Projects 5
Publications 18
Awards 0

Contact Details

Senior Research Fellow

Biography

I am an early career researcher dedicated to advancing health equity through my work in health systems, health services and medical education. Since 2012, I have been an active researcher in these fields, serving as a key investigator in multiple projects focused on medical education and health services to improve access and care for underserved populations.

I have a strong interest in participatory research approaches. My current work focuses on participatory place-based planning for health in the northern Queensland region. In this project, I collaborated with community members in remote communities to co-design, plan and evaluate improvements in delivery of care and other community-driven initiatives. I am also collaborating on research with public health service partners to explore strategies to improve consumer involvement in health research. In my doctoral research, I worked  together with stakeholders in Fiji using participatory and decolonising methods to identify areas for positive change for the health and wellbeing of older people living with dementia.

I am particularly interested and experienced in the evaluation of health services for rural and remote populations. Drawing on my expertise in implementation research and evaluation, I am leading the qualitative component of an evaluation of the national Australian Teletrial Program. Other past evaluation research includes an evaluation of the BreastScreen Remote Radiology Assessment Model. This model was developed by health professionals in response to the need to improve access to breast cancer assessment services for rural and remote women.

Research

Research Interests

Rural and remote health

Health services

Telehealth

Pacific Islands and health

Health and services for older adults

Participatory approaches and community involvement

Projects

Teaching

Research Advisor Accreditation

Advisor Type

Secondary


Taught Modules

Current JCU Research Students

Socially accountable selection of the appropriate Pacific doctor
Doctor of Philosophy (Health)

