
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
2021
Journal Article
Predicting pain and function outcomes in people consulting with shoulder pain: The PANDA-S clinical cohort and qualitative study protocol
Wynne-Jones, Gwenllian, Myers, Helen, Hall, Alison, Littlewood, Chris, Hennings, S., Saunders, Benjamin, Bucknall, Milica, Jowett, Sue, Riley, Richard, Wathall, Simon, Heneghan, Carl, Cook, Johanna, Pincus, Tamar, Mallen, Christian, Roddy, Edward, Foster, Nadine, Beard, David, Lewis, Jeremy, Rees, J. L., Higginbottom, Adele and Van Der Windt, Danielle (2021). Predicting pain and function outcomes in people consulting with shoulder pain: The PANDA-S clinical cohort and qualitative study protocol. BMJ Open, 11 (9) e052758, e052758. doi: 10.1136/bmjopen-2021-052758
2021
Journal Article
How does hip osteoarthritis differ from knee osteoarthritis?
Hall, M., van der Esch, M., Hinman, R. S., Peat, G., de Zwart, A., Quicke, J. G., Runhaar, J., Knoop, J., van der Leeden, M., de Rooij, M., Meulenbelt, I., Vliet Vlieland, T., Lems, W. F., Holden, M. A., Foster, N. E. and Bennell, K. L. (2021). How does hip osteoarthritis differ from knee osteoarthritis?. Osteoarthritis and Cartilage, 30 (1), 32-41. doi: 10.1016/j.joca.2021.09.010
2021
Journal Article
Treatment targets of exercise for persistent non-specific low back pain: a consensus study
Wood, Lianne, Bishop, Annette, Lewis, Martyn, Smeets, Rob J.E.M, Bronfort, Gert, Hayden, Jill A. and Foster, Nadine E. (2021). Treatment targets of exercise for persistent non-specific low back pain: a consensus study. Physiotherapy, 112, 78-86. doi: 10.1016/j.physio.2021.03.005
2021
Journal Article
The cost-effectiveness of different approaches to exercise and corticosteroid injection for subacromial pain (impingement) syndrome
Oppong, Raymond, Jowett, Sue, Lewis, Martyn, Roddy, Edward, Ogollah, Reuben O., Zwierska, Irena, Datta, Praveen, Hall, Alison, Hay, Elaine, Shufflebotham, Julie, Stevenson, Kay, Van Der Windt, Danielle A., Young, Julie and Foster, Nadine E. (2021). The cost-effectiveness of different approaches to exercise and corticosteroid injection for subacromial pain (impingement) syndrome. Rheumatology, 60 (9), 4175-4184. doi: 10.1093/rheumatology/keaa903
2021
Journal Article
Comparative effectiveness of treatment options for subacromial shoulder conditions: a systematic review and network meta-analysis
Babatunde, Opeyemi O., Ensor, Joie, Littlewood, Chris, Chesterton, Linda, Jordan, Joanne L., Corp, Nadia, Wynne-Jones, Gwenllian, Roddy, Edward, Foster, Nadine E. and van der Windt, Danielle A. (2021). Comparative effectiveness of treatment options for subacromial shoulder conditions: a systematic review and network meta-analysis. Therapeutic Advances in Musculoskeletal Disease, 13. doi: 10.1177/1759720X211037530
2021
Journal Article
The effect of spinal manipulative therapy on pain relief and function in patients with chronic low back pain: an individual participant data meta-analysis
de Zoete, Annemarie, Rubinstein, Sidney M., de Boer, Michiel R., Ostelo, Raymond, Underwood, Martin, Hayden, Jill A., Buffart, Laurien M., van Tulder, Maurits W., on behalf of the International IPD-SMT group, Bronfort, G., Foster, N. E., Maher, C. G., Hartvigsen, J., Balthazard, P., Cecchi, F., Ferreira, M. L., Gudavalli, M. R., Haas, M., Hidalgo, B., Hondras, M. A., Hsieh, C. Y., Learman, K., McCarthy, P. W., Petersen, T., Rasmussen-Barr, E., Skillgate, E., Verma, Y., Vismara, L., Walker, B. F. ... Zaproudina, N. (2021). The effect of spinal manipulative therapy on pain relief and function in patients with chronic low back pain: an individual participant data meta-analysis. Physiotherapy , 112, 121-134. doi: 10.1016/j.physio.2021.03.006
2021
Journal Article
First Contact Practitioners’ (FCPs) and general practitioners’ perceptions towards FCPs delivering vocational advice to patients with musculoskeletal conditions: a qualitative investigation of the implementation potential of the I-SWAP initiative
