Professor Terry Haines

Telephone:
+61 3 9902 9409

Email:
Terry.Haines@monash.edu

Researcher Profile

Profile

Professor Terry Haines has the role of Head of School, School of Primary and Allied Health Care at Monash University. This school has 5 departments, the Rehabilitation and Independent Living Research Centre, over 150 staff, over 100 research higher degree students, and is a key member in the National Centre for Healthy Aging.

He has a professional background in physiotherapy and health economics, and has worked in research roles embedded 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 multiple NHMRC and MRFF funded projects, which focus on identifying the most effective and efficient ways of translating evidence into practice.

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.

His work is identified where routinely provided health care services have been ineffective or inefficient, identifying:

  • That weekend allied health service provision resources are better spent in sub acute wards than in acute medical/surgical wards.
  • That removal of falls risk screening tools does not increase the rate of falls in hospitals
  • approximately 590 million dollars per year is consumed across Australia in the provision of falls prevention practices that do not have evidence indicating that they reduce falls in hospitals.

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 concurrent, multi-group, stepped-wedge design with an embedded parallel, cluster randomised controlled trailed design for the context of disinvestment from a routinely provided service that has a relative absence of evidence examining its effectiveness for economic efficiency, where there are multiple comparators of interest.
  • Development of another novel randomised controlled trail research design for the context of evaluating the effectiveness of different knowledge translation strategies across multiple context areas.
  • 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 $75 million in research funding, published over 330 peer-reviewed manuscripts including papers in journals the calibre of The Lancet, BMJ, JAMA Internal Medicine, PLoS Medicine, and BMC Medicine.  He has supervised over 30 Higher degree research students 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

  • 30 completed PhD supervisions.
  • Coordinator of PhD (Executive Health Management) program.

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 $75 million in research funding since 2005. This includes grants for the NHMRC, MRFF, ARC, Victoria Cancer Council, Beyond Blue, Butterfly foundation, Australian Primary Health Care Research Institute, BUPA foundation, Commonwealth Department of Health and Ageing, HCF foundation, Institute for Safety, Compensation and Recovery Research. He was also a founding investigator on the $32 million development of the National Centre for Healthy Aging.

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

What is a fall? This video helps health and aged care personnel to apply the World Health Organisation definition of a fall. These applications are based on the findings of an agreement study conducted across over 400 health service personnel.

The Safe Recovery Training Program WorkbookSelf-Learning ActivitiesYouTube-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.

Click here to see a video that describes the helix, counterbalanced research design for implementation science.

Selected Publications

See online research profile

Major health service / aged care trials

  • Haines TP, et al. A new model of care and in‐house general practitioners for residential aged care facilities: a stepped wedge, cluster randomised trial. Medical Journal of Australia. 2020;212(9):409-15.
  • Haines TP, et al. Impact of disinvestment from weekend allied health services across acute medical and surgical wards: 2 stepped-wedge cluster randomised controlled trials. PLoS Medicine. 2017;14(10):e1002412.
  • Lloyd M, Karahalios A, Janus E, Skinner EH, Haines T, et al. Effectiveness of a bundled intervention including adjunctive corticosteroids on outcomes of hospitalized patients with community-acquired pneumonia: a stepped-wedge randomized clinical trial. JAMA Internal Medicine. 2019;179(8):1052-60.
  • Barker A, Cameron P, Flicker L, Arendts G, Brand C, Etherton-Beer C, Forbes A, Haines T, et al. Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial. PLoS Medicine. 2019;16(5):e1002807.
  • Barker A, Morello R, Wolfe R, Brand C, Haines T, et al. The 6-PACK program to decrease fall injuries in acute hospitals: A cluster randomised controlled trial. BMJ 2016;352:h6781
  • Hill A, ..., Haines T (senior author).  Fall rates in hospital rehabilitation units after individualised patient and staff education programmes: a pragmatic, stepped-wedge, cluster-randomised controlled trial. The Lancet. 2015;385(9987):2592-9.
  • Haines T, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Archives of Internal Medicine. 2011;171(6):516-24.
  • Haines T, et al. Pragmatic, cluster randomized 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(3):435-41.
  • Haines T, et al. Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. BMJ 2004; 328: 676-679.

