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Dr Deborah Snell

Debbie SnellSenior Research Fellow
Director of Clinical Trials Canterbury Orthopaedic and Bone Research Association (COBRA)

MSc(Cant) PhD (Otago)

Email debbie.snell@otago.ac.nz

Based at the Burwood Hospital Campus, Deborah co-ordinates clinical trials and oversees data collection by the COBRA team, for people undergoing hip and knee replacements in Canterbury.

She is a registered clinical psychologist and has worked in the area of neuropsychological rehabilitation for many years. She leads the Concussion Clinic at the Brain Injury Rehabilitation Service at Burwood Hospital and locums for the QRS Concussion Service in Auckland once a month.

Deborah enjoys collaboration with research colleagues around New Zealand and internationally and is involved in researching outcomes after traumatic brain injury, spinal cord injury and osteoarthritis.  She is the treasurer for both the NZ Rehabilitation Association and the New Zealand College of Clinical Psychologists (Canterbury Branch).

She is focused on ensuring clinical relevance is maintained in her research activities and enjoys the dual role of working both as a practising clinician and as a health researcher.

Research interests

  • Injury rehabilitation (e.g., traumatic brain injury, spinal cord injury, musculoskeletal injuries)
  • Health and surgical outcomes for people living with chronic conditions
  • Patient reported outcomes
  • Psychological models of health and wellness

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Publications

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T. R., Anderson, T. J., & Hooper, G. J. (2019). Wrestling with uncertainty after mild traumatic brain injury: A mixed methods study. Disability & Rehabilitation. Advance online publication. doi: 10.1080/09638288.2018.1542461

Snell, D. L., Hipango, J., Sinnott, K. A., Dunn, J. A., Rothwell, A., Hsieh, C. J., … Hooper, G. (2018). Rehabilitation after total joint replacement: A scoping study. Disability & Rehabilitation, 40(14), 1718-1731. doi: 10.1080/09638288.2017.1300947

Snell, D. L., Martin, R., Macleod, A. D., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T., Hooper, G. J., & Anderson, T. (2018). Untangling chronic pain and post-concussion symptoms: The significance of depression. Brain Injury, 32(5), 583-592. doi: 10.1080/02699052.2018.1432894

Campi, S., Pandit, H., Hooper, G., Snell, D., Jenkins, C., Dodd, C. A. F., Maxwell, R., & Murray, D. W. (2018). Ten-year survival and seven-year functional results of cementless Oxford unicompartmental knee replacement: A prospective consecutive series of our first 1000 cases. Knee. Advance online publication. doi: 10.1016/j.knee.2018.07.012

Martin, R., Nunnerley, J., Shahtahmasebi, Z., Bourke, J., Snell, D., & Dunn, J. (2018, September). The development of a peer support framework in New Zealand. Poster session presented at the 57th International Spinal Cord Society (ISCoS) and 25th Australia New Zealand Spinal Cord Society (ANZSCoS) Combined Annual Scientific Meeting, Sydney, Australia.

Journal - Research Article

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T. R., Anderson, T. J., & Hooper, G. J. (2019). Wrestling with uncertainty after mild traumatic brain injury: A mixed methods study. Disability & Rehabilitation. Advance online publication. doi: 10.1080/09638288.2018.1542461

Snell, D. L., Hipango, J., Sinnott, K. A., Dunn, J. A., Rothwell, A., Hsieh, C. J., … Hooper, G. (2018). Rehabilitation after total joint replacement: A scoping study. Disability & Rehabilitation, 40(14), 1718-1731. doi: 10.1080/09638288.2017.1300947

Campi, S., Pandit, H., Hooper, G., Snell, D., Jenkins, C., Dodd, C. A. F., Maxwell, R., & Murray, D. W. (2018). Ten-year survival and seven-year functional results of cementless Oxford unicompartmental knee replacement: A prospective consecutive series of our first 1000 cases. Knee. Advance online publication. doi: 10.1016/j.knee.2018.07.012

Snell, D. L., Martin, R., Macleod, A. D., Surgenor, L. J., Siegert, R. J., Hay-Smith, E. J. C., Melzer, T., Hooper, G. J., & Anderson, T. (2018). Untangling chronic pain and post-concussion symptoms: The significance of depression. Brain Injury, 32(5), 583-592. doi: 10.1080/02699052.2018.1432894

Bourke, J. A., Hay-Smith, E. J. C., Snell, D. L., & Schluter, P. J. (2017). Community inclusion of wheelchair users during the long-term recovery phase following the 2010/2011 Canterbury earthquakes. International Journal of Disaster Risk Reduction, 23, 169-177. doi: 10.1016/j.ijdrr.2017.05.004

