I am an aged care rehabilitation researcher seeking to minimise disability and prevent falls in large numbers of older people. I am particularly interested in the role of exercise in falls and disability prevention.
Understanding And Preventing Physical And Cognitive Decline And Falls In Older People With Dementia
Funder
National Health and Medical Research Council
Funding Amount
$509,626.00
Summary
Falls are common in people with dementia and are more likely to result in injury, death and institutionalisation. There is limited evidence that falls can be prevented in this group. Strategies aimed at maintaining independence and preventing decline and falls are urgently needed. This research will a) further our understanding of fall risk and functional decline and b) explore novel fall and decline prevention programs, including the use of technology in older people with dementia.
Falls Risk Associated With Cataract And After First And Second Eye Cataract Surgery
Funder
National Health and Medical Research Council
Funding Amount
$801,559.00
Summary
Cataract surgery is the most commonly performed elective surgery in Australia, with approximately 200,000 surgeries each year. However, vision impairment due to cataract is relatively common and around 1.7 million Australians are affected at any one time. Cataract-related vision impairment has many negative consequences including increased risk of falls. The findings of this research will inform strategies for reducing falls and engageing with the ophthalmic health care sector on the critical is ....Cataract surgery is the most commonly performed elective surgery in Australia, with approximately 200,000 surgeries each year. However, vision impairment due to cataract is relatively common and around 1.7 million Australians are affected at any one time. Cataract-related vision impairment has many negative consequences including increased risk of falls. The findings of this research will inform strategies for reducing falls and engageing with the ophthalmic health care sector on the critical issue of falls injury for older people.Read moreRead less
Mechanisms Underlying Adaptation To Reactive Balance Training For Falls Prevention
Funder
National Health and Medical Research Council
Funding Amount
$83,832.00
Summary
Reactive balance training using unpredictable trips and slips can reduce fall rates in older people by 60%, a significant improvement on current interventions. This project will determine the optimal dose to and physiological adaptations underlying reactive balance training. It will also determine how older people with a high fall risk benefit by this training. This study has the potential to enhance clinical practice and assist older people in maintaining independence and quality of life.
Evaluation Of The Effect Of Providing Individual Patient Education On Rates Of Falls In Older Hospital Patients In The Post Discharge Period - A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$307,946.00
Summary
Older people are at increased risk of falls and related injuries when they return home from hospital. There are numerous discharge programs that attempt to improve patient outcomes and prevent hospital re-admission but there is limited knowledge about falls after discharge and evidence for reducing falls during this period. This study will examine the effect of providing older people themselves with education about effective methods to reduce falls and recover safe function during this period.
I-Medic (Intelligent Monitoring And Early Diagnosis In Communities)
Funder
National Health and Medical Research Council
Funding Amount
$307,946.00
Summary
Falls cost $500 million annually and are increasing as our population ages. Dr Brodie has developed i-Medic, Intelligent Monitoring and Early Diagnosis In Communities. He is answering the questions: Why do people fall? How can we predict falls? And how do we prevent falls? His software, which may be incorporated into all future mobile phones, is capable of detecting, predicting and therefore preventing falls. In the event of a fall the software also activates an emergency response.
Understanding Fear Of Falling And Risk Taking In Older People
Funder
National Health and Medical Research Council
Funding Amount
$355,877.00
Summary
Fear of falling is a very significant issue for many older people. Estimates of the prevalence of fear of falling in older community-dwelling people range from 29 to 92% in those who have suffered previous falls, and 12 to 65% in those have not. Fear of falling can lead to restriction and curtailment of activity, reduced quality of life, anxiety, depression and social isolation. To date, all studies addressing fear of falling have simply considered no fear to be good and presence of fear to be b ....Fear of falling is a very significant issue for many older people. Estimates of the prevalence of fear of falling in older community-dwelling people range from 29 to 92% in those who have suffered previous falls, and 12 to 65% in those have not. Fear of falling can lead to restriction and curtailment of activity, reduced quality of life, anxiety, depression and social isolation. To date, all studies addressing fear of falling have simply considered no fear to be good and presence of fear to be bad, and have not attempted to assess whether this fear is rational or irrational in relation to actual balance abilities or physical functioning. In this study, we aim to find out which psychological, physical, health and lifestyle factors distinguish between older people with and without an irrational fear of falling based on their actual physical falling risk. We also wish to understand the role that fear of falling and other psychological factors (anxiety, depression and avoidance) play in causing older people to fall; and to measure how falls can lead to increased fear of falling, anxiety and depression and reduced physical functioning. The complex nature of psychological risk factors of falling and the limited background information on this subject, hampers its integration in falls prevention programs. Although there is growing awareness of this problem among health care providers, additional research is needed about why older people develop a fear of falling in order to fully understand fear of falling and to tailor specific intervention and prevention strategies.Read moreRead less
Lifestyle (LIFE) Versus Structured Balance And Strength Training To Reduce Falls In The Elderly: A Randomized Trial
Funder
National Health and Medical Research Council
Funding Amount
$650,968.00
Summary
Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project ....Thirty to thirty five percent of persons who are 70 or older fall each year. The magnitude of problems as a result of falling is reflected by the fact that the costs of fall injuries of the elderly to the health system is already more than double that of road injury. It is estimated that these costs will rise substantially and alarmingly in the next 30 to 50 years if we cannot find effective and sustainable ways to make an impact on the incidence of falls in older people. The aim of this project is to improve the capacity of people living at home to avoid falls. The project will evaluate the effectiveness of an integrated lifestyle approach to balance and strength exercise (LIFE) and a structured balance and strength exercise program to reducing falls in people who are at high risk . The control group will comprise a gentle flexibility exercise program as this is known to have no effect on reducing falls. In the lifestyle approach (LIFE), older people will be taught how to do balance and strength training and integrate it into their lifestyle so that it is embedded within their daily activity and weekly routines. It is expected that this integrated lifestyle approach to balance and strength training will be effective in reducing falls and will be sustainable over a a one-year period. This study will also determine for which groups of people LIFE is most effective . The research is a three-arm randomized trial that will be conducted with 381 people who are 70 years or over, who have experienced at least two falls in the past year or had an injurious fall. The notion of balance training is not well understood by allied health professionals or older people - a product of this project will be an alternative balance and strength intervention (LIFE) that offers, in a user friendly and simplified manner, a way of operationalizing the principles of balance and strength training for use by older people within their daily lives.Read moreRead less