INTroducing A Care Bundle To Prevent Pressure Injury (the INTACT Trial)
Funder
National Health and Medical Research Council
Funding Amount
$1,093,250.00
Summary
In Australia, hospital acquired pressure injuries (i.e. bedsores) range from 7.4% – 17.4%. A care bundle is a structured group of interventions associated with improved patient outcomes. The aim of this 3-year cluster randomised controlled trial is to provide rigorous evidence regarding the effect of a patient centred pressure injury prevention care bundle on the development of pressure injuries in patients at risk of developing a hospital acquired pressure injury.
Consumer Information Materials And A Communication Aid For Diagnostic Tests For Breast Disease
Funder
National Health and Medical Research Council
Funding Amount
$105,863.00
Summary
Many studies have now shown that the majority of patients want to participate in clinical decisions about medical treatments they might receive. As a result, information materials are being developed to help consumers and doctors work together to reach satisfying treatment decisions which are based on the best available evidence and also reflect the individual patient's needs and preferences about the treatment options. Very little is known, however, about whether consumers also want to particip ....Many studies have now shown that the majority of patients want to participate in clinical decisions about medical treatments they might receive. As a result, information materials are being developed to help consumers and doctors work together to reach satisfying treatment decisions which are based on the best available evidence and also reflect the individual patient's needs and preferences about the treatment options. Very little is known, however, about whether consumers also want to participate in decisions about whether to have a medical test. Tests can be trivial, such as a blood or urine test, or quite major and invasive, such as a biopsy or a colonoscopy. People considering a medical test might want to know the answers to the following questions: What is my chance of having the disease being tested for? If the test result is positive what is the chance I have the disease? If the test result is negative what is the chance I have the disease anyway? How will the test result influence treatment of my condition? What are possible side-effects of the test? Generally information materials about medical tests only describe the test itself, and do not contain the information people need to answer these questions. Even doctors may not have to hand the data needed to answer these questions. Yet without this information, consumers cannot make truly informed and rational choices about whether to have the test. This project aims to find out whether consumers want to participate in decisions about medical tests, what information they would want to do this, and to develop and trial information materials and a communication aid for a small number of breast cancer tests. We will use tests for diagnosing breast cancer as our model but we anticipate the work will be applicable across a wide range of medical tests.Read moreRead less
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
Consumer Perspectives And Preferences Across The Trajectory Of Chronic Kidney Disease (CKD
Funder
National Health and Medical Research Council
Funding Amount
$307,946.00
Summary
Chronic kidney disease (CKD) is a growing health problem. An understanding of patient perspectives is important to alleviate the societal burden of CKD and improve patient survival, quality of life and health. This research will identify: information needs of patients with early-stage CKD, issues relevant to dialysis patients and kidney transplant recipients, and patient preferences for organ allocation. I intend to achieve this by conducting interviews, focus groups and surveys with patients ac ....Chronic kidney disease (CKD) is a growing health problem. An understanding of patient perspectives is important to alleviate the societal burden of CKD and improve patient survival, quality of life and health. This research will identify: information needs of patients with early-stage CKD, issues relevant to dialysis patients and kidney transplant recipients, and patient preferences for organ allocation. I intend to achieve this by conducting interviews, focus groups and surveys with patients across Australia.Read moreRead less
Patient-centred EHealth Approach To Improving Outcomes For Gout Sufferers
Funder
National Health and Medical Research Council
Funding Amount
$688,354.00
Summary
Gout, caused by excessive urate, can be controlled by prescribing medication and patients adhering to them. We will conduct a 2-year controlled trial in primary care to test an eHealth tool to significantly improve gout patient outcomes. This tool tracks patients plasma urate, medication adherence, gout attacks and provides education, interaction with gout experts and reminders of medical visits. Nationwide rollout of this gout management tool will occur after improved outcomes are proven.
Secondary Prevention – Increasing Uptake And Engagement To Reduce Cardiovascular Events
Funder
National Health and Medical Research Council
Funding Amount
$421,747.00
Summary
Cardiovascular disease is a common and long-term health problem. Dr Redfern will continue to develop new and existing strategies for increasing uptake of and adherence to long-term behavioural change by people living with heart disease. The work will encompass policy development and media campaigns as well as trialling electronic communication systems such as text messaging and smart phone applications and new approaches including providing incentives for people who enact healthy behaviours.
Developing A Sustainable Community Based Response To Asbestos-related Diseases In Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$623,155.00
Summary
Asbestos-related disease in remote Aboriginal communities where asbestos mining has occurred over many decades is an under-recognised problem. In contrast to many occupationally-exposed groups, little is known or published on the burden of disease affecting these communities and health program responses based on good science are underdeveloped. This project will support two Aboriginal community-controlled primary health care services to: estimate the number of people affected in local communitie ....Asbestos-related disease in remote Aboriginal communities where asbestos mining has occurred over many decades is an under-recognised problem. In contrast to many occupationally-exposed groups, little is known or published on the burden of disease affecting these communities and health program responses based on good science are underdeveloped. This project will support two Aboriginal community-controlled primary health care services to: estimate the number of people affected in local communities; find the best way to diagnose and manage lung and asbestos disease and prevent complications; advocate for affected individuals, families and communities. Rather than the usual 'in-out' health survey, this research project will build the capacity of local communities and health service to implement and sustain holistic responses.Read moreRead less
Engagement Not Drop-out: Treating Indigenous Wellbeing Through Client-centred Care
Funder
National Health and Medical Research Council
Funding Amount
$37,488.00
Summary
This program of research explores Indigenous clients, carers and service provider�s perspectives of brief mental health interventions in distinct service settings. The findings will increase our understanding of key factors that engage and retain Indigenous people in drug and alcohol and primary health care treatment. The outcomes will support services and communities to better understand and respond to wellbeing concerns of Indigenous people.