Understanding And Preventing Avoidable Readmissions: Development Of A Patient Centered And Disease Specific Screening Tool
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop a screenings tool to prevent unplanned re-admissions, based on specific patient centred and disease specific factors. We will include index admission data (367,782 in 2015) of five MACH hospitals. The cohort will be divided into a group for index derivation and a group for internal validation. Variables on patient and admission characteristics are based on literature. After internal validation we will validate the tool externally and implement it in clinical practice
Can Self-management Education Programs Improve Outcomes Of People With Osteoarthritis?
Funder
National Health and Medical Research Council
Funding Amount
$343,874.00
Summary
Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Tre ....Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Treatment guidelines used by doctors to treat people with arthritis regularly recommend that patients should be referred to such courses. Although the course is widely distributed, the evidence scientific evidence regarding its effectiveness is patchy, and some overviews suggest it is not useful at all. Confusion exists regarding the value of the course. While treatment guidelines advise doctors to refer patients to the program by very few GPs, Rheumatologist or Orthopaedic surgeons do refer. The proposed study is a large controlled trial which will provide essential evidence to inform patients, doctors and policy makers on the benefits of the course. It will involve people with well defined moderate to severe arthritis who have consulted a surgeon or rheumatologist. People will be randomised to receive the intervention (two hours per week, six session course including an 'arthritis self-help' book) will be compared with people in a control group (who only receive the book without instruction). People will be followed for 1 year to see if the course improves quality of life, health behaviours, and whether less health care resources (ie attendance at doctors or less medication use) are used. The results of this study will be influential in determining government policy as the number of people with chronic diseases like arthritis is rapidly growing and the acute healthcare system, including hospitals, are poorly equipped to deal with this growing problem.Read moreRead less
CATCH: Children, Active Travel, Connectedness and Health. This project will explore built and social environmental influences on children's independent mobility, active travel and health. The research will provide necessary evidentiary support to justify government and development industry policy supportive of healthy and child-friendly environments.
Gender, Local Governance, and Violence Prevention: Making the Links. Violence results in enormous social and economic costs to individuals and to Australian society. Part of the problem is that crime and violence in public space, and violence in homes, are considered separate issues in research and policy. This project will pilot innovative integrated violence prevention programs in four local government areas (including one rural-urban fringe and one rural municipality). Training materials a ....Gender, Local Governance, and Violence Prevention: Making the Links. Violence results in enormous social and economic costs to individuals and to Australian society. Part of the problem is that crime and violence in public space, and violence in homes, are considered separate issues in research and policy. This project will pilot innovative integrated violence prevention programs in four local government areas (including one rural-urban fringe and one rural municipality). Training materials and workshops based on these programs will be developed that can inform local, state, and national violence prevention strategies in both urban and rural/regional areas.Read moreRead less
Redesigning apartment policy standards for health and wellbeing. This project aims to examine the impact of apartment design standards on residents’ health and wellbeing. It seeks to (1) identify a refined set of evidence-informed quantifiable policy standards that protect residents’ health and wellbeing; and (2) evaluate their uptake by industry and barriers to implementation. Many design standards are based on intuition and experience rather than empirical evidence, and little is known about w ....Redesigning apartment policy standards for health and wellbeing. This project aims to examine the impact of apartment design standards on residents’ health and wellbeing. It seeks to (1) identify a refined set of evidence-informed quantifiable policy standards that protect residents’ health and wellbeing; and (2) evaluate their uptake by industry and barriers to implementation. Many design standards are based on intuition and experience rather than empirical evidence, and little is known about whether the standards and thresholds stipulated are sufficient to support health. Expected outcomes include tailored policy-specific recommendations for design policy and the planning of apartment precincts. Benefits include the delivery of convivial, equitable, healthy and sustainable apartment housing.Read moreRead less
