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
2024
Conference Publication
Physiotherapist-led exercise versus waiting-list control for patients awaiting rotator cuff repair surgery: a pilot randomised controlled trial (POWER)
Littlewood, C., Moffatt, M., Davis, D., Beckhelling, J., Wade, J. and Foster, N. (2024). Physiotherapist-led exercise versus waiting-list control for patients awaiting rotator cuff repair surgery: a pilot randomised controlled trial (POWER). Chartered Society of Physiotherapy (CSP) 2023 Annual Conference, Cardiff, United Kingdom, 24 October - 10 November 2023. London, United Kingdom: Elsevier. doi: 10.1016/j.physio.2024.04.108
2024
Journal Article
Health coaching intervention with or without the support of an exercise buddy to increase physical activity of people with chronic low back pain compared to usual care: a feasibility and pilot randomised controlled trial
Fritsch, Carolina G., Ferreira, Manuela L., Halliday, Mark H., Roberts, Katharine, Comachio, Josielli, Mittinty, Manasi, Sharpe, Louise, Foster, Nadine E., Stamatakis, Emmanuel, Mork, Paul J., McLachlan, Andrew J. and Ferreira, Paulo H. (2024). Health coaching intervention with or without the support of an exercise buddy to increase physical activity of people with chronic low back pain compared to usual care: a feasibility and pilot randomised controlled trial. Musculoskeletal Science and Practice, 71 102941, 1-10. doi: 10.1016/j.msksp.2024.102941
2024
Conference Publication
Optimising physiotherapy for people with lateral elbow tendinopathy – results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE)
Bateman, M., Skeggs, A., Whitby, E., Fletcher-Barrett, V., Stephens, G., Dawes, M., Davis, D., Beckhelling, J., Cooper, K., Saunders, B., Littlewood, C., Vicenzino, B., Foster, N.E and Hill, J.C (2024). Optimising physiotherapy for people with lateral elbow tendinopathy – results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE). Chartered Society of Physiotherapy (CSP) 2023 Annual Conference, Cardiff, United Kingdom, 24 October - 10 November 2023. London, United Kingdom: Elsevier. doi: 10.1016/j.physio.2024.04.033
2024
Journal Article
Feasibility of blinding spinal manual therapy interventions among participants and outcome assessors: protocol for a blinding feasibility trial
Muñoz Laguna, Javier, Kurmann, Astrid, Hofstetter, Léonie, Nyantakyi, Emanuela, Clack, Lauren, Bang, Heejung, Foster, Nadine E., Braun, Julia, Puhan, Milo A., Farshad, Mazda and Hincapié, Cesar A. (2024). Feasibility of blinding spinal manual therapy interventions among participants and outcome assessors: protocol for a blinding feasibility trial. Pilot and Feasibility Studies, 10 (1) 70, 1-10. doi: 10.1186/s40814-024-01492-6
2024
Journal Article
Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial
Allison, Kim, Jones, Sarah, Hinman, Rana S., Pardo, Jesse, Li, Peixuan, DeSilva, Anurika, Quicke, Jonathan George, Sumithran, Priya, Prendergast, Jodie, George, Elena, Holden, Melanie A., Foster, Nadine E and Bennell, Kim L. (2024). Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial. British Journal of Sports Medicine, 58 (10) 107793, 538-547. doi: 10.1136/bjsports-2023-107793
2024
Journal Article
Clinical and cost-effectiveness of individualised (early) patient-directed rehabilitation versus standard rehabilitation after surgical repair of the rotator cuff of the shoulder: protocol for a multicentre, randomised controlled trial with integrated Quintet Recruitment Intervention (RaCeR 2)
Mazuquin, Bruno, Moffatt, Maria, Realpe, Alba, Sherman, Rachelle, Ireland, Katie, Connan, Zak, Tildsley, Jack, Manca, Andrea, Singh, Vijay Gc, Foster, Nadine E., Rees, Jonathan, Drew, Steven, Bateman, Marcus, Fakis, Apostolos, Farnsworth, Malin and Littlewood, Chris (2024). Clinical and cost-effectiveness of individualised (early) patient-directed rehabilitation versus standard rehabilitation after surgical repair of the rotator cuff of the shoulder: protocol for a multicentre, randomised controlled trial with integrated Quintet Recruitment Intervention (RaCeR 2). BMJ Open, 14 (4) e081284, 1-9. doi: 10.1136/bmjopen-2023-081284
2024
Conference Publication
Neither Analysis Approach Nor Risk Of Bias Explain The Limited Overall Benefit Of Therapeutic Exercise For Knee And/or Hip Osteoarthritis In Individual Participant Data Meta-analysis
