Professor Terry Haines

Telephone:
+61 3 9902 9409

Email:
terrence.haines@monash.edu

Researcher Profile

Profile

Professor Terry Haines is Head of the School of Primary and Allied Health Care at Monash University. In this role he is responsible for a school with 6 departments, over 150 staff, and over 180 research higher degree students.

He has a professional background in physiotherapy and health economics, and has worked in research roles imbedded within health services for over 15 years before commencing as the Head of School in 2017. He has previously worked for Eastern Health, the University of Queensland, the Princess Alexandra Hospital, and Monash Health.

His primary research interest is in improving the allocation of health care resources to better meet emerging community needs and reducing waste. He currently leads the NHMRC funded EviTAH project, which is focused on identifying the most effective and efficient ways of translating research evidence into practice. This work builds on recent collaborative work with the Victorian Department of Health and Human Services developing the online Resource Allocation Decision Tool, designed to assist health service managers to incorporate research evidence into a broader decision making framework.

Professor Haines's research has led to several advances in health outcomes. Notable examples include:

  • Leading the world's first trial to demonstrate that falls amongst hospitalised adults could be prevented.
  • Developing a patient education program that led to a 50% reduction in falls and fall injuries when rolled out in a randomised trial amongst geriatric rehabilitation units in Western Australia.
  • Collaborating with allied health working in oncology services to develop a video-based exercise program that improved the health-related quality of life in women following treatment for breast cancer, and a telephone-based dietetic counselling intervention that improved nutrition and survival outcomes in people with upper gastrointestinal cancer.

He has also contributed to advances in research methodology. Notable examples include:

  • Development of a new randomised controlled trial research design for the context of disinvestment from a routinely provided service that has a relative absence of evidence examining its effectiveness or economic efficiency.
  • Development of a new statistical analysis approach for the evaluation of screening tool predictive accuracy where the outcome of interest is a recurrent event.
  • Identifying design-related bias in evaluations of screening tools that lead to a 20% overestimation of the accuracy individual tools.

He has received over $18 million in research funding, published over 230 peer-reviewed manuscripts including papers in journals the calibre of The Lancet, BMJ, JAMA Internal Medicine, PLoS Medicine, and BMC Medicine.  He has supervised 16 PhD, 1 DPsych, and 1 Research Masters student through to completion. He has twice been awarded the NHMRC Excellence Award and has received the SACS Consulting Award for leadership in the Victorian State Government Sector. He has previously served as President of the Australia New Zealand Falls Prevention Society, Chair of the Australian Physiotherapy Association - Physiotherapy Research Foundation Grant Review Committee, and convenor of the inaugural Victorian Allied Health Research Conference (2014) and convenor of the Australia New Zealand Falls Prevention Conference (2016).

Teaching Responsibilities

Supervision of PhD (13 completed PhD supervisions, 1 completed D Psych), Masters (2 completed) and Honours (16 completed) level health professionals.

Fields of Expertise

  • Gerontology
  • Rehabilitation
  • Health economics
  • Research design and analysis

Research Interests

  • Prevention of accidental falls by older adults
  • Decision making in health care
  • Innovative research designs
  • Research driven by health professionals
  • Health services research

Research Income

Prof Haines has attracted over $18 million in research funding since 2005 as an investigator and over $4 million as sole investigator or chief investigator A.  He has received two  NHMRC Career Development Fellowships (2010-2013, 2014-2017), four NHMRC project grants (CIA, CIB, CIC, CIF), four NHMRC partnership grants (CIA, CIA, CID, CIE), two ARC linkage grants (CID, CII), a Victorian Cancer council project grant (CIA), a Beyond Blue National Priority Project (CIA), Butterfly Foundation grant (CIB), Australian Primary Health Care Research Institute (CIC), two BUPA Foundation grants (CIB, CIC), a Canadian Institutes of Health Research grant (Co-applicant), Commonwealth Department of Health and Ageing tender (CIC) and an Institute for Safety, Compensation and Recovery Research project grant (CIA).  He has also attracted research funding from state-level funding bodies such as the Victorian Department of Health, Queensland Health Allied Health Practitioners Board, and Western Australian State Health Research Advisory Council Grant.