iMATCH: Independent mobility, active travel and children's health. Policy interventions are used across Australia to improve children's independent mobility, to increase children's physical activity levels and social interaction, and to generate more sustainable travel behaviour, particularly for the journey to school. iMATCH provides a holistic and inter-disciplinary evaluation of policy interventions than is undertaken for most evaluations of school travel and children's travel behaviour polic ....iMATCH: Independent mobility, active travel and children's health. Policy interventions are used across Australia to improve children's independent mobility, to increase children's physical activity levels and social interaction, and to generate more sustainable travel behaviour, particularly for the journey to school. iMATCH provides a holistic and inter-disciplinary evaluation of policy interventions than is undertaken for most evaluations of school travel and children's travel behaviour policies and programs. By controlling for the influence of the built and social environment, the project will provide the necessary support to justify these policy interventions and to identify key improvements for their delivery, supporting more sustainable and healthy lifestyles for Australia's children.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE170101180
Funder
Australian Research Council
Funding Amount
$327,900.00
Summary
Understanding and preventing road deaths using coronial investigations. This project aims to study coronial death investigations of fatal road crashes in Australia using public health and road safety theoretical frameworks. Fatal road crashes are sudden, unexpected and violent. Each fatality has a lasting effect resulting in immeasurable emotional costs and a financial burden in excess of $3.8 billion per year. Intended outcomes will contribute to understanding of fatal road crashes including pr ....Understanding and preventing road deaths using coronial investigations. This project aims to study coronial death investigations of fatal road crashes in Australia using public health and road safety theoretical frameworks. Fatal road crashes are sudden, unexpected and violent. Each fatality has a lasting effect resulting in immeasurable emotional costs and a financial burden in excess of $3.8 billion per year. Intended outcomes will contribute to understanding of fatal road crashes including pre-crash social factors (e.g. alcohol/drug use and dependence, unemployment, age), the use and effect of coronial recommendations on road safety policy and practice, and preventing deaths on Australian roads.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE160100140
Funder
Australian Research Council
Funding Amount
$364,163.00
Summary
The policy and practice of designing healthy, equitable higher density. This project aims to investigate higher density housing and the impact of policy guidance, on-ground implementation of building design criteria, and locational characteristics on residents’ wellbeing. Higher density housing is promoted to sustainably accommodate population growth; however, in some Australian cities there is limited design and planning guidance. Could this have implications for the quality, versatility and eq ....The policy and practice of designing healthy, equitable higher density. This project aims to investigate higher density housing and the impact of policy guidance, on-ground implementation of building design criteria, and locational characteristics on residents’ wellbeing. Higher density housing is promoted to sustainably accommodate population growth; however, in some Australian cities there is limited design and planning guidance. Could this have implications for the quality, versatility and equity of the housing provided, and for the health and wellbeing of residents? This project aims to produce new policy-specific empirical evidence around these issues that could inform higher density design guidance in Australia and internationally. Findings have the potential to change public policy to mandate the inclusion of health-enhancing design requirements in future higher density developments.Read moreRead less
Reducing Unintended Pregnancies Among Female Sex Workers In Kenya Using MHealth: A Cluster Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$730,028.00
Summary
This research in Kenya aims to improve the health of female sex workers, their children and their partners through increasing uptake of family planning methods. This cluster randomised controlled trial will generate valuable evidence to inform policies and public health interventions on the effectiveness of a mobile phone delivered intervention aiming to increase sexual and reproductive health service uptake among hard-to-reach and marginalized sex workers in resource-limited settings.
Eco-RESIDE: An Economic Evaluation Of Urban Design As A Means Of Promoting Physical Activity
Funder
National Health and Medical Research Council
Funding Amount
$422,612.00
Summary
The significance of this project lies in the health problem that it seeks to address and the intervention that is being evaluated. Physical inactivity ranks second only to tobacco use in terms of the costs of diseases associated with behavioural risk factors. Declining rates of physical activity have been associated with increasing rates of obesity and overweight in Australian children and adults. The association that one sees between features of the urban environment and physical activity level ....The significance of this project lies in the health problem that it seeks to address and the intervention that is being evaluated. Physical inactivity ranks second only to tobacco use in terms of the costs of diseases associated with behavioural risk factors. Declining rates of physical activity have been associated with increasing rates of obesity and overweight in Australian children and adults. The association that one sees between features of the urban environment and physical activity levels suggests that urban planning guidelines may be a cost-effective means of promoting health and achieving other social objectives such as sustainable use of natural resources. Furthermore, not enough is known about the economic value of investing in health promoting interventions and this project is among the first to measure the costs and benefits of intervening at the environmental level. The information that it provides will be highly useful for local government and health service planners alike.Read moreRead less