Maximum Acceptable Risk Of Complication In Total Knee Arthroplasty (MARKA) Study: Using Discreet Choice Experiments To Elicit Patient And Surgeon Perception Of Acceptable Risk In Total Knee Arthroplasty
Funder
National Health and Medical Research Council
Funding Amount
$465,199.00
Summary
Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end- ....Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end-stage osteoarthritis.Read moreRead less
Improving Rehabilitation Outcomes Through Self-Management: My Therapy
Funder
National Health and Medical Research Council
Funding Amount
$743,438.00
Summary
We must ensure patients have enough therapy practice for the best inpatient rehabilitation outcomes. During rehabilitation, we know patients don't often receive enough therapy and actually spend most of the day sitting and lying down. My Therapy was designed to increase independent practice of therapy exercises during rehabilitation, in addition to usual care, without additional staff. Through My Therapy, patients achieved 100 extra minutes of weekly therapy participation and better function.
Harnessing Information Technology To Improve Self-management Behaviours And Health Outcome In People With Heart Failure: A Smarthome Ecosystem Living Lab Study
Funder
National Health and Medical Research Council
Funding Amount
$1,120,226.00
Summary
The burden of heart failure in Australia is substantial. Management of heart failure is complex and requires self-management of symptoms and behaviour change, which requires ongoing education and support to achieve. Current approaches for supporting self-management do not meet the needs of people with heart failure or the healthcare system. This Australian first project aims to co-design an intelligent smart home ecosystem (Smart Heart) to support the management for people with heart failure.
Next-gen accident prevention: a new theory and toolkit for safer systems. This project aims to address limitations associated with existing accident causation theory and methodologies. Accident prevention across high risk industries is constrained by limitations in accident theory and methodologies. As a result, reductions in injuries and fatalities in most domains are plateauing. The expected outputs of the project include a new theory of accident causation, a new proactive risk assessment meth ....Next-gen accident prevention: a new theory and toolkit for safer systems. This project aims to address limitations associated with existing accident causation theory and methodologies. Accident prevention across high risk industries is constrained by limitations in accident theory and methodologies. As a result, reductions in injuries and fatalities in most domains are plateauing. The expected outputs of the project include a new theory of accident causation, a new proactive risk assessment methodology and a new methodology for analysing accidents. This will provide organisations and researchers with a powerful framework for enhanced accident analysis and prevention activities. This will provide significant benefits, associated with reductions in accidents, injuries and fatalities.Read moreRead less
Application of contemporary systems-based methods to reduce trauma at rail level crossings. Crashes at railway level crossings continue to cause significant trauma across Australia. Despite being a longstanding safety problem, the design and operation of level crossings has not changed considerably for decades. This research will provide an in-depth understanding of road user, environmental and infrastructure-related factors that influence safety and performance at rail level crossings. This wil ....Application of contemporary systems-based methods to reduce trauma at rail level crossings. Crashes at railway level crossings continue to cause significant trauma across Australia. Despite being a longstanding safety problem, the design and operation of level crossings has not changed considerably for decades. This research will provide an in-depth understanding of road user, environmental and infrastructure-related factors that influence safety and performance at rail level crossings. This will be used to develop a world-first model of the level crossing system that is needed to support the development of innovative countermeasures that will improve safety. Reductions in the levels of significant trauma at level crossings, and new public policy for level crossing upgrades, are the intended real-world outcomes.Read moreRead less
Which Heart Failure Intervention Is Most Cost Effective In Reducing Hospital Care (WHICH? II) Trial: A Multicentre, Randomised Trial Of Standard Versus Intensified Management Of Metropolitan And Regional-dwelling Patients With Heart Failure
Funder
National Health and Medical Research Council
Funding Amount
$1,891,210.00
Summary
Chronic heart failure (CHF) management programs are now the gold-standard to cost-effectively care for thousands of Australians hospitalised with CHF each year. We’ve shown that home-based management is most cost-effective in reducing hospital stay in CHF. The Which Intervention is most Cost-effective in reducing Hospital care (WHICH? II) Trial, a multicentre, randomised study, will determine if more intensive care (via home visits and remote care contacts) further improves poor outcomes in CHF.
Stroke is a medical emergency. Admission to a stroke unit; administration of clot busting therapy to eligible patients; and treatment of fever, raised blood sugar and swallowing difficulties are therapies with demonstrated evidence to reduce death and disability. Our study will rigorously evaluate an organisational intervention to deliver these initiatives in Emergency Departments. We hypothesise this will deliver further significant improvements in 90-day health outcomes and patient recovery.
A Multi-centre RCT To Prevent Secondary Falls In Older People Presenting To The Emergency Department With A Fall
Funder
National Health and Medical Research Council
Funding Amount
$1,534,471.00
Summary
Falls are a leading cause for presentation to Emergency Departments (EDs) by older patients. More than 50% who present to ED with a fall injury have fallen in the previous year. RESPOND is an innovative post-ED discharge program designed to reduce secondary falls in older people. RESPOND extends current falls prevention research and practice by incorporating patient-centred education with behaviour change strategies proven to be effective in the secondary prevention of cardiovascular events.
Dynamic Rollover Occupant Protection (DROP): evaluation and regulation. This projects seeks to establish which occupant crashworthiness attributes a vehicle must possess to prevent injury in a rollover crash. The results will assist regulators, industry and consumer groups understand which critical factors need to be considered to develop rollover crashworthiness regulations, consumer tests and vehicle purchase policy.
Discovery Early Career Researcher Award - Grant ID: DE180100825
Funder
Australian Research Council
Funding Amount
$336,128.00
Summary
Evaluating interventions to prevent serious road traffic crashes. This project aims to advance knowledge on the prevention of road traffic crashes that result in serious injury or death. Road traffic injuries are the second leading cause of hospitalised injury and injury-related deaths in Australia, and are estimated to cost the economy $27 billion annually. This project will establish a data collection system that will evaluate existing and novel countermeasures to serious road traffic crashes. ....Evaluating interventions to prevent serious road traffic crashes. This project aims to advance knowledge on the prevention of road traffic crashes that result in serious injury or death. Road traffic injuries are the second leading cause of hospitalised injury and injury-related deaths in Australia, and are estimated to cost the economy $27 billion annually. This project will establish a data collection system that will evaluate existing and novel countermeasures to serious road traffic crashes. The outcome of this project will inform road safety policies and cost-effective countermeasures. Insights from the project can contribute to road safety improvements in Australia and a substantial reduction in the burden of fatal and non-fatal road traffic injury.Read moreRead less