Director of Clinical Trials Canterbury Orthopaedic and Bone Research Association (COBRA)
Research Associate Professor
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
Publications
Griffiths, G. S., Thompson, B. L., Snell, D. L., & Dunn, J. A. (2023). Person-centred managment of upper limb complex regional pain syndrome: An integrative review of non-pharmacological treatment. Hand Therapy, 28(1), 16-32. doi: 10.1177/17589983221138610
Griffiths, G. S., Thompson, B. L., Snell, D. L., & Dunn, J. A. (2023, March). Experiences and diagnosis and treatment for upper limb Complex Regional Pain Syndrome. Poster session presented at the New Zealand Pain Society (NZPS) Annual Scientific Meeting, Auckland, New Zealand.
Snell, D. L., Faulkner, J. W., Williman, J. A., Silverberg, N. D., Theadom, A., Surgenor, L. J., Hackney, J., & Siegert, R. J. (2023). Fear avoidance and return to work after mild traumatic brain injury. Brain Injury. Advance online publication. doi: 10.1080/02699052.2023.2180663
Martin, R. A., Johns, J. K., Hackney, J. J., Bourke, J. A., Young, T. J., Nunnerley, J. L., Snell, D. L., Derrett, S., & Dunn, J. A. (2023). Early opportunities to explore occupational identity change: Qualitative study of return-to-work experiences after stroke. Journal of Rehabilitation Medicine, 55, jrm00363. doi: 10.2340/jrm.v55.4825
Faulkner, J. W., & Snell, D. L. (2023). A framework for understanding the contribution of psychosocial factors in biopsychosocial explanatory models of persistent postconcussion symptoms. Physical Therapy, 103(2), pzac156. doi: 10.1093/ptj/pzac156
Than, M. P., Fatovich, D., Fitzgerald, M., Gozt, A., McKinlay, A., & Snell, D. (2020). The need for traumatic brain injury markers. In A. H. B. Wu & W. F. Peacock (Eds.), Biomarkers for traumatic brain injury. (pp. 9-21). London, UK: Academic Press. doi: 10.1016/B978-0-12-816346-7.00002-6
Chapter in Book - Research
Dunn, J. A., Martin, R. A., Hackney, J. J., Nunnerley, J. L., Snell, D. L., Bourke, J. A., … Derrett, S. (2023). Developing a conceptual framework for early intervention vocational rehabilitation for people following spinal cord injury. Journal of Occupational Rehabilitation, 33, 179-188. doi: 10.1007/s10926-022-10060-9
Journal - Research Article
Faulkner, J. W., & Snell, D. L. (2023). A framework for understanding the contribution of psychosocial factors in biopsychosocial explanatory models of persistent postconcussion symptoms. Physical Therapy, 103(2), pzac156. doi: 10.1093/ptj/pzac156
Journal - Research Article
Faulkner, J. W., Snell, D. L., Theadom, A., Mahon, S., & Barker-Collo, S. (2023). The influence of psychological flexibility on persistent post concussion symptoms and functional status after mild traumatic brain injury. Disability & Rehabilitation, 45(7), 1192-1201. doi: 10.1080/09638288.2022.2055167
Journal - Research Article
Martin, R. A., Johns, J. K., Hackney, J. J., Bourke, J. A., Young, T. J., Nunnerley, J. L., Snell, D. L., Derrett, S., & Dunn, J. A. (2023). Early opportunities to explore occupational identity change: Qualitative study of return-to-work experiences after stroke. Journal of Rehabilitation Medicine, 55, jrm00363. doi: 10.2340/jrm.v55.4825
Journal - Research Article
Snell, D. L., Faulkner, J. W., Williman, J. A., Silverberg, N. D., Theadom, A., Surgenor, L. J., Hackney, J., & Siegert, R. J. (2023). Fear avoidance and return to work after mild traumatic brain injury. Brain Injury. Advance online publication. doi: 10.1080/02699052.2023.2180663
Journal - Research Article
Faulkner, J. W., Snell, D. L., & Theadom, A. (2022). Psychological flexibility moderates the influence of fear avoidance on outcomes after mild traumatic brain injury. Brain Injury. Advance online publication. doi: 10.1080/02699052.2022.2109747
Journal - Research Article
Mahon, S., Webb, J., Snell, D., & Theadom, A. (2022). Feasibility of administering the WAIS-IV using a home-based telehealth videoconferencing model. Clinical Neuropsychologist, 36(3), 558-570. doi: 10.1080/13854046.2021.1985172
