Optimising Upper Limb Recovery Following Stroke: A Randomised Controlled Trial Of The Effects Of Botulinum Toxin-A Combined With Intensive Rehabilitation Compared To Botulinum Toxin-A Alone
Funder
National Health and Medical Research Council
Funding Amount
$1,070,230.00
Summary
The devastating loss of movement in the hand after stroke could potentially be addressed, but we currently lack of research investigating treatment interventions. This randomised controlled trial will compare the routine interventions of botulinum toxin to botulinum toxin plus best-practice therapy for both cost and clinical outcome. Findings from this trial will provide the necessary information to make decisions about what will improve spasticity and function in the hand and arm after stroke.
Development And Validation Of An Indigenous Quality Of Life And Wellbeing Index (IQWI) For Health Decision-making
Funder
National Health and Medical Research Council
Funding Amount
$1,303,527.00
Summary
This project will use innovative methods to develop a new index for measuring quality of life and wellbeing for Indigenous people. Existing tools do not capture all aspects of wellbeing and quality of life that are important to Indigenous people. A measure that is based on the values and preferences of Indigenous people will improve the relevance and transparency of clinical and health policy decision making for Indigenous Australians
Maximum Acceptable Risk Of Complication In Total Knee Arthroplasty (MARKA) Study: Using Discreet Choice Experiments To Elicit Patient And Surgeon Perception Of Acceptable Risk In Total Knee Arthroplasty
Funder
National Health and Medical Research Council
Funding Amount
$465,199.00
Summary
Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end- ....Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end-stage osteoarthritis.Read moreRead less
Developing Evidence Based Strategies For Addressing Childhood Vaccination Rejection
Funder
National Health and Medical Research Council
Funding Amount
$743,927.00
Summary
Parental rejection of vaccines is a global concern that threatens to undermine disease control. A lack of evidence hampers the responses to this complex and persistent problem. We will interview parents who don’t vaccinate their children to learn what influences their decisions. We will then hold community juries and a public engagement process to refine strategies for responding to vaccination rejection that are acceptable to a well informed citizenry, practical and ethically justified.
Identifying Undiagnosed HIV Infection Among Australian Gay Men: Delivering HIV Testing Through A National, Community-based Study
Funder
National Health and Medical Research Council
Funding Amount
$781,432.00
Summary
Gay men remain the group primarily affected by HIV in Australia. People with undiagnosed HIV infection contribute disproportionately to HIV transmission in Australia. This study will deliver HIV testing to gay men in community settings, provide test results to consenting participants and estimate the prevalence of HIV and undiagnosed HIV infection. It will contribute significantly to reducing the number of undiagnosed HIV infections in Australia by providing strategic knowledge to guide HIV prev ....Gay men remain the group primarily affected by HIV in Australia. People with undiagnosed HIV infection contribute disproportionately to HIV transmission in Australia. This study will deliver HIV testing to gay men in community settings, provide test results to consenting participants and estimate the prevalence of HIV and undiagnosed HIV infection. It will contribute significantly to reducing the number of undiagnosed HIV infections in Australia by providing strategic knowledge to guide HIV prevention programs.Read moreRead less
WOmen's Action For Mums And Bubs (WOMB): A Pragmatic Trial Of Participatory Women's Groups To Improve Indigenous Maternal And Child Health
Funder
National Health and Medical Research Council
Funding Amount
$1,766,216.00
Summary
There is strong evidence elsewhere that involving community women in decision-making about strategies to improve the health of mothers and babies is a cheap and effective way of improving health. The WOMB study tests whether community women's groups improve the quality of maternal and child health care and outcomes in Aboriginal and Torres Strait Islander communities, the cost-effectiveness and how it works.
Advance Care Planning In Incurable Cancer Patients With Disease Progression On First Line Chemotherapy: A Randomised Trial.
Funder
National Health and Medical Research Council
Funding Amount
$745,946.00
Summary
Advance care planning informs patient and care giver about end of life care options and assists patients to reflect on their goals, values and beliefs and to discuss and document their future choices. This randomised trial evaluates advance care planning in incurable cancer patients. The primary endpoint is the family member's view of the quality of death and compliance with known end of life wishes of the deceased patient. The costs of subsequent care are also recorded.
Tailored Activities To Reduce Challenging Behaviours In Persons With Dementia Living At Home: The TAP Trial
Funder
National Health and Medical Research Council
Summary
Dementia is the greatest single contributor to the burden of disability for older people. Challenging behaviours are common and associated with reduced quality of life for the person with dementia and the caregiver. The Tailored Activities Program, delivered by occupational therapists, is novel. It targets the capacity of the person with dementia and provides a systematic way to match both capacity and personal interest to activity. We will conduct a randomized trial to test its effectiveness.
Preventing Weight Gain In Young To Mid-aged Women Living In Rural Communities;a Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$896,169.00
Summary
Women living in rural communities are gaining weight faster than their urban counterparts. The prevention of weight gain in young rural women presents an opportunity that is urgently needed with potential for major benefits to physical, metabolic and reproductive health. The aim of this project is to prevent weight gain in women of reproductive age living in small rural communities, to improve the preventable risk factors for chronic disease such as poor diet quality and physical activity and to ....Women living in rural communities are gaining weight faster than their urban counterparts. The prevention of weight gain in young rural women presents an opportunity that is urgently needed with potential for major benefits to physical, metabolic and reproductive health. The aim of this project is to prevent weight gain in women of reproductive age living in small rural communities, to improve the preventable risk factors for chronic disease such as poor diet quality and physical activity and to conduct a comprehensive economic evaluation.Read moreRead less
Estimating The Contribution Of Adolescent Alcohol Misuse Prevention To The Reduction Of Alcohol-related Harm In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,813,958.00
Summary
This project will extend an existing national randomised trial (comparing 14 intervention and 14 control communities) to complete a novel evaluation of the longer-term benefits of community-based adolescent alcohol use prevention to reduce population rates of adolescent alcohol use by at least 15%. The project will have significant policy implications in being the first to measure the health, social and economic benefits that flow from reducing population rates of adolescent alcohol use.