Use Of Emergency Departments By Vulnerable Groups During Their Last Year Of Life
Funder
National Health and Medical Research Council
Summary
Vulnerable people in their last year of life who attend Emergency Departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how these groups use the ED, the impact of this use upon ED services and how the provision of adequate community care may be a more appropriate and economically viable option for people at the end-of-life.
A Multi-site Randomised Controlled Trial Comparing The Severity Of Constipation Symptoms Experienced By Palliative Care Patients Receiving Usual Care Compared To Those Diagnosed And Managed According To The Underlying Pathophysiology.
Funder
National Health and Medical Research Council
Funding Amount
$498,795.00
Summary
This research aims to consider whether the problems of constipation in palliative care are less severe when the physical changes that underlie the problem are explored.
Does Palliative Chemotherapy Palliate? Measuring Symptom Benefit In Recurrent Ovarian Cancer Using Patient Reported Outcomes: The Symptom Benefit Study
Funder
National Health and Medical Research Council
Funding Amount
$405,024.00
Summary
Clinical trials for women with recurrent ovarian cancer traditionally use a reduction in tumour size and time to progression to measure the benefit of chemotherapy, but do not document whether women have symptom improvement as well. The aim of the Symptom Benefit Study is to validate an instrument that will allow patients to report their symptoms and degree of improvement and for the first time allow clinical trials to include a measure of symptom improvement when new drugs are being tested.
A Brief Couple-focussed Psychoeducational Intervention To Prevent Postnatal Mental Health Problems In Women: A Cluster Randomised Trial.
Funder
National Health and Medical Research Council
Funding Amount
$703,437.00
Summary
Mental health problems in women after childbirth are of national concern. Interventions to prevent these have had little success. What Were We Thinking (WWWT) is a promising new program for mothers, fathers and newborns. It provides knowledge and skills about soothing and settling babies and enhancing parents’ understanding of their changed needs and how to share the workload fairly. This trial will test whether WWWT improves women’s mental health in the first six months of motherhood.
A Community-based Cluster Randomized Controlled Trial In Rural Bangladesh To Evaluate The Impact Of The Use Of Iron/folic Acid Supplements Early In Pregnancy On The Risk Of Neonatal MortalityBACKGROUND An Effective Program Of Antenatal Iron/folic Ac
Funder
National Health and Medical Research Council
Funding Amount
$2,564,922.00
Summary
This community-based trial in rural Bangladesh will determine if iron/folic acid supplementation commencing in the first trimester of pregnancy significantly reduces newborn deaths, and whether this approach is cost-effective. This trial has the potential to inform international public health policy about the importance of starting antenatal iron/folic acid supplementation early to improve neonatal survival, and to help countries reach their child survival Millennium Development Goal
The Effect Of A Coordinated Care Intervention, Care Navigation, On The Readmission Rate Of Chronically Ill Patients At Nepean Hospital.
Funder
National Health and Medical Research Council
Funding Amount
$735,481.00
Summary
Chronic illness is becoming more common in Australia as the population ages and as medical technology saves more lives from heart attack, diabetes and stroke with people suffering from these conditions then requiring continuing community care for years. How best to link hospital and community health services to serve patients at the beginning of their illness when they first come to hospital is the object of Care Navigation, a program based at Nepean Hospital in Western Sydney and surrounding co ....Chronic illness is becoming more common in Australia as the population ages and as medical technology saves more lives from heart attack, diabetes and stroke with people suffering from these conditions then requiring continuing community care for years. How best to link hospital and community health services to serve patients at the beginning of their illness when they first come to hospital is the object of Care Navigation, a program based at Nepean Hospital in Western Sydney and surrounding community.Read moreRead less
A Telehealth Mediated Nursing Intervention (PRISMS) To Enable Patient Monitoring And Self-care In Haematological Cancer Patients: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$936,632.00
Summary
People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide rea ....People with cancer are required to monitor and to initiate self care activities to manage side effects at home. In haematological cancer patients these side effects are often severe and life-threatening. Safe home care requires close communication with the health team. We will test if a mobile phone based system can: support patients to monitor their side effects; promote the delivery of evidence based self care advice in a timely manner; and mediate the role of nurses to effectively provide real-time patient support.Read moreRead less
A Randomised Controlled Trial Of Aetiology Based Antiemetic Guidelines For Reducing Nausea In Advanced Cancer Patients.
Funder
National Health and Medical Research Council
Funding Amount
$1,152,116.00
Summary
Nausea is a problem that can be very distressing to patients, and one that is difficult to assess and manage in patients with advanced cancer due to its multiple potential causes for this group. This study aims to test the effectiveness of an intervention which uses available anti-nausea medication specifically targeted to the likely cause of nausea for that individual to reduce the severity and impact of the symptom. It also tests second line medicatioins where nausea is unrelieved.
Reducing Demand On Emergency Departments In The Last Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$371,049.00
Summary
People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable op ....People in their last year of life who attend emergency departments (EDs) could often be better cared for elsewhere. Our severely overcrowded EDs, and the staff who work in them, are poorly equipped to provide appropriate end-of-life care. This research describes how people in their last year of life use EDs, the impact of this use upon ED services and how the provision of adequate primary care and supportive care services in the community care may be a more appropriate and economically viable option for people at the end-of-life.Read moreRead less
How Should We Analyse, Synthesize, And Interpret Evidence From Interrupted Time Series Studies? Making The Best Use Of Available Evidence
Funder
National Health and Medical Research Council
Funding Amount
$445,144.00
Summary
Interrupted time series (ITS) studies are frequently used to evaluate whether policy interventions are successful. The findings from these studies are often collated into systematic reviews, which are used to inform healthcare decisions by clinicians, consumers and policy makers. It is not known how the statistical methods, which underpin the findings from ITS studies, perform. This proposal will evaluate the statistical methods and provide guidance on how to analyse and interpret ITS studies.