Runhaar, Jos, Holden, Melanie, Hattle, Miriam, Quicke, Jonathan, Healey, Emma L., van der Windt, Danielle, Dziedzic, Krysia S., van Middelkoop, Marienke, Bierma-Zeinstra, Sita and Foster, Nadine (2024). Neither Analysis Approach Nor Risk Of Bias Explain The Limited Overall Benefit Of Therapeutic Exercise For Knee And/or Hip Osteoarthritis In Individual Participant Data Meta-analysis. 2024 OARSI World Congress on Osteoarthritis, Vienna, Austria, 18-21 April 2024. London, United Kingdom: Elsevier. doi: 10.1016/j.joca.2024.02.832
2024
Conference Publication
Videoconferencing With A Physiotherapist Versus In-person Care For Knee Osteoarthritis: The Peak Non-inferiority Randomised Controlled Trial
Hinman, Rana S., Campbell, Penny, Kimp, Alex, Russell, Trevor, Foster, Nadine, Kasza, Jessica, Harris, Anthony and Bennell, Kim (2024). Videoconferencing With A Physiotherapist Versus In-person Care For Knee Osteoarthritis: The Peak Non-inferiority Randomised Controlled Trial. 2024 OARSI World Congress on Osteoarthritis, Vienna, Austria, 18-21 April 2024. Amsterdam, Netherlands: Elsevier. doi: 10.1016/j.joca.2024.02.040
2024
Journal Article
Changing the narrative on osteoarthritis: A call for global action
Jinks, Clare, Botto-van Bemden, Angie, Bunzli, Samantha, Bowden, Jocelyn, Egerton, Thorlene, Eyles, Jillian, Foster, Nadine, Healey, Emma L., Maddison, John, O’Brien, Daniel, Quicke, Jonathon G., Schiphof, Dieuwke, Parry, Emma, Thomas, Martin J., Holden, Melanie A. and Change OA Narrative (COAN) Initiative (2024). Changing the narrative on osteoarthritis: A call for global action. Osteoarthritis and Cartilage, 32 (4), 414-420. doi: 10.1016/j.joca.2024.02.004
2024
Conference Publication
Bracing acceptability and adherence for knee osteoarthritis: findings from a qualitative study in the prop-oa multicentre trial
Jinks, Clare, Holden, Melanie, Asaname, Evans, Bullock, Laurna, Herron, Daniel, Halliday, Nicola, Armitt, Gillian, Bathers, Sarah, Birrell, Fraser, Borrelli, Belinda, Browell, Rachel, Callaghan, Michael J., Dobb, Kate, Dziedzic, Krysia S., Felson, David, Foster, Nadine, Hartshorne, Elizabeth, Huckfield, Lucy, Humphries, Katrina, Ingram, Carol, Lawton, Sarah A., Mallen, Christian, Marshall, Michelle, McBeth, John, Nicholls, Elaine and Peat, George (2024). Bracing acceptability and adherence for knee osteoarthritis: findings from a qualitative study in the prop-oa multicentre trial. 2024 OARSI World Congress on Osteoarthritis, Wien, Austria, 18-21 April 2024. London, United Kingdom: Elsevier.
2024
Conference Publication
Bracing Acceptability And Adherence For Knee Osteoarthritis: Findings From A Qualitative Study In The PROP-OA Multicentre Trial
Jinks, Clare, Holden, Melanie, Asaname, Evans, Bullock, Laurna, Herron, Daniel, Halliday, Nicola, Armitt, Gillian, Bathers, Sarah, Birrell, Fraser, Borrelli, Belinda, Browell, Rachel, Callaghan, Michael J., Dobb, Kate, Dziedzic, Krysia S., Felson, David, Foster, Nadine, Hartshorne, Elizabeth, Huckfield, Lucy, Humphries, Katrina, Ingram, Carol, Lawton, Sarah A., Mallen, Christian, Marshall, Michelle, McBeth, John, Nicholls, Elaine and Peat, George (2024). Bracing Acceptability And Adherence For Knee Osteoarthritis: Findings From A Qualitative Study In The PROP-OA Multicentre Trial. 2024 OARSI World Congress on Osteoarthritis, Vienna, Austria, 18-21 April 2024. London, United Kingdom: Elsevier. doi: 10.1016/j.joca.2024.02.789
2024
Journal Article
Telerehabilitation consultations with a physiotherapist for chronic knee pain versus in-person consultations in Australia: the PEAK non-inferiority randomised controlled trial
Hinman, Rana S., Campbell, Penny K., Kimp, Alexander J., Russell, Trevor, Foster, Nadine E., Kasza, Jessica, Harris, Anthony and Bennell, Kim L. (2024). Telerehabilitation consultations with a physiotherapist for chronic knee pain versus in-person consultations in Australia: the PEAK non-inferiority randomised controlled trial. The Lancet, 403 (10433), 1267-1278. doi: 10.1016/s0140-6736(23)02630-2
2024
Journal Article
Reinforcing informed medication prescription for low back pain in the emergency department (RIME): a controlled interrupted time series implementation study protocol
O'Leary, Shaun, Heine, Janelle, Warren, Jacelle, Smyth, Tanya, Ballard, Emma, Mitchell, Gary, See, William, Barlas, Panos, Machado, Gustavo C, Cottrell, Michelle, Comans, Tracy and Foster, Nadine E (2024). Reinforcing informed medication prescription for low back pain in the emergency department (RIME): a controlled interrupted time series implementation study protocol. BMJ Open, 14 (3) e082668, 1-10. doi: 10.1136/bmjopen-2023-082668
