012). Acupuncture for chronic pain: Individual patient data meta-analysis. Deutsche Zeitschrift fur Akupunktur, 55 (4), 24-25. doi: 10.1016/j.dza.2012.11.010

Acupuncture for chronic pain: Individual patient data meta-analysis

2012

Journal Article

Acupuncture for Chronic Pain : Individual Patient Data Meta-analysis

Vickers, Andrew J., Cronin, Angel M., Maschino, Alexandra C., Lewith, George, MacPherson, Hugh, Foster, Nadine E., Sherman, Karen J., Witt, Claudia M., Linde, Klaus and Acupuncture Trialists' Collaboration, for the (2012). Acupuncture for Chronic Pain : Individual Patient Data Meta-analysis. Archives of Internal Medicine, 172 (19), 1444-1453. doi: 10.1001/archinternmed.2012.3654

Acupuncture for Chronic Pain : Individual Patient Data Meta-analysis

2012

Journal Article

Role of exercise for knee pain: What do older adults in the community think?

Holden, Melanie A., Nicholls, Elaine E., Young, Julie, Hay, Elaine M. and Foster, Nadine E. (2012). Role of exercise for knee pain: What do older adults in the community think?. Arthritis Care & Research, 64 (10), 1554-1564. doi: 10.1002/acr.21700

Role of exercise for knee pain: What do older adults in the community think?

2012

Journal Article

Missing Data and Imputation: A Practical Illustration in a Prognostic Study on Low Back Pain

Vergouw, David, Heymans, Martijn W., van der Windt, Daniëlle A.W.M., Foster, Nadine E., Dunn, Kate M., van der Horst, Henriette E. and de Vet, Henrica C.W. (2012). Missing Data and Imputation: A Practical Illustration in a Prognostic Study on Low Back Pain. Journal of Manipulative and Physiological Therapeutics, 35 (6), 464-471. doi: 10.1016/j.jmpt.2012.07.002

Missing Data and Imputation: A Practical Illustration in a Prognostic Study on Low Back Pain

2012

Journal Article

A Qualitative Investigation of Physical Therapists' Experiences and Feelings of Managing Patients With Nonspecific Low Back Pain

Jeffrey, Janet E. and Foster, Nadine E. (2012). A Qualitative Investigation of Physical Therapists' Experiences and Feelings of Managing Patients With Nonspecific Low Back Pain. Physical Therapy, 92 (2), 266-278. doi: 10.2522/ptj.20100416

A Qualitative Investigation of Physical Therapists' Experiences and Feelings of Managing Patients With Nonspecific Low Back Pain

2012

Journal Article

Methodological issues in pragmatic trials of complex interventions in primary care

Foster, Nadine and Little, Paul (2012). Methodological issues in pragmatic trials of complex interventions in primary care. British Journal of General Practice, 62 (594), 10-11. doi: 10.3399/bjgp12X616238

Methodological issues in pragmatic trials of complex interventions in primary care

2012

Journal Article

Taking responsibility for the early assessment and treatment of patients with musculoskeletal pain: a review and critical analysis

Foster, Nadine E, Hartvigsen, Jan and Croft, Peter R (2012). Taking responsibility for the early assessment and treatment of patients with musculoskeletal pain: a review and critical analysis. Arthritis Research & Therapy, 14 (1) 205, 205. doi: 10.1186/ar3743

Taking responsibility for the early assessment and treatment of patients with musculoskeletal pain: a review and critical analysis

2011

Journal Article

Will shared decision making between patients with chronic musculoskeletal pain and physiotherapists, osteopaths and chiropractors improve patient care?

Parsons, S., Harding, G., Breen, A., Foster, N., Pincus, T., Vogel, S. and Underwood, M. (2011). Will shared decision making between patients with chronic musculoskeletal pain and physiotherapists, osteopaths and chiropractors improve patient care?. Family Practice, 29 (2), 203-212. doi: 10.1093/fampra/cmr083

Will shared decision making between patients with chronic musculoskeletal pain and physiotherapists, osteopaths and chiropractors improve patient care?