Journal - Research Article
Martin, R. A., Nunnerley, J. L., Young, T., Hall, A., Snell, D. L., Hackney, J. J., Bourke, J. A., Derrett, S., & Dunn, J. A. (2022). Vocational wayfinding following spinal cord injury: In what contexts, how and why does early intervention vocational rehabilitation work? Journal of Vocational Rehabilitation, 56(3), 243-254. doi: 10.3233/JVR-221189
Journal - Research Article
Nunnerley, J., King, M., Hodge, K., Hopkins, P., Stockwell, R., Thorne, N., Snell, D., & Gozdzikowska, K. (2022). Co-design of a therapeutic virtual reality tool to increase awareness and self-management of cognitive fatigue after traumatic brain injury. Disability & Rehabilitation: Assistive Technology. Advance online publication. doi: 10.1080/17483107.2021.2014993
Journal - Research Article
Silverberg, N. D., Cairncross, M., Brasher, P. M. A., Vranceanu, A.-M., Snell, D. L., Yeates, K. O., … on behalf of the Canadian Traumatic Brain Injury Research Consortium (CTRC). (2022). Feasibility of concussion rehabilitation approaches tailored to psychological coping styles: A randomized controlled trial. Archives of Physical Medicine & Rehabilitation, 103, 1565-1573. doi: 10.1016/j.apmr.2021.12.005
Journal - Research Article
Snell, D. L., & Silverberg, N. D. (2022). Derivation of minimal clinically important difference score for the WHODAS 2.0 in mild traumatic brain injury. NeuroRehabilitation. Advance online publication. doi: 10.3233/nre-220004
Journal - Research Article
Snell, D. L., Johns, J., Dunn, J. A., Nunnerley, J. L., & Singhal, B. (2022). Difficulties capturing co-occurring traumatic brain injury among people with traumatic spinal cord injury: A population-based study. Spinal Cord. Advance online publication. doi: 10.1038/s41393-022-00851-5
Journal - Research Article
Wrapson, W., Dorrestein, M., Wrapson, J., Theadom, A., Snell, D., Rutherford, S., … Siegert, R. J. (2022). Stroke survivors' expectations and post-intervention perceptions of mindfulness training: A qualitative study. Neuropsychological Rehabilitation, 32(10), 2496-2518. doi: 10.1080/09602011.2021.1950777
Journal - Research Article
Derbyshire, S., Maskill, V., & Snell, D. L. (2021). Do concussion clinicians use clinical practice guidelines? Brain Injury, 35(12-13), 1521-1528. doi: 10.1080/02699052.2021.1972451
Journal - Research Article
Dunn, J. A., Hackney, J. J., Martin, R. A., Tietjens, D., Young, T., Bourke, J. A., Snell, D. L., Nunnerley, J. L., … Derrett, S. (2021). Development of a programme theory for early intervention vocational rehabilitation: A realist literature review. Journal of Occupational Rehabilitation, 31, 730-743. doi: 10.1007/s10926-021-10000-z
Journal - Research Article
Faulkner, J. W., Snell, D. L., Shepherd, D., & Theadom, A. (2021). Turning away from sound: The role of fear avoidance in noise sensitivity following mild traumatic brain injury. Journal of Psychosomatic Research, 151, 110664. doi: 10.1016/j.jpsychores.2021.110664
Journal - Research Article
Faulkner, J. W., Snell, D. L., Theadom, A., Mahon, S., & Barker-Collo, S. (2021). The role of psychological flexibility in recovery following mild traumatic brain injury. Rehabilitation Psychology, 66(4), 479-490. doi: 10.1037/rep0000406
Journal - Research Article
Faulkner, J. W., Snell, D. L., Theadom, A., Mahon, S., Barker-Collo, S., & Skirrow, P. (2021). Psychological flexibility in mild traumatic brain injury: An evaluation of measures. Brain Injury, 35(9), 1103-1111. doi: 10.1080/02699052.2021.1959062
Journal - Research Article
Macleod, C., Surgenor, L. J., Levack, W., Hackney, J., Theadom, A., Siegert, R. J., … Snell, D. L. (2021). Patient and clinician experiences of a computerised cognitive battery for use after concussion: A preliminary qualitative study. Brain Impairment, 22, 189-204. doi: 10.1017/BrImp.2020.14
Journal - Research Article