Dunn, J. A., Nicholls, J. M., Snell, D. L., & Nunnerley, J. L. (2017). New Zealand wheelchair users' preparedness for emergencies. Australasian Journal of Disaster & Trauma Studies, 21(1), 3-18. Retrieved from http://trauma.massey.ac.nz/index.html

Nunnerley, J., Gupta, S., Snell, D., & King, M. (2017). Training wheelchair navigation in immersive virtual environments for patients with spinal cord injury: End-user input to design an effective system. Disability & Rehabilitation: Assistive Technology, 12(4), 417-423. doi: 10.1080/17483107.2016.1176259

Snell, D. L., Iverson, G. L., Panenka, W. J., & Silverberg, N. D. (2017). Preliminary validation of the World Health Organization Disability Assessment Schedule 2.0 for mild traumatic brain injury. Journal of Neurotrauma, 34(23), 3256-3261. doi: 10.1089/neu.2017.5234

Snell, D. L., Martin, R., Surgenor, L. J., Siegert, R. J., & Hay-Smith, E. J. C. (2017). What's wrong with me? Seeking a coherent understanding of recovery after mild traumatic brain injury. Disability & Rehabilitation, 39(19), 1968-1975. doi: 10.1080/09638288.2016.1213895

Bourke, J. A., Schluter, P. J., Hay-Smith, J. C., & Snell, D. L. (2016). Respondent driven sampling of wheelchair users: A lack of traction? F1000Research, 5, 753. doi: 10.12688/f1000research.8605.2

Snell, D. L., MacLeod, S. A. D., & Anderson, T. (2016). Post-concussion syndrome after a mild traumatic brain injury: A minefield for clinical practice. Journal of Behavioral & Brain Science, 6(6), 227-232. doi: 10.4236/jbbs.2016.66023

Snell, D. L., Siegert, R. J., Surgenor, L. J., Dunn, J. A., & Hooper, G. J. (2016). Evaluating quality of life outcomes following joint replacement: Psychometric evaluation of a short form of the WHOQOL-Bref. Quality of Life Research, 25, 51-61. doi: 10.1007/s11136-015-1044-1

Snell, D. L., Surgenor, L. J., Hay-Smith, E. J. C., Williman, J., & Siegert, R. J. (2015). The contribution of psychological factors to recovery after mild traumatic brain injury: Is cluster analysis a useful approach? Brain Injury, 29(3), 291-299. doi: 10.3109/02699052.2014.976594

Hooper, N., Snell, D., Hooper, G., Maxwell, R., & Frampton, C. (2015). The five-year radiological results of the uncemented Oxford medial compartment knee arthroplasty. Bone & Joint Journal, 97B(10), 1358-1363. doi: 10.1302/0301-620X.97B10.35668

Bourke, J. A., Hay-Smith, E. J. C., Snell, D. L., & DeJong, G. (2015). Attending to biographical disruption: The experience of rehabilitation following tetraplegia due to spinal cord injury. Disability & Rehabilitation, 37(4), 296-303. doi: 10.3109/09638288.2014.918188

Surgenor, L. J., Snell, D. L., & Dorahy, M. J. (2015). Posttraumatic stress symptoms in police staff 12-18 months after the Canterbury earthquakes. Journal of Traumatic Stress, 28(2), 162-166. doi: 10.1002/jts.21991

Snell, D. L., Surgenor, L. J., Dorahy, M. J., & Hay-Smith, E. J. C. (2014). Coping and adjustment in New Zealand Police staff 12-18 months after the Canterbury earthquakes: A directed qualitative content analysis. New Zealand Journal of Psychology, 43(3), 5-13.

Snell, D. L., Hay-Smith, E. J. C., Surgenor, L. J., & Siegert, R. J. (2013). Examination of outcome after mild traumatic brain injury: The contribution of injury beliefs and Leventhal's common sense model. Neuropsychological Rehabilitation, 23(3), 333-362. doi: 10.1080/09658211.2012.758419

Graham, F., Sinnott, K. A., Snell, D. L., Martin, R., & Freeman, C. (2013). A more “normal” life: Residents', family, staff, and managers' experience of active support at a residential facility for people with physical and intellectual impairments. Journal of Intellectual & Developmental Disability, 38(3), 256-264. doi: 10.3109/13668250.2013.805738

Snell, D. L., Siegert, R. J., Hay-Smith, E. J. C., & Surgenor, L. J. (2011). Associations between illness perceptions, coping styles and outcome after mild traumatic brain injury: Preliminary results from a cohort study. Brain Injury, 25(11), 1126-1138. doi: 10.3109/02699052.2011.607786

Snell, D. L., Siegert, R. J., Hay-Smith, E. J. C., & Surgenor, L. J. (2011). Factor structure of the Brief COPE in people with mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 26(6), 468-477. doi: 10.1097/HTR.0b013e3181fc5e1e

