Effectiveness Of Occupational Therapy Homevisits To Improve Participation After Stroke
Funder
National Health and Medical Research Council
Funding Amount
$1,774,083.00
Summary
This randomized controlled trial will determine the effectiveness of occupational therapy pre-discharge homevisits for people after stroke, with health economic evaluation conducted alongside to determine the cost-benefits. Recruiting adults from Australian rehabilitation hospitals, this study is designed to provide guidance for hospitals, policy-makers and clinical practice guideline developers on whether occupational therapy homevisits improve the level of community participation after stroke.
A Network Of Sites And ‘up-skilled’ Therapists To Deliver Best Practice Stroke Rehabilitation Of The Upper Limb.
Funder
National Health and Medical Research Council
Funding Amount
$955,910.00
Summary
We aim, through our partnership, to bring better therapy to more stroke survivors. Effective therapies are available to improve hand function but survivors are not currently receiving these. We will systematically address this evidence-practice gap using knowledge-transfer methods to up-skill therapists and change practice behaviours. A network of sites and up-skilled therapists will deliver this therapy and sustain change. A template will guide future translational activities.
Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment prot ....Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment protocols, practices and interventions leading to effective OHS policies, thus enabling global improvement in OHS in the music industry, preventing economic and personal loss from premature career termination due to injury, and assisting, through mentoring, the new generation of young orchestral musicians.Read moreRead less
Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation st ....Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation strategies based on viable brain will maximise the capacity for persons with stroke to reach their full potential for recovery and ensure rehabilitation is more targeted and cost efficient. Improved capacity to benefit from treatment will have ongoing benefits for activity participation and productive living in Australians who experience stroke.Read moreRead less
Bilateral Cochlear Implants for Children: Does a Second Implant Improve Language, Psychosocial and Other Outcomes? Severe-profound congenital hearing loss engenders significant costs to society. In 2005, specialised education cost -- on average $25,000 per child, loss of productivity cost -- $6.7 billion, and social security benefits were paid to approximately 129,000 individuals who were unemployed due to hearing loss. If bilateral cochlear implantation results in improved language, social dev ....Bilateral Cochlear Implants for Children: Does a Second Implant Improve Language, Psychosocial and Other Outcomes? Severe-profound congenital hearing loss engenders significant costs to society. In 2005, specialised education cost -- on average $25,000 per child, loss of productivity cost -- $6.7 billion, and social security benefits were paid to approximately 129,000 individuals who were unemployed due to hearing loss. If bilateral cochlear implantation results in improved language, social development, and academic outcomes, the community benefits arising will be greatly improved quality of life for these individuals and significant savings to society. In partnership with Cochlear Ltd, this study will provide some of the first data worldwide comparing the effects of an additional implant on language, social and educational outcomes.Read moreRead less
Knee osteoarthritis: Getting moving with physiotherapy. Knee osteoarthritis (OA) is a prevalent chronic musculoskeletal condition causing pain, disability and reduced quality-of-life. Further rises in the prevalence of knee OA and associated patient and economic costs are expected due to an ageing population and increasing risk factors for OA such as obesity. This research will provide important information about the role of modified footwear and gait retraining in management of knee OA which ca ....Knee osteoarthritis: Getting moving with physiotherapy. Knee osteoarthritis (OA) is a prevalent chronic musculoskeletal condition causing pain, disability and reduced quality-of-life. Further rises in the prevalence of knee OA and associated patient and economic costs are expected due to an ageing population and increasing risk factors for OA such as obesity. This research will provide important information about the role of modified footwear and gait retraining in management of knee OA which can influence current clinical practice. This has the potential to reduce the burden of knee OA from both an individual and societal perspective. Furthermore, the research will result in a commercially available shoe suitable for people with knee OA. Read moreRead less
ELEMENTS: A Virtual-Reality Augmented Workspace for Movement Rehabilitation of Traumatic Brain Injury Patients. The broad aim of the project is to design, develop and evaluate an interactive virtual environment (VE) called ELEMENTS that supports movement assessment and rehabilitation for patients recovering from Traumatic Brain Injury (TBI). We will use current knowledge of the neural basis of movement control and learning to create VEs that will help re-train patients' sense of multimodal space ....ELEMENTS: A Virtual-Reality Augmented Workspace for Movement Rehabilitation of Traumatic Brain Injury Patients. The broad aim of the project is to design, develop and evaluate an interactive virtual environment (VE) called ELEMENTS that supports movement assessment and rehabilitation for patients recovering from Traumatic Brain Injury (TBI). We will use current knowledge of the neural basis of movement control and learning to create VEs that will help re-train patients' sense of multimodal space, their position within it, and the predictive control of actions. We will adapt our training environments for use on readily available technologies, creating a treatment method amenable to remote delivery. This will extend rehabilitation practices beyond their current constraints.Read moreRead less
Improving Employment Outcomes in Early Psychosis: Social and Economic Benefits of Early Intervention. Over 74% of people with psychotic illnesses like schizophrenia, despite wanting to work, are unemployed, more than any other disability group. This project examines an evidence-based method in which young people with psychosis can be effectively supported to return to the competitive labour market. In Australia, unemployment of people with schizophrenia costs $927 million, over half the total il ....Improving Employment Outcomes in Early Psychosis: Social and Economic Benefits of Early Intervention. Over 74% of people with psychotic illnesses like schizophrenia, despite wanting to work, are unemployed, more than any other disability group. This project examines an evidence-based method in which young people with psychosis can be effectively supported to return to the competitive labour market. In Australia, unemployment of people with schizophrenia costs $927 million, over half the total illness costs of schizophrenia. For people with psychosis, unemployment exacerbates social and economic marginalisation. This project aims to reduce the economic cost of unemployment among the mentally ill as well as using employment to reduce social marginalisation of people with mental illness.Read moreRead less
Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Tri ....Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Trial (AVERT) program. The trial tests whether a simple, rehabilitation intervention (early and intensive out of bed activity) results in fewer deaths and less disability for stroke sufferers and is cost effective. If effective the intervention could be adopted across different health services both here and overseas, reducing the global burden of stroke.Read moreRead less
Stuttering in childhood: Patterns of recovery and persistence. This project will benefit the 1 in 20 Australian children who stutter and their families. We will learn for the first time how stuttering impacts on child development in the early school years and document the relationship between stuttering and other childhood conditions. The study will produce much needed information about recovery from stuttering and stuttering persistence. Therefore new knowledge will result to inform the scienti ....Stuttering in childhood: Patterns of recovery and persistence. This project will benefit the 1 in 20 Australian children who stutter and their families. We will learn for the first time how stuttering impacts on child development in the early school years and document the relationship between stuttering and other childhood conditions. The study will produce much needed information about recovery from stuttering and stuttering persistence. Therefore new knowledge will result to inform the scientific community and provide professionals and families with much needed evidence-based information about stuttering progression. Together this information will inform intervention approaches and help direct resources to those children who need them most. Read moreRead less