Saunders, Benjamin, Foster, Nadine E., Hill, Jonathan C., Sowden, Gail, Evans, Nicola, Bishop, Annette, Stynes, Siobhan, Dziedzic, Krysia, Campbell, Laura, Rankin, Gabrielle, Salmon, Paula and Wynne-Jones, Gwenllian (2021). First Contact Practitioners’ (FCPs) and general practitioners’ perceptions towards FCPs delivering vocational advice to patients with musculoskeletal conditions: a qualitative investigation of the implementation potential of the I-SWAP initiative. Journal of Occupational Rehabilitation, 32 (1), 147-155. doi: 10.1007/s10926-021-09992-5
2021
Journal Article
Moderators of the Effect of Spinal Manipulative Therapy on Pain Relief and Function in Patients with Chronic Low Back Pain: An Individual Participant Data Meta-analysis
de Zoete, Annemarie, de Boer, Michiel R., Rubinstein, Sidney M., van Tulder, Maurits W., Underwood, Martin, Hayden, Jill A., Buffart, Laurien M., Ostelo, Raymond, International IPD-SMT group and Foster, Nadine (2021). Moderators of the Effect of Spinal Manipulative Therapy on Pain Relief and Function in Patients with Chronic Low Back Pain: An Individual Participant Data Meta-analysis. Spine, 46 (8), E505-E517. doi: 10.1097/brs.0000000000003814
2021
Journal Article
Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: qualitative study nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) randomized controlled trial
Jones, Sarah E., Campbell, Penny K., Kimp, Alexander J., Bennell, Kim, Foster, Nadine E., Russell, Trevor and Hinman, Rana S. (2021). Evaluation of a novel e-learning program for physiotherapists to manage knee osteoarthritis via telehealth: qualitative study nested in the PEAK (Physiotherapy Exercise and Physical Activity for Knee Osteoarthritis) randomized controlled trial. Journal of Medical Internet Research, 23 (4) e25872, 1-13. doi: 10.2196/25872
2021
Journal Article
Identifying patients with chronic pain who respond to acupuncture: results from an individual patient data meta-analysis
Foster, Nadine E., Vertosick, Emily A., Lewith, George, Linde, Klaus, MacPherson, Hugh, Sherman, Karen J., Witt, Claudia M. and Vickers, Andrew J. (2021). Identifying patients with chronic pain who respond to acupuncture: results from an individual patient data meta-analysis. Acupuncture in Medicine, 39 (2), 83-90. doi: 10.1177/0964528420920303
2021
Journal Article
Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: Protocol for a multicentre, primary care, randomised, parallel-group, superiority trial
Holden, Melanie A., Callaghan, Michael, Felson, David, Birrell, Fraser, Nicholls, Elaine, Jowett, Sue, Kigozi, J., McBeth, John, Borrelli, Belinda, Jinks, Clare, Foster, Nadine E., Dziedzic, Krysia, Mallen, Christian, Ingram, Carol, Sutton, Alan, Lawton, Sarah, Halliday, Nicola, Hartshorne, Liz, Williams, Helen, Browell, Rachel, Hudson, Hannah, Marshall, Michelle, Sowden, Gail, Herron, Dan, Asamane, Evans and Peat, George (2021). Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: Protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ Open, 11 (3) e048196, e048196. doi: 10.1136/bmjopen-2020-048196
2021
Journal Article
Patient experiences of receiving arthroscopic surgery or personalised hip therapy for femoroacetabular impingement in the context of the UK fashion study: a qualitative study
Realpe, A. X., Foster, N. E., Dickenson, E. J., Jepson, M., Griffin, D. R., Donovan, J. L., Hobson, Rachel, Wall, Peter, Petrou, Stavros, Parsons, Nick and Costa, Matthew (2021). Patient experiences of receiving arthroscopic surgery or personalised hip therapy for femoroacetabular impingement in the context of the UK fashion study: a qualitative study. Trials, 22 (1) 211. doi: 10.1186/s13063-021-05151-6
2021
Journal Article
Optimising outcomes of exercise and corticosteroid injection in patients with subacromial pain (impingement) syndrome: a factorial randomised trial
Roddy, Edward, Ogollah, Reuben O., Oppong, Raymond, Zwierska, Irena, Datta, Praveen, Hall, Alison, Hay, Elaine, Jackson, Sue, Jowett, Sue, Lewis, Martyn, Shufflebotham, Julie, Stevenson, Kay, Van Der Windt, Danielle A., Young, Julie and Foster, Nadine E. (2021). Optimising outcomes of exercise and corticosteroid injection in patients with subacromial pain (impingement) syndrome: a factorial randomised trial. British Journal of Sports Medicine, 55 (5), 262-271. doi: 10.1136/bjsports-2019-101268