Activities

Other Activities

Education

Output

Johnston, Karen Louise (2021) Understandings and experiences of dementia in Fiji. [Thesis] [DOI]
Other Publication Open Access ResearchOnline@JCU
Johnston, Karen; Qaloewai, Sefanaia; Rasavuka, Taniela; Preston, Robyn; Strivens, Edward; Larkins, Sarah (2024) ''Letting it be': a grounded theory about dementia care in Fiji'. Aging & Mental Health, 28 (10):1390-1400. [DOI]
Journal Publication Open Access ResearchOnline@JCU
Graffini, Jenna; Johnston, Karen; Farrington, Alison; Mcphail, Steven M.; Larkins, Sarah (2024) 'The Australian clinical trial landscape: Perceptions of rural, regional and remote health service capacity and capability'. Health Research Policy and Systems, 22 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Lindsay, Daniel; Bates, Nicole; Callander, Emily; Johnston, Karen; Carlisle, Karen; Smith, Deb; Evans, Rebecca; Larkins, Sarah (2023) 'Evaluating the quality and safety of the BreastScreen remote radiology assessment model of service delivery in Australia'. Journal of Telemedicine and Telecare, 29 (3):203-210. [DOI]
Journal Publication ResearchOnline@JCU
Larkins, Sarah; Cristobal, Fortunato; Hogenbirk, John; Tandinco, Filedito; Othman, Abu Bakr; Mbokazi, Jabu; Van Roy, Kaatje; Upadhyay, Shambhu; Johnston, Karen; Neusy, André-Jacques (2023) 'Mission and role modelling in producing a fit-for-purpose rural health workforce: perspectives from an international community of practice'. Medical Journal of Australia, 219 (S3):S20-S26. [DOI]
Journal Publication Open Access ResearchOnline@JCU
Topp, Stephanie M.; Thompson, Fintan; Johnston, Karen; Smith, Deborah; Edelman, Alexandra; Whittaker, Maxine; Rouen, Christopher; Moodley, Nishila; McDonald, Malcolm; Barker, Ruth; Larkins, Sarah (2023) 'Democratising data to address health system inequities in Australia'. BMJ Global Health, 8 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Smith, Deborah; Johnston, Karen; Carlisle, Karen; Evans, Rebecca; Preston, Robyn; Beckett, Jessamy; Geddes, Danielle; Naess, Helen; Poole, Melissa; Larkins, Sarah (2021) 'Client perceptions of the BreastScreen Australia remote radiology assessment model'. BMC Women's Health, 21 (30). [DOI]
Journal Publication Open Access ResearchOnline@JCU
Johnston, Karen; Guingona, Monsie; Elsanousi, Salwa; Mbokazi, Jabu; Labarda, Charlie; Cristobal, Fortunato L.; Upadhyay, Shambhu; Othman, Abu-Bakr; Woolley, Torres; Acharya, Balkrishna; Hogenbirk, John C.; Ketheesan, Sarangan; Craig, Jonathan C.; Neusy, Andre-Jacques; Larkins, Sarah (2020) 'Training a fit-for-purpose rural health workforce for low- and middle-income countries (LMICs): how do drivers and enablers of rural practice intention differ between learners from LMICs and high income countries?'. Frontiers in Public Health, 8 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Johnston, Karen; Preston, Robyn; Strivens, Edward; Qaloewai, Sefanaia; Larkins, Sarah (2020) 'Understandings of dementia in low and middle income countries and amongst indigenous peoples: a systematic review and qualitative meta-synthesis'. Aging & Mental Health, 24 (8):1183-1195. [DOI]
Journal Publication Open Access ResearchOnline@JCU
Reeve, Carole; Johnston, Karen; Young, Louise (2020) 'Health profession education in remote or geographically isolated settings: a scoping review'. Journal of Medical Education and Curricular Development, 7 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Johnston, Karen; Smith, Deborah; Preston, Robyn; Evans, Rebecca; Carlisle, Karen; Lengren, Janet; Naess, Helen; Phillips, Elizabeth; Shephard, Greg; Lydiard, Lorraine; Lattimore, Debbie; Larkins, Sarah (2020) '“From the technology came the idea”: safe implementation and operation of a high quality teleradiology model increasing access to timely breast cancer assessment services for women in rural Australia'. BMC Health Services Research, 20 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Larkins, Sarah; Johnston, Karen; Hogenbirk, John C.; Willems, Sara; Elsanousi, Salwa; Mammen, Marykutty; Van Roy, Kaatje; Iputo, Jehu; Cristobal, Fortunato L.; Greenhill, Jennene; Labarda, Charlie; Neusy, André-Jacques (2018) 'Practice intentions at entry to and exit from medical schools aspiring to social accountability: findings from the Training for Health Equity Network Graduate Outcome Study'. BMC Medical Education, 18 . [DOI]
Journal Publication Open Access ResearchOnline@JCU
Anderson, E.M.; Johnston, K.; Gunnarsson, R.; Larkins, S. (2018) 'Perceptions of a research honours programme embedded in a Bachelor of Medicine, Bachelor of Surgery degree: “the worst and best years of my life”'. Focus on Health Professional Education, 19 (1). [DOI]
Journal Publication ResearchOnline@JCU
Evans, Rebecca; Larkins, Sarah; Cheffins, Tracy; Fleming, Rhonda; Johnston, Karen; Tennant, Marc (2017) 'Mapping access to health services as a strategy for planning: access to primary care for older people in regional Queensland'. Australian Journal of Primary Health, 23 (2):114-122. [DOI]
Journal Publication Open Access ResearchOnline@JCU
Matich, Paula; Harvey, Caroline; Page, Priscilla; Johnston, Karen; Jukka, Clare; Hollins, Jane; Larkins, Sarah (2015) 'Young people's perceptions of sexual and reproductive health in regional and rural Queensland: capturing the views of adolescents through reference groups and a user-friendly electronic survey'. Sexual Health, 12 (3):231-239. [DOI]
Journal Publication ResearchOnline@JCU
Johnston, Karen; Harvey, Caroline; Matich, Paula; Page, Priscilla; Jukka, Clare; Hollins, Jane; Larkins, Sarah (2015) 'Increasing access to sexual health care for rural and regional young people: similarities and differences in the views of young people and service providers'. Australian Journal of Rural Health, 23 (5):257-264. [DOI]
Journal Publication ResearchOnline@JCU
Larkins, Sarah; Michielsen, Kristien; Iputo, Jehu; Elsanousi, Salwa; Mammen, Marykutty; Graves, Lisa; Willems, Sara; Cristobal, Fortunato L.; Samson, Rex; Ellaway, Rachel; Ross, Simone; Johnston, Karen; Derese, Anselme; Neusy, André-Jaques (2015) 'Impact of selection strategies on representation of underserved populations and intention to practise: international findings'. Medical Education, 49 (1):60-72. [DOI]
Journal Publication Open Access ResearchOnline@JCU
Johnston, Karen; Russell, Sarah; Sen, Shanita; Qaloewai, Seefanaia; Strivens, Edward (2018) 'Cultural aspects of dementia: Australian and Fijian perspectives' Fiji Journal of Public Health, 7 (1) :41-42.
Journal Contribution ResearchOnline@JCU