Awards

  1. NHMRC Achievement Award (2014) – Highest ranked Career Development Fellowship - Population Health, Level 2
  2. NHMRC Career Development Fellowship (2014-2017) – Population Health, Level 2.
  3. NHMRC Achievement Award (2010) – Highest ranked Career Development Fellowship - Population Health, Level 1
  4. NHMRC Career Development Fellowship (2010-2013) – Public Health, Level 1
  5. SACS Consulting Leadership Award (2010) – Victorian State Government Sector.
  6. Early Career Researcher Award (2007) – The University of Queensland School of Health and Rehabilitation Sciences
  7. Best Student Poster Presentation (2004) – 1st Australian Falls Prevention Conference, Manly, NSW.
  8. Research Methods Award (1999) - Australian Physiotherapy Association / University of Melbourne

Online Resources Developed

The Safe Recovery Training Program Workbook, Self-Learning Activities, YouTube-based education program (for health professionals), and YouTube-based Safe Recovery Video (for patients).

Education short-course on Exercise Prescription for Falls Prevention

Falls prevention education for older adults during and after hospitalization: A systematic review and meta-analysis.

Supplementary material for review on education for the prevention of falls

The Kitchen Table Exercise Program was developed for patients with mobility problems being discharged from hospital.

Selected Publications

See online research profile

Prof Haines has published >220 peer-reviewed journal publications as of Feb 2017. Leading publications from this collection include:

  1. Hill A, McPhail S, Waldron N, Etherton-Beer C, Flicker L, Ingram K, Bulsara M, Haines T. Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. The Lancet. Published online April 9, 2015 DOI: http://dx.doi.org/10.1016/S0140-6736(14)61945-0
  2. Hemming K, Haines T, Girling A, Lilford R. The stepped wedge cluster randomised trial: rationale, design, analysis and reporting. BMJ 2015;350:h391.
  3. Barker A, Morello R, Wolfe R, Brand C, Haines T, Hill K, Brauer S, Botti M, Cumming R, Livingston P, Sherrington C, Zavarsek S, Lindley R, Kamar J. The 6-PACK program to decrease fall injuries in acute hospitals: A cluster randomised controlled trial. BMJ 2016;352:h6781
  4. Haines T, O’Brien L, McDermott F, Markham D, Mitchell D, Watterson D, Skinner E. A novel research design to aid disinvestment/reallocation from existing health technologies with uncertain effectiveness, cost-effectiveness and/or safety.  Journal of Clinical Epidemiology. 2014;67(2):144-51
  5. Haines T, Hill A, Hill K, Brauer S, Hoffman T, Beer C, McPhail S. Cost-effectiveness of patient education for the prevention of falls in hospital: Economic evaluation from a randomised controlled trial. BMC Medicine 2013;11:135
  6. Maloney S, Haas R, Keating J, Molloy E, Jolly B, Sims J, Morgan P, Haines T. Break-even, cost-benefit, cost-effectiveness and willingness to pay for web-based versus face-to-face education delivery: an analysis of falls prevention education to health professionals. Journal of Medical Internet Research 2012;14(2):e47
  7. Haines T, Hill A, Hill K, McPhail S, Oliver D, Brauer S, Hoffmann T, Beer C. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Archives of Internal Medicine 2011; 171(6):516-524
  8. Haines T, Sinnamon P, Wetzig N, Lehman M, Walpole E, Pratt T, Smith A.  Multi-modal exercise improves quality of life of women being treated for breast cancer, but at what cost? Randomized trial with economic evaluation. Breast Cancer Research and Treatment. 2010;124(1):163-175.
  9. Oliver D, Healey F, Haines T. Preventing falls and fall-related injuries in hospitals.  Clinics in Geriatric Medicine. 2010;26(4):645-692
  10. Haines T, Bell R, Varghese P. Pragmatic, cluster randomised trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall-injuries.  Journal of the American Geriatrics Society 2010;58:435-441
  11. Haines T, Bennell K, Osborne R, Hill K. Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. British Medical Journal 2004; 328: 676-679.

Community Associations

  • Prof Haines is a past president of the Australia and New Zealand Falls Prevention Society management committee (2012-2014) and was convenor of the 2016 Australia and New Zealand Falls Prevention Conference
  • Chair of the Monash Partners Falls Prevention Alliance (2015 – present)
  • Chair of the Victorian Allied Health Research Conference Scientific Committee (2014)
  • Co-Chair of the National Allied Health Conference Scientific Committee (2015)
  • A member of the Monash Health Research Committee and Peninsula Health Research Committee
  • Immediate past chair of the Physiotherapy Research Foundation Grants Review Committee (2011-2015)
  • Has previously been an editorial board member of the Journal of Physiotherapy
  • Actively involved in his local church and basketball clubs.