2021
Journal Article
Family-based interventions benefit individuals with musculoskeletal pain in the short-term but not in the long-term: a systematic review and meta-analysis
Fritsch, Carolina G., Ferreira, Manuela L., da Silva, Anne K. F., Simic, Milena, Dunn, Kate M., Campbell, Paul, Foster, Nadine E. and Ferreira, Paulo H. (2021). Family-based interventions benefit individuals with musculoskeletal pain in the short-term but not in the long-term: a systematic review and meta-analysis. Clinical Journal of Pain, 37 (2), 140-157. doi: 10.1097/ajp.0000000000000897
2021
Journal Article
Exercise Interventions for Persistent Non-Specific Low Back Pain – Does Matching Outcomes to Treatment Targets Make a Difference? A Systematic Review and Meta-Analysis
Wood, Lianne, Foster, Nadine E., Lewis, Martyn and Bishop, Annette (2021). Exercise Interventions for Persistent Non-Specific Low Back Pain – Does Matching Outcomes to Treatment Targets Make a Difference? A Systematic Review and Meta-Analysis. Journal of Pain, 22 (2), 107-126. doi: 10.1016/j.jpain.2020.04.002
2021
Journal Article
Protocol for a multi-site pilot and feasibility randomised controlled trial: surgery versus PhysiothErapist-leD exercise for traumatic tears of the rotator cuff (the SPeEDy study)
Littlewood, Chris, Wade, Julia, Butler-Walley, Stephanie, Lewis, Martyn, Beard, David, Rangan, Amar, Bhabra, Gev, Kalogrianitis, Socrates, Kelly, Cormac, Mehta, Saurabh, Singh, Harvinder Pal, Smith, Matthew, Tambe, Amol, Tyler, James and Foster, Nadine E. (2021). Protocol for a multi-site pilot and feasibility randomised controlled trial: surgery versus PhysiothErapist-leD exercise for traumatic tears of the rotator cuff (the SPeEDy study). Pilot and Feasibility Studies, 7 (1) 17. doi: 10.1186/s40814-020-00714-x
2021
Journal Article
Rehabilitation following rotator cuff repair: a nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial
Stephens, Gareth, Littlewood, Chris, Foster, Nadine E. and Dikomitis, Lisa (2021). Rehabilitation following rotator cuff repair: a nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial. Clinical Rehabilitation, 35 (6), 911-919. doi: 10.1177/0269215520984025
2021
Journal Article
Early referral to physical therapy: a reasonable choice for primary care patients with sciatica
Foster, Nadine E. and Reddington, Michael (2021). Early referral to physical therapy: a reasonable choice for primary care patients with sciatica. Annals of Internal Medicine, 174 (1), 107-108. doi: 10.7326/M20-6545
2020
Journal Article
Rehabilitation following rotator cuff repair: a multi-centre pilot & feasibility randomised controlled trial (RaCeR)
Littlewood, Chris, Bateman, Marcus, Butler-Walley, Stephanie, Bathers, Sarah, Bromley, Kieran, Lewis, Martyn, Funk, Lennard, Denton, Jean, Moffatt, Maria, Winstanley, Rachel, Mehta, Saurabh, Stephens, Gareth, Dikomitis, Lisa and Foster, Nadine E. (2020). Rehabilitation following rotator cuff repair: a multi-centre pilot & feasibility randomised controlled trial (RaCeR). Clinical Rehabilitation, 35 (6), 026921552097885-839. doi: 10.1177/0269215520978859
2020
Journal Article
Do the effects of acupuncture vary between acupuncturists? Analysis of the Acupuncture Trialists' Collaboration individual patient data meta-analysis
Vickers, Andrew J., Vertosick, Emily A., Lewith, George, MacPherson, Hugh, Foster, Nadine E., Sherman, Karen J., Irnich, Dominik, Witt, Claudia M. and Linde, Klaus (2020). Do the effects of acupuncture vary between acupuncturists? Analysis of the Acupuncture Trialists' Collaboration individual patient data meta-analysis. Acupuncture in Medicine, 39 (4), 309-317. doi: 10.1177/0964528420959089
Funding
Current funding
Past funding
Supervision
Availability
- Professor Nadine Foster is:
- Available for supervision
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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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