Innovative research methodology papers

  • Sarkies M, ..., Haines T (senior author). The Efficacy Implementation Ratio: A Conceptual Model for Understanding the Impact of Implementation Strategies Using Health Outcomes. Global Implementation Research and Applications. 2021. https://doi.org/10.1007/s43477-021-00026-z
  • Sarkies M, ..., Haines T (senior author). A novel counterbalanced implementation study design: methodological description and application to implementation research. Implementation Science. 2019;14(1):1-1.
  • Sarkies MN, ..., Haines TP (senior author). Video strategies improved health professional knowledge across different contexts: a helix counterbalanced randomized controlled study. Journal of Clinical Epidemiology. 2019;112:1-11.
  • *Winner - David Sackett Award for best paper in this journal in 2019 from an early career researcher.
  • Haines TP, Hemming K. Stepped-wedge cluster-randomised trials: level of evidence, feasibility and reporting. Journal of Physiotherapy. 2018;64:63-6.
  • Hemming K, Haines T, et al. The stepped wedge cluster randomised trial: rationale, design, analysis and reporting. BMJ 2015;350:h391.
  • Haines T, et al. A novel research design can aid disinvestment from existing health technologies with uncertain effectiveness, cost-effectiveness, and/or safety. Journal of Clinical Epidemiology. 2014;67(2):144-51.
  • Haines TP, et al. Economic consequences in clinical education. Focus on Health Professional Education: A Multi-disciplinary Journal. 2011;12(3):53-63.
  • Haines T, et al. Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2007;62(6):664-72.
  • Haines T, Hill KD, Bennell KL, Osborne RH. Recurrent events counted in evaluations of predictive accuracy. Journal of Clinical Epidemiology. 2006;59(11):1155-61.

Other noteable health services research, health economics, health education and implementation science papers

  • Robins LM, ..., Haines T (senior author). Definition and Measurement of Physical and Chemical Restraint in Long-Term Care: A Systematic Review. International Journal of Environmental Research and Public Health. 2021;18(7):3639.
  • Lee DC, ..., Haines TP (senior author). Prevalence and variability in use of physical and chemical restraints in residential aged care facilities: A systematic review and meta-analysis. International Journal of Nursing Studies. 2020:103856.
  • Haines T, Bowles KA. Cost-effectiveness of using a motion-sensor biofeedback treatment approach for the management of sub-acute or chronic low back pain: economic evaluation alongside a randomised trial. BMC Musculoskeletal Disorders. 2017;18:18.
  • Sarkies MN, ..., Haines TP (senior author). The effectiveness of research implementation strategies for promoting evidence-informed policy and management decisions in healthcare: a systematic review. Implementation Science. 2017;12:132.
  • Lane H, ..., Haines T (senior author). Equity in healthcare resource allocation decision making: a systematic review. Social Science & Medicine. 2017;175:11-27.
  • Maloney S, Haines T. Issues of cost-benefit and cost-effectiveness for simulation in health professions education. Advances in Simulation. 2016;1:13
  • Sevenhuysen S, ..., Haines T (senior author). Educators and students prefer traditional clinical education to a peer-assisted learning model, despite similar student performance outcomes: a randomised trial. Journal of Physiotherapy. 2014;60(4):209-16.
  • Haines TP, et al. Cost effectiveness of patient education for the prevention of falls in hospital: economic evaluation from a randomized controlled trial. BMC Medicine. 2013;11:135
  • Maloney S, ..., Haines T (senior author). Breakeven, cost benefit, cost effectiveness, and willingness to pay for web-based versus face-to-face education delivery for health professionals. Journal of Medical Internet Research. 2012;14(2):e47.

Community Associations

  • Executive member of the Australian Council of Deans of Health Science (2018 - present).
  • 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 – 2021), now member of the Victorian Falls Collaboration (2021 onwards).
  • Chair of the Victorian Allied Health Research Conference Scientific Committee (2014).
  • Co-Chair of the National Allied Health Conference Scientific Committee (2015).
  • Member Peninsula Health Research Operations Committee, past member of the Monash Health Research Committee.
  • 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.