Snell, D. L., Siegert, R. J., Hay-Smith, E. J. C., & Surgenor, L. J. (2010). An examination of the factor structure of the Revised Illness Perception Questionnaire modified for adults with mild traumatic brain injury. Brain Injury, 24(13-14), 1595-1605. doi: 10.3109/02699052.2010.523048

Snell, D. L., Surgenor, L. J., Hay-Smith, E. J. C., & Siegert, R. J. (2009). A systematic review of psychological treatments for mild traumatic brain injury: An update on the evidence. Journal of Clinical & Experimental Neuropsychology, 31(1), 20-38. doi: 10.1080/13803390801978849

Heitger, M. H., Jones, R. D., Macleod, A. D., Snell, D. L., Frampton, C. M., & Anderson, T. J. (2009). Impaired eye movements in post-concussion syndrome indicate suboptimal brain function beyond the influence of depression, malingering or intellectual ability. Brain, 132, 2850-2870. doi: 10.1093/brain/awp181

Snell, D., & Surgenor, L. (2006). An analysis of referees and referrals to a specialist concussion clinic in New Zealand. New Zealand Medical Journal, 119(1231). Retrieved from http://journal.nzma.org.nz/journal/119-1231/1902/content.pdf

Swain-Campbell, N. R., Surgenor, L. J., & Snell, D. L. (2001). An analysis of consumer perspectives following contact with an eating disorder service. Australian & New Zealand Journal of Psychiatry, 35, 99-103.

Surgenor, L. J., Rau, J., Snell, D. L., & Fear, J. L. (2000). Educational needs of eating disorder patients and families. European Eating Disorders Review, 8, 59-66.

Surgenor, L. J., & Snell, D. L. (1998). Nasogastric tube as a means of attemted suicide: a case report. European Eating Disorders Review, 6, 212-215.

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Journal - Research Other

Bourke, J. A., Snell, D. L., Sinnott, K. A., & Cassidy, B. (2012). A user-led consultation model: Making inclusion of service users in research a reality. Ethnicity & Inequalities in Health and Social Care, 5(2), 61-69. doi: 10.1108/17570981211286804

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Conference Contribution - Published proceedings: Abstract

Jay, S., Melzer, T., & Snell, D. (2017). Chronic pain and advanced MRI techniques. Proceedings of the University of Otago Student Research Symposium: Te Wānaka Rakahau: Ākoka. (pp. 36-37). Retrieved from http://www.otago.ac.nz/graduate-research/scholarships/otago643219.html

Snell, D., Sinnott, A., Dunn, J., Hsieh, J. T., Rothwell, A., DeJong, G., & Hooper, G. (2017). Rehabilitation after joint replacement in New Zealand: A national survey [Plenary]. Proceedings of the New Zealand Rehabilitation Conference: Making an Impact: Putting Knowledge to Work in Rehabilitation. Retrieved from http://www.nzrehabconference2017.co.nz/nzrc17

Surgenor, L., Snell, D., Kelly, S., Flint, R., & Coulter, G. (2017). How does pre-operative binge eating severity affect one year outcomes in people undergoing weight loss surgery? Proceedings of the 15th Australia & New Zealand Academy for Eating Disorders (ANZAED) Annual Conference. (pp. 25). Retrieved from http://www.anzaed.org.au

Bourke, J., Hay-Smith, J., Snell, D., & Schluter, P. (2016). Wheelchair users' experience of community inclusion following the Canterbury earthquakes: A thematic analysis. In J. Deely & A. Dierckx (Eds.), Proceedings of the Inaugural People in Disasters Conference. (pp. 40). School of Psychology, Massey University. Retrieved from http://www.massey.ac.nz/~trauma/

Surgenor, L., Snell, D., & Dorahy, M. (2016). Police as first responders: Disaster roles and coping styles following the Canterbury earthquakes. In J. Deely & A. Dierckx (Eds.), Proceedings of the Inaugural People in Disasters Conference. (pp. 50). School of Psychology, Massey University. Retrieved from http://www.massey.ac.nz/~trauma/

Snell, D., Martin, R., Surgenor, L., Hay-Smith, J., Hooper, G., Melzer, T., Siegert, R., & Anderson, T. (2016). Mild traumatic brain injury and chronic pain: Using mixed methods to explore unique and overlapping phenomenology. Archives of Physical Medicine & Rehabilitation, 97(10), (pp. e2-e3). doi: 10.1016/j.apmr.2016.08.004

Snell, D., Siegert, R., Surgenor, L., Dunn, J., & Hooper, G. (2016). Reducing patient burden with quality of life questionnaires: Psychometric evaluation of a short form of the WHOQOL-Bref in arthroplasty patients. Archives of Physical Medicine & Rehabilitation, 97(10), (pp. e37). doi: 10.1016/j.apmr.2016.08.108

