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
Understanding And Predicting Freezing Of Gait In Parkinson's Disease.
Funder
National Health and Medical Research Council
Funding Amount
$380,580.00
Summary
Freezing of Gait (FOG) affects half of all patients with Parkinson’s Disease (PD) with episodes causing the feet to feel glued to the ground leading to a significant falls risk. The mechanisms underlying FOG are not well understood and current treatments are usually ineffective. Combining brain wave recording, eye-tracking and functional brain scanning we will identify the changes that precipitate an episode of FOG allowing the development of a non-invasive device to prevent falls.
Prediction Of Adverse Outcomes Following A Fragility Fracture
Funder
National Health and Medical Research Council
Funding Amount
$148,426.00
Summary
Individuals with an existing fracture are at increased risk of adverse outcomes such as re-fracture and premature mortality, but it is not clear why. We propose to evaluate risk factors, and prognostic models, for predicting the risk of adverse outcomes. We also propose to develop a quantitative risk-benefit framework for evaluating the clinical utility of such prognostic models and help ensure that therapies appropriately address real-life experience of osteoporotic patients.
Can Real-time Biofeedback Of Foot Clearance Data Be Used To Assist With Gait Rehabilitation Following Stroke?
Funder
National Health and Medical Research Council
Funding Amount
$587,143.00
Summary
A new intervention for falls-risk minimization is proposed by providing additional visual sensory information to increase foot-ground clearance in order to walk more safely.A randomised controlled trial will be employed to assess the effects of biofeedback on foot-ground clearance during gait training. The outcome will be innovative biofeedback-based gait training that could significantly enhance existing stroke rehabilitation programs.
PlaTFORM: PrevenTing Falls In A High Risk, Vision Impaired Population Through Specialist ORientation And Mobility Services: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$773,768.00
Summary
While many older people fall causing injury and loss of confidence, people with vision impairment and blindness have a dramatically increased risk of falls. In the PlaTFORM study we will deliver and comprehensively evaluate a falls prevention program through instructors with specialised training in orientation and mobility. This fills a gap in services and if effective will prevent injury in this vulnerable population and promote mobility.
The ASPREE-fracture Sub-study: Does Daily Low-dose Aspirin Reduce Fracture Risk In Healthy Older Adults?
Funder
National Health and Medical Research Council
Funding Amount
$1,351,150.00
Summary
Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability ....Disability, mortality and healthcare burden from fractures in older people is a growing problem worldwide. This is despite decades of clinical research, best practice guidelines and advances in therapies that aim to reduce fracture risk. The World Health Organization has identified fracture prevention as a public health priority. This study will determine whether a widely available, simple and inexpensive health intervention—aspirin—can reduce the incidence of fracture and associated disability amongst older Australians.Read moreRead less
A Randomised Controlled Trial Of Cognitive-only And Cognitive-motor Training To Prevent Falls In Older People: Understanding Physical, Neuropsychological And Neural Mechanisms
Funder
National Health and Medical Research Council
Funding Amount
$1,624,934.00
Summary
The rate of falls in older people remains a significant problem. We have developed and validated a home-based computerised training intervention that can be delivered either while seated (cognitive) or while standing and undertaking balance exercises (cognitive+motor). This unique design will allow us to assess whether cognitive and cognitive+motor training can prevent falls, as well as the neural, physiological, physical and neuropsychological mechanisms behind the intervention effects.
Innovative Patient Education For Preventing Falls After Hospital Discharge
Funder
National Health and Medical Research Council
Funding Amount
$573,186.00
Summary
Older people are at increased risk of falls after hospital discharge, but have low levels of knowledge about falls and may be reluctant to undertake falls prevention activities. Providing suitable education may reduce falls in these older patients. This randomized trial will determine if providing personalized falls prevention education in addition to usual care, reduces falls among older people after they leave hospital. Falls are the leading cause of injury among older people in Australia
Evaluating “Standing Tall” – An Engaging Home-based Exercise Program Using Mobile Technology For Maximizing Long-term Adherence And Preventing Falls In Older People: Randomized Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$791,081.00
Summary
Current evidence suggests that older people have to exercise for two hours per week for six months to prevent falls, with a strong focus on balance exercises. We have developed and tested an engaging home-based balance training program delivered through mobile (tablet) technology, called ‘Standing Tall’. We propose a randomised controlled trial to examine the effectiveness of our program for preventing falls in 500 community-dwelling older people, in addition to adherence- and cost-analyses.
Fall Prevention And Physical Activity Promotion For Older Adults: Cluster Trial Of Effectiveness And Cost-effectiveness
Funder
National Health and Medical Research Council
Funding Amount
$1,291,950.00
Summary
This cluster randomised controlled trial will establish the impact on physical activity and falls of an intervention program that targets both physical activity and falls using assessment, advice and health coaching. The trial will involve 60 established groups of older people, recruited from local chapters of community organisations including Probus, the Older Women’s Network, registered clubs and church groups (estimated average group size of 10; total n = 600).