2011

Journal Article

Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial

Hill, Jonathan C, Whitehurst, David GT, Lewis, Martyn, Bryan, Stirling, Dunn, Kate M, Foster, Nadine E, Konstantinou, Kika, Main, Chris J, Mason, Elizabeth, Somerville, Simon, Sowden, Gail, Vohora, Kanchan and Hay, Elaine M (2011). Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial. The Lancet, 378 (9802), 1560-1571. doi: 10.1016/s0140-6736(11)60937-9

Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial

2011

Journal Article

Barriers and progress in the treatment of low back pain

Foster, Nadine E (2011). Barriers and progress in the treatment of low back pain. BMC Medicine, 9 (1) 108. doi: 10.1186/1741-7015-9-108

Barriers and progress in the treatment of low back pain

Funding

Current funding

  • 2026 - 2028
    Matching multidisciplinary management strategies to people with chronic musculoskeletal pain: the MATCH pilot and feasibility randomised clinical trial
    NHMRC MRFF Novel treatments and management strategies for chronic pain
    Open grant
  • 2025 - 2026
    Priorities in shoulder osteoarthritis research: A James Lind Alliance priority setting partnership The SOAR study (Shoulder OsteoArthritis Research priorities)
    Arthritis Foundation of Australia
    Open grant
  • 2024 - 2028
    The clinical and cost effectiveness of the Action Falls rehabilitation programme compared to usual care alone to reduce falls in stroke survivors (The FISS-AUSTRALIA trial)
    NHMRC-National Institute for Health Research (NIHR) Collaborative Research Grants
    Open grant
  • 2024 - 2028
    A randomised controlled trial to evaluate the clinical and cost effectiveness of the Action Falls rehabilitation programme compared to usual.. (NIHR Grant administered by University of Nottingham)
    University of Nottingham
    Open grant
  • 2024 - 2029
    A novel non-surgical intervention to improve outcomes after anterior cruciate ligament injury: A multicentre randomised controlled trial (MRFF Clinical Trials Activity Grant led by Uni of Melbourne)
    University of Melbourne
    Open grant
  • 2024 - 2027
    Co-creating virtual environments with consumers to enhance self-awareness and preparedness for home after brain injury
    NHMRC MRFF PPHR - Consumer Led Research
    Open grant
  • 2024 - 2029
    Improving Hip Dysplasia Outcomes for Children and Adolescents (MRFF CTA externally led by La Trobe University)
    La Trobe University
    Open grant
  • 2024 - 2028
    Scalable internet-delivered primary care for shoulder pain with or without telehealth support (MRFF grant administered by Monash University)
    Monash University
    Open grant
  • 2024 - 2029
    The clinical and cost-effectiveness of lumbar fusion surgery for patients with persistent, severe low back pain: FusiOn veRsus bEst coNServative Care (the FORENSIC trial)
    University of Oxford
    Open grant
  • 2024 - 2028
    ACL STARR (NHMRC-NIHR grant led by Usyd)
    University of Sydney
    Open grant
  • 2024 - 2028
    DISCERN - Disciplinary Integration to Solve the Enigma of Chronic Pain: Evaluating Personalised Care and its Impact with Innovative Clinical Trials and Research in Neurobiology, Psychology and Society
    NHMRC Synergy Grants
    Open grant
  • 2024 - 2028
    Musculoskeletal pain: getting the right patient to the right treatment at the right time
    NHMRC Investigator Grants
    Open grant
  • 2023 - 2028
    Implementing integrated psychological and physical care for Australians after road traffic injury
    NHMRC MRFF Clinician Researchers: Nurses, Midwives and Allied Health Grant
    Open grant
  • 2023 - 2028
    The clinical and cost-effectiveness of lumbar fusion surgery for patients with persistent, severe low back pain: FusiOn veRsus bEst coNServative Care (the FORENSIC trial)
    NHMRC-National Institute for Health Research (NIHR) Collaborative Research Grants
    Open grant
  • 2022 - 2027
    Clinical and cost effectiveness of early patient-directed rehab versus standard rehab after surgical repair of the rotator cuff of the shoulder (RaCeR 2) (UK NIHR grant led by UHDB)
    University Hospitals of Derby and Burton
    Open grant
  • 2022 - 2028
    ACTIVE KNEECAPs! tArgeted effeCTIVE treatments for adolescent KNEECAP pain
    NHMRC MRFF EPCDR - Chronic Musculoskeletal Conditions in Children and Adolescents
    Open grant
  • 2022 - 2027
    Reverse or Anatomical (replacement) for Painful Shoulder Osteoarthritis: Differences between Interventions - RAPSODI (NIHR grant administered by Wrightington, Wigan & Leigh NHS Foundation Trust)
    Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust
    Open grant
  • 2022 - 2027
    Reverse or Anatomical (replacement) for Painful Shoulder Osteoarthritis: Differences between Interventions. Acronym; RAPSODI (NHMRC-NIHR grant administered by Deakin University).
    Deakin University
    Open grant
  • 2020 - 2026
    Radiofrequency denervation for chronic and moderate to severe low back pain: The RADICAL trial (NIHR Grant administered by North Bristol NHS Trust)
    North Bristol NHS Trust
    Open grant

