Which Heart Failure Intervention Is Most Cost Effective In Reducing Hospital Care (WHICH? II) Trial: A Multicentre, Randomised Trial Of Standard Versus Intensified Management Of Metropolitan And Regional-dwelling Patients With Heart Failure
Funder
National Health and Medical Research Council
Funding Amount
$1,891,210.00
Summary
Chronic heart failure (CHF) management programs are now the gold-standard to cost-effectively care for thousands of Australians hospitalised with CHF each year. We’ve shown that home-based management is most cost-effective in reducing hospital stay in CHF. The Which Intervention is most Cost-effective in reducing Hospital care (WHICH? II) Trial, a multicentre, randomised study, will determine if more intensive care (via home visits and remote care contacts) further improves poor outcomes in CHF.
Families with multiple and complex needs: refocusing on early intervention. Families with multiple and complex needs have been determined to be a priority group in Australia (National Child Protection Framework 2021-31). This study will fill the evidence gap by determining the typologies of families with multiple and complex needs and child protection involvement who face intersecting risk factors (e.g. family violence, mental health, intergenerational trauma, alcohol/drug use, justice involveme ....Families with multiple and complex needs: refocusing on early intervention. Families with multiple and complex needs have been determined to be a priority group in Australia (National Child Protection Framework 2021-31). This study will fill the evidence gap by determining the typologies of families with multiple and complex needs and child protection involvement who face intersecting risk factors (e.g. family violence, mental health, intergenerational trauma, alcohol/drug use, justice involvement, disability, poverty and housing insecurity). Intergenerational (child and parent) linked data in three states will be utilised to investigate these families longitudinal trajectories of system involvement and to identify opportunities for enhanced prevention, points of early intervention and service planning. Read moreRead less
A Longitudinal Study Of Psychopathology In People With Intellectual Disability
Funder
National Health and Medical Research Council
Funding Amount
$999,803.00
Summary
This project will further develop the research opportunities of an internationally unique 15 year follow up study of the mental health of young Australians with ID. We have shown that this group has 2-3 times the risk of suffering serious emotional and behavioural problems that are an added heavy burden on the individual, their family and carers and the community. These problems often are not recognised but are as common as schizophrenia in the community. The study will continue to use a combina ....This project will further develop the research opportunities of an internationally unique 15 year follow up study of the mental health of young Australians with ID. We have shown that this group has 2-3 times the risk of suffering serious emotional and behavioural problems that are an added heavy burden on the individual, their family and carers and the community. These problems often are not recognised but are as common as schizophrenia in the community. The study will continue to use a combination of questionnaire survey and in depth interviews of the young adults and their families or carers to track the course of their mental health. The study commenced in 1990 with nearly 1000 young people with ID aged 4-18 years and their progress has been reviewed every 2-3 years in over 75% of the original group. During the next 5 years we plan to follow their mental health during the critical stage of young adult life. During this time there is the greatest risk of mental illnesses such as depression and schizophrenia and the stresses of adjusting to new daily occupations, independent living or residential care and social contact away from the family. We will be able to study the specific emotional and behavioural problems faced by young adults with the main known causes of ID such as Down, Fragile X, Prader Willi and William Syndromes, as well as those who have autism. The great benefit of a long term follow up study is that it allows us to study the links between earlier family environmental, psychological and biological factors and subsequent mental health problems. We can also demonstrate the impact that mental illness in a young person with ID has on the family and parental mental health. The findings have implications for better diagnosis, improved care and management, early intervention and prevention of these common severe and under recognized mental health problems in this disadvantaged group of young Australians and their families and carers.Read moreRead less
Special Research Initiatives - Grant ID: SR0566924
Funder
Australian Research Council
Funding Amount
$52,825.00
Summary
Develop and pilot an e-cohort research technique for longitudinal studies using multiple international cohorts. The aim of this project is to develop and pilot an e-cohort research methodology suitable for longitudinal studies with multiple international cohorts. Historically, studies of this nature are expensive as they are conducted in traditional paper-based mode and the studies are therefore confined to one country. Population-based epidemiological studies of this type have led to major scie ....Develop and pilot an e-cohort research technique for longitudinal studies using multiple international cohorts. The aim of this project is to develop and pilot an e-cohort research methodology suitable for longitudinal studies with multiple international cohorts. Historically, studies of this nature are expensive as they are conducted in traditional paper-based mode and the studies are therefore confined to one country. Population-based epidemiological studies of this type have led to major scientific advances in global health for the last sixty years. Developing and employing e-research techniques in longitudinal studies will significantly reduce the costs of this important research and enable multi-national cohorts of participants that will result in high quality research.Read moreRead less
Critical windows: understanding changes in eating and physical activity over the transition from secondary school to young adulthood. This project will explain changes in eating, physical activity and sedentary behaviour during the critical period of transition from secondary school to young adulthood. It will provide important information on how we can assist adolescents to maintain a healthy lifestyle over a time characterised by several major life changes.
What Cost-effective Built Environment Interventions Would Create Healthy, Liveable And Equitable Communities In Australia, And What Would Facilitate These Being Translated Into Policy And Practice?
Funder
National Health and Medical Research Council
Funding Amount
$2,658,832.00
Summary
This CRE involves collaboration between a multi-disciplinary research team across Australia working with policy-makers covering planning, urban design, transport planning and health. It will identify the most cost-effective built environment interventions required to create healthy, liveable, and equitable communities. Factors that influence research findings being translated into urban planning policy and practice will be examined and tools to assist changes to policy and practice developed.
Factors associated with the recruitment and retention of the current and future nursing workforce - a longitudinal e-cohort study. The overall effectiveness of the Australian health care system is dependent on a knowledgeable, skilled and viable nursing workforce. Currently there is a critical shortage of qualified nurses actively working in the Australian health care system which limits the capacity of the system to effectively manage an ageing population. The broad aim of this research project ....Factors associated with the recruitment and retention of the current and future nursing workforce - a longitudinal e-cohort study. The overall effectiveness of the Australian health care system is dependent on a knowledgeable, skilled and viable nursing workforce. Currently there is a critical shortage of qualified nurses actively working in the Australian health care system which limits the capacity of the system to effectively manage an ageing population. The broad aim of this research project is to examine factors associated with recruitment and retention of the current and future nursing workforce across metropolitan, regional and rural areas; with a particular focus on work-based injury. In addition, the project will employ smart use of information technology to develop innovative e-cohort techniques.Read moreRead less
Preparing Australia For Genomic Medicine: A Proposal By The Australian Genomics Health Alliance
Funder
National Health and Medical Research Council
Funding Amount
$25,000,000.00
Summary
The sequencing of the human genome brings the possibility of more accurate identification of the underlying basis of many diseases. This technology has moved so rapidly, however, that clinical access has been limited. In this application, a national alliance of clinicians, researchers, health economists and policymakers will evaluate the case for clinical genomics across inherited disease and cancer, determine how best to deliver this to the patient and train a capable workforce.
Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health ....Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health of adults with ID that has been undertaken internationally to date. The population will cover the age span of late adolescence (16 years) through the transition to adult life then through to the elderly. The research will establish the prevalence and nature of mental illness and potential risk factors in a large representative population of adults with ID.Read moreRead less