2024
Journal Article
Understanding how therapeutic exercise prescription changes outcomes important to patients with persistent non-specific low back pain: a realist review protocol
Wood, Lianne, Booth, Vicky, Dean, Sarah, Foster, Nadine E., Hayden, Jill A. and Booth, Andrew (2024). Understanding how therapeutic exercise prescription changes outcomes important to patients with persistent non-specific low back pain: a realist review protocol. Systematic Reviews, 13 (1) 63, 63. doi: 10.1186/s13643-024-02466-8
2024
Journal Article
Optimising physiotherapy for people with lateral elbow tendinopathy – results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE)
Bateman, M., Skeggs, A., Whitby, E., Fletcher-Barrett, V., Stephens, G., Dawes, M., Davis, D., Beckhelling, J., Cooper, K., Saunders, B., Littlewood, C., Vicenzino, B., Foster, N.E. and Hill, J.C. (2024). Optimising physiotherapy for people with lateral elbow tendinopathy – results of a mixed-methods pilot and feasibility randomised controlled trial (OPTimisE). Musculoskeletal Science and Practice, 69 102905, 102905. doi: 10.1016/j.msksp.2023.102905
2024
Journal Article
Prognosis of patients with neuropathic low back-related leg pain: an exploratory study using prospective data from UK primary care
Harrisson, Sarah A., Ogollah, Reuben, Dunn, Kate M., Foster, Nadine E. and Konstantinou, Kika (2024). Prognosis of patients with neuropathic low back-related leg pain: an exploratory study using prospective data from UK primary care. The Journal of Pain, 25 (2), 533-544. doi: 10.1016/j.jpain.2023.09.016
2024
Journal Article
Exploring the experiences and perceptions of patients awaiting rotator cuff repair surgery: An integrated qualitative study within the POWER pilot and feasibility trial
Moffatt, Maria, Wade, Julia, Foster, Nadine E. and Littlewood, Chris (2024). Exploring the experiences and perceptions of patients awaiting rotator cuff repair surgery: An integrated qualitative study within the POWER pilot and feasibility trial. Musculoskeletal Science and Practice, 69 102893, 1-8. doi: 10.1016/j.msksp.2023.102893
2024
Journal Article
Contexts, behavioural mechanisms and outcomes to optimise therapeutic exercise prescription for persistent low back pain: a realist review
Wood, Lianne, Foster, Nadine E., Dean, Sarah Gerard, Booth, Vicky, Hayden, Jill A. and Booth, Andrew (2024). Contexts, behavioural mechanisms and outcomes to optimise therapeutic exercise prescription for persistent low back pain: a realist review. British Journal of Sports Medicine, 58 (4), 222-230. doi: 10.1136/bjsports-2023-107598
2024
Conference Publication
A randomized controlled trial to evaluate an internet intervention (SupportBack 2) for supported self-management in primary care
Geraghty, A., Becque, T., Roberts, L., Hill, J., Foster, N., Yardley, L., Stuart, B., Turner, D., Hay, E., Griffiths, G., Webley, F., Durcan, L., Morgan, A., Hughes, S., Bathers, S., Butler-Walley, S., Wathall, S., Mansell, G. and Little, P. (2024). A randomized controlled trial to evaluate an internet intervention (SupportBack 2) for supported self-management in primary care. EUROSPINE 2024, Vienna, Austria, 2-4 October 2024. Amsterdam, Netherlands: Elsevier. doi: 10.1016/j.bas.2024.103264
2023
Journal Article
The cost-effectiveness of adding an ultrasound corticosteroid and local anaesthetic injection to advice and education for hip osteoarthritis
Kigozi, Jesse, Oppong, Raymond, Paskins, Zoe, Bromley, Kieran, Lewis, Martyn, Hughes, Gemma, Hughes, Emily, Hennings, Susie, Cherrington, Andrea, Hall, Alison, Holden, Melanie A., Stevenson, Kay, Menon, Ajit, Roberts, Philip, Peat, George, Jinks, Clare, Foster, Nadine E., Mallen, Christian D. and Roddy, Edward (2023). The cost-effectiveness of adding an ultrasound corticosteroid and local anaesthetic injection to advice and education for hip osteoarthritis. Rheumatology, 64 (1), 165-172. doi: 10.1093/rheumatology/kead659
Funding
Current funding
Past funding
Supervision
Availability
- Professor Nadine Foster is:
- Available for supervision
Looking for a supervisor? Read our advice on how to choose a supervisor.
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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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
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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
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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