Snell, D. L., Dunn, J. A., Jerram, K. A. S., Hsieh, C. J., DeJong, G., & Hooper, G. J. (2021). Associations between comorbidity and quality of life outcomes after total joint replacement. Quality of Life Research, 30, 137-144. doi: 10.1007/s11136-020-02610-6
Journal - Research Article
Snell, D. L., Hackney, J. J., Maggo, J., Martin, R. A., Nunnerley, J. L., Bourke, J. A., … Derrett, S., & Dunn, J. A. (2021). Early vocational rehabilitation after spinal cord injury: A survey of service users. Journal of Vocational Rehabilitation, 55(3), 323-333. doi: 10.3233/JVR-211166
Journal - Research Article
Wrapson, W., Dorrestein, M., Wrapson, J., Theadom, A., Kayes, N. M., Snell, D. L., … Siegert, R. J. (2021). A feasibility study of a one-to-one mindfulness-based intervention for improving mood in stroke survivors. Mindfulness, 12, 1148-1158. doi: 10.1007/s12671-020-01583-4
Journal - Research Article
Faulkner, J. W., Theadom, A., Mahon, S., Snell, D. L., Barker-Collo, S., & Cunningham, K. (2020). Psychological flexibility: A psychological mechanism that contributes to persistent symptoms following mild traumatic brain injury? Medical Hypotheses, 143, 110141. doi: 10.1016/j.mehy.2020.110141
Journal - Research Article
Snell, D. L., Jerram, K. A. S., Dunn, J. A., Hsieh, C. J., DeJong, G., & Hooper, G. J. (2020). Use of rehabilitation after hip and knee replacement in New Zealand: A national survey. New Zealand Medical Journal, 133(1510), 45-55. Retrieved from https://www.nzma.org.nz/journal
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. (2020). Wrestling with uncertainty after mild traumatic brain injury: A mixed methods study. Disability & Rehabilitation, 42(14), 1942-1953. doi: 10.1080/09638288.2018.1542461
Journal - Research Article
Snell, D. L., Siegert, R. J., & Silverberg, N. D. (2020). Rasch analysis of the World Health Organization Disability Assessment Schedule 2.0 in a mild traumatic brain injury sample. Brain Injury, 34(5), 610-618. doi: 10.1080/02699052.2020.1729417
Journal - Research Article
Snell, D. L., Siegert, R. J., Debert, C., Cairncross, M., & Silverberg, N. D. (2020). Evaluation of the fear avoidance behavior after Traumatic Brain Injury Questionnaire. Journal of Neurotrauma, 37, 1566-1573. doi: 10.1089/neu.2019.6729
Journal - Research Article
Surgenor, L. J., Snell, D. L., & Dorahy, M. (2020). Factors associated with psychiatric morbidity, post-traumatic stress disorder and post-traumatic growth in paramedic first responders: The role of core beliefs. Australasian Journal of Paramedicine, 17, 1-8. doi: 10.33151/ajp.17.727
Journal - Research Article
Surgenor, L. J., Snell, D. L., Siegert, R. J., Kelly, S., Flint, R., & Coulter, G. (2020). Psychometric characteristics of the Revised Illness Perception Questionnaire (IPQ-R) in people undergoing weight loss surgery. Journal of Clinical Psychology in Medical Settings, 27, 79-88. doi: 10.1007/s10880-019-09624-4
Journal - Research Article
Bourke, J., Nunnerley, J., Snell, D., & Sinnott Jerram, A. (2019). The Burwood Academy: Incorporating the principles of the independent living paradigm into rehabilitation research. International Journal of Human Rights in Healthcare, 12(3), 240-248. doi: 10.1108/IJHRH-08-2018-0054
Journal - Research Article
Snell, D. L., Dunn, J. A., Sinnott, K. A., Hsieh, C. J., De Jong, G., & Hooper, G. J. (2019). Joint replacement rehabilitation and the role of funding source. Journal of Rehabilitation Medicine, 51(10), 770-778. doi: 10.2340/16501977-2600
Journal - Research Article
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, 25(6), 1231-1237. doi: 10.1016/j.knee.2018.07.012
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article
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.
Journal - Research Article
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
Journal - Research Article
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
Journal - Research Article