Barham, A. H. C., Treharne, G. J., & Snell, D. L. (2014). Living with an invisible neurological condition: An interpretative phenomenological analysis. Proceedings of the Psycolloquy Seminar. (pp. 18). Dunedin, New Zealand: Department of Psychology, University of Otago. Retrieved from http://www.otago.ac.nz/psychology/research/otago059081.html

Snell, D., Williman, J., Hay-Smith, J., & Siegert, R. J. (2014). The contribution of psychological factors to recovery after mild traumatic brain injury: Prospective cohort study. Archives of Physical Medicine & Rehabilitation, 95(10), (pp. e10-e11). [Abstract]

Silverberg, N. D., Snell, D. L., Siegert, R. J., Hay-Smith, J., & Surgenor, L. (2013). Illness perceptions in the prediction of outcome from mild traumatic brain injury: A cross-validation. Journal of the International Neuropsychological Society, 19(Suppl. 1), (pp. 119). doi: 10.1017/S1355617713000362

Heitger, M. H., Jones, R. D., Macleod, A. D., Snell, D., Wilson, I., & Anderson, T. J. (2008). Eye movements: Functional markers of incomplete recovery in postconcussion syndrome. In J. G. Anson (Ed.), Proceedings of the 26th International Australasian Winter Conference on Brain Research. 26, (pp. 63). AWCBR. Retrieved from http://psy.otago.ac.nz/awcbr/Abstracts/2008Abstracts.pdf

Heitger, M. H., Jones, R. D., Macleod, A. D., Snell, D., Wilson, I., & Anderson, T. J. (2008). Eye movement deficits in postconcussion syndrome. FENS Abstracts. 4, 084.6. Retrieved from http://fens2008.neurosciences.asso.fr/abstracts/R3/A084_6.html

Heitger, M., Jones, R., Macleod, A., Snell, D., Wilson, I., & Anderson, T. (2008). A novel biomarker of postconcussion syndrome. Australasian Physical & Engineering Sciences in Medicine. 31(4), (pp. 486-487). [Abstract]

Snell, D., Siegert, R., Hay-Smith, J., & Surgenor, L. (2007). A systematic review of treatments for mild traumatic brain injury: An update on Comper, Bisschop, Carnide & Triccio (2005). Disability & Rehabilitation, 29(20-21), (pp. 1657-1658). doi: 10.1080/09638280701488966

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Conference Contribution - Poster Presentation (not in published proceedings)

Martin, R., Nunnerley, J., Shahtahmasebi, Z., Bourke, J., Snell, D., & Dunn, J. (2018, September). The development of a peer support framework in New Zealand. Poster session presented at the 57th International Spinal Cord Society (ISCoS) and 25th Australia New Zealand Spinal Cord Society (ANZSCoS) Combined Annual Scientific Meeting, Sydney, Australia.

Bourke, J., Schluter, P., Hay-Smith, J., & Snell, D. (2014, November). Rebuilding following the Canterbury earthquakes: Developing a schedule to interview people who use wheelchairs. Poster session presented at the Australian & New Zealand Spinal Cord Society (ANZSCoS) Annual Scientific Meeting: Innovation Beyond the Wheel, Auckland, New Zealand.

Bourke, J., Snell, D., Sinnott, K. A., & Cassidy, B. (2013, March). A user-led consultation model: Making inclusion of services users in research a reality. Poster session presented at the New Zealand Rehabilitation Conference: Connecting, Living, Rebuilding, Nelson, New Zealand.

Snell, D., Siegert, R., Hay-Smith, J., & Surgenor, L. (2007, February). A systematic review of treatments for mild traumatic brain injury: An update on Comper, Bisschop, Carnide & Triccio, 2005. Poster session presented at the National Institute of Rehabilitation Research and New Zealand Rehabilitation Association Conference, Rotorua, New Zealand.

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Conference Contribution - Verbal presentation and other Conference outputs

Snell, D. (2017, April). COBRA outcome data. Verbal presentation at the Oxford® UKA Users Symposium, Christchurch, New Zealand.

Bourke, J., Schluter, P., Hay-Smith, J., & Snell, D. (2017, November). If you get it right for people living with a disability, you get it right for everybody: Community recovery following the Canterbury earthquakes. Verbal presentation at the Disability Matters Conference, Dunedin, New Zealand.

Campi, S., Pandit, H., Hooper, G., Snell, D., Jenkins, C., Dodd, C. A. F., Maxwell, R., & Murray, D. W. (2016, April). Ten-year results of minimally invasive cementless Oxford phase 3 unicompartmental knee replacement. Verbal presentation at the 13th Meeting of the Combined Orthopaedic Associations, Cape Town, South Africa.

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