Past funding

  • 2024 - 2025
    Priorities in shoulder osteoarthritis research: A James Lind Alliance priority setting partnership The SOAR study (Shoulder OsteoArthritis Research priorities)
    Monash University
    Open grant
  • 2022 - 2026
    Treatments of Exercise AnD Orthotics for plantar heel pain (TREADON) (UK NIHR HTA grant led by Keele University)
    University of Keele
    Open grant
  • 2021 - 2022
    Supporting self-management of low back pain with an internet intervention in primary care: A randomised controlled trial of clinical & cost-effectiveness(SupportBack 2) UK NIHR grant led by U. Southam
    University of Southampton
    Open grant
  • 2020 - 2024
    Joint Appointment for Director, Stars Education and Research Alliance
    Metro North Hospital and Health Service
    Open grant
  • 2020 - 2024
    PROvision of braces for Patients with knee OsteoArthritis (PROP OA): a randomised trial (UK NIHR project led by Uni. Keele)
    University of Keele
    Open grant
  • 2020 - 2023
    Feasibility and multi-centre clinical trial of gait rehabilitation in patients with recently diagnosed rheumatoid arthritis: the Gait Rehabilitation in Early Arthritis Trial (GREAT Trial)
    National Institute for Health Research UK
    Open grant
  • 2019 - 2025
    Work And Vocational advice (WAVE) in primary care: a randomised controlled trial (UK NIHR led by Keele University)
    University of Keele
    Open grant

Supervision

Availability

Professor Nadine Foster is:
Available for supervision

Looking for a supervisor? Read our advice on how to choose a supervisor.

Available projects

  • Please contact me to discuss potential projects before making any application

Supervision history

Current supervision

  • 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

  • Doctor Philosophy

    Collaborative clinical practice in healthcare

    Principal Advisor

    Other advisors: Professor Rebecca Olson, Dr Lisa Anemaat

  • Doctor Philosophy

    Attitudes, beliefs and behaviours regarding the management of shoulder osteoarthritis

    Associate Advisor

    Other advisors: Dr Jonathan Quicke

  • Doctor Philosophy

    ConsumeR involvEment for parTicipAnt retentIon incliNical trials (RETAIN)

    Associate Advisor

    Other advisors: Dr Bec Jenkinson

  • 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

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

Need help?

For help with finding experts, story ideas and media enquiries, contact our Media team:

communications@uq.edu.au