Bridging The Gap For Women With Gestational Diabetes: Supporting Prevention Of Type 2 Diabetes Through Improved Care Of A High Risk Group.
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
The strongest risk factor for women developing diabetes is having diabetes in pregnancy or Gestational Diabetes Mellitus (GDM). Roughly half of women with GDM develop diabetes so regular GDM screening is critical alongside healthy lifestyle support, which can prevent diabetes developing. General Practice (GP) is where these activities should occur but the extent of GP delivery varies. This project will support GP delivery of these activities to improve the health of these high-risk women.
From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of ....From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of this "window of opportunity in health care" could extend the level of community response to this vulnerable group of people. Read moreRead less
Are Cardiac Conditions In Older Women Managed Appropriately?
Funder
National Health and Medical Research Council
Funding Amount
$289,492.00
Summary
Cardiac conditions, including heart attach, heart failure, angina and high blood pressure are very common among older Australians. They account for large proportions of deaths, morbidity and health care costs. For most of these conditions there are highly effective treatments, however there is evidence that these are not as well used as they should be. Also, for women, diagnosis may be delayed due to perceptions that heart disease is a problem mainly among men. The project is based on the Austra ....Cardiac conditions, including heart attach, heart failure, angina and high blood pressure are very common among older Australians. They account for large proportions of deaths, morbidity and health care costs. For most of these conditions there are highly effective treatments, however there is evidence that these are not as well used as they should be. Also, for women, diagnosis may be delayed due to perceptions that heart disease is a problem mainly among men. The project is based on the Australian Longitudinal Study on Women's Health which includes more than 10,000 women, over half living in rural and remote areas. Women with cardiac conditions will be surveyed about their medical care. This information, together with data they have provided over the last 6 years (and Medicare data if the women have given their consent), will be compared with best practice guidelines established by NHMRC and the Heart Foundation. In this way the project will examine the adequacy of medical care among older women in sufficient detail to make actionable recommendations to health authorities for where improvements are needed.Read moreRead less
Generating Credible Evidence For Health Care Decision Making: Advancing Methods For Evidence Synthesis And Meta-analysis
Funder
National Health and Medical Research Council
Funding Amount
$360,476.00
Summary
Systematic reviews often underpin recommendations in guidelines and are therefore critical to the translation of research evidence into practice. However, weaknesses in the conduct of reviews can yield biased results, which may lead to patients receiving ineffective or harmful treatments. During my fellowship I will develop and evaluate novel methods to assess and adjust for bias in reviews, to improve the credibility of evidence needed to make well-informed choices about health care.
Optimising Primary Care Risk Profiling And Management Of Cardiovascular Disease
Funder
National Health and Medical Research Council
Funding Amount
$408,387.00
Summary
Dr Carrington's CDF will support her career progression in 4 areas of translational research: 1. Closing the gap in ATSI heart health – optimising management of heart disease in Central Australia 2. Supporting healthy regional communities - developing cost-effective risk reduction clinics 3. Coordinating the care of complex cardiac conditions – refining an electronic tool to optimise GP management 4. International heart health – develop an effective primary care model of risk reduction in Sub-Sa ....Dr Carrington's CDF will support her career progression in 4 areas of translational research: 1. Closing the gap in ATSI heart health – optimising management of heart disease in Central Australia 2. Supporting healthy regional communities - developing cost-effective risk reduction clinics 3. Coordinating the care of complex cardiac conditions – refining an electronic tool to optimise GP management 4. International heart health – develop an effective primary care model of risk reduction in Sub-Saharan AfricaRead moreRead less
Improving safety and minimising risk: parent, carer and service provider perspectives of sociocultural influences for medication use in young children. Childhood unintentional poisoning ranks second to falls as an injury cause of hospitalisation in the 0-4 years age group. The aims of this study are to explore the sociocultural influences on medication use by parents and carers of young children and develop best practice guidelines for provision of medication information by health care providers ....Improving safety and minimising risk: parent, carer and service provider perspectives of sociocultural influences for medication use in young children. Childhood unintentional poisoning ranks second to falls as an injury cause of hospitalisation in the 0-4 years age group. The aims of this study are to explore the sociocultural influences on medication use by parents and carers of young children and develop best practice guidelines for provision of medication information by health care providers. A multimedia education program for health care providers and consumers will be integrated into existing health services. Results will aid in determining children at risk of medication mismanagement, and assist providers to implement a rigorous and sustainable approach to the provision of care to young children.Read moreRead less
Addressing Evidence-practice Gaps In Chronic Disease Prevention And Control
Funder
National Health and Medical Research Council
Funding Amount
$709,931.00
Summary
Cardiovascular diseases are the leading causes of premature death and disability worldwide. Effective treatments for prevention and control of these conditions are available however their use remains far from optimal, in Australia and globally. My current and proposed research will develop and evaluate highly innovative solutions to reduce large evidence-practice gaps in healthcare delivery. These include task shifting to non-physician health workers and novel approaches to drug delivery.
A Multiple Health Behaviour Approach To Prevent Common And Emerging Risk Factors For Chronic Disease: Development And Evaluation Of A Novel Online Intervention For Australian Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$408,768.00
Summary
Chronic disease is the major cause of death in Australia. This fellowship will develop and evaluate the first online program to simultaneously target the “Big 6” risk factors for chronic disease: smoking, physical inactivity, alcohol use, poor diet, sedentary behaviour and unhealthy sleep among adolescents. This program not only has the potential to improve the health of young Australians, but also to make a substantial public health impact by reducing the incidence of chronic disease.
A Scalable Intervention For Increasing Vigorous Physical Activity Among Older Adolescents: The ‘ Burn To Learn ’ Cluster RCT
Funder
National Health and Medical Research Council
Funding Amount
$636,912.00
Summary
Physical inactivity has been described as a global pandemic and only 15% of Australian adolescents are sufficiently active. The pressure to perform in major school assessments drives many older adolescents to sacrifice physical activity to maximise academic performance. Our team has designed a time-efficient solution to increase physical activity in senior high school students using high intensity interval training which will be evaluated using a cluster randomised controlled trial.