Development And Evaluation Of A Decision Aid For Women With A Breech-presenting Baby.
Funder
National Health and Medical Research Council
Funding Amount
$156,890.00
Summary
Many studies have shown that women want to participate in clinical decisions about the treatments they receive during pregnancy and that involvement in decision making increases satisfaction with maternity care. Decision aids are interventions to help people make specific and deliberative decisions by providing information on the options and outcomes relevant to the person's health. This project aims to develop and evaluate the world's first decision aid for women with a breech presenting baby ( ....Many studies have shown that women want to participate in clinical decisions about the treatments they receive during pregnancy and that involvement in decision making increases satisfaction with maternity care. Decision aids are interventions to help people make specific and deliberative decisions by providing information on the options and outcomes relevant to the person's health. This project aims to develop and evaluate the world's first decision aid for women with a breech presenting baby (bottom rather than head first) in late pregnancy. A decision aid for breech presentation is timely because recent results of an international trial have dramatically altered women's options in the management of breech presentation. The trial of vaginal breech birth versus planned caesarean section (CS) found overwhelming evidence of reduced infant death and disability for women with a planned CS. Planned CS is now considered best practice for delivery of a breech presentation at birth. However, another treatment option for women with a breech presentation is turning the breech to head first before birth (called external cephalic version, ECV). Each of these options (ECV or planned CS) has benefits and risks, and the relative importance of these benefits and risks varies for individual women, a scenario where a decision aid produces the greatest benefit. The breech decision aid developed in this project will be based on the best and most recently available evidence and outcomes. It will incorporate a workbook, audiotape-CD and worksheet that will guide (but not direct) women to a treatment option that best suits them, taking ~20 minutes to complete. The decision aid will be evaluated to assess the impact on women's satisfaction with decision making, knowledge, anxiety and pregnancy outcomes. If successful, the results could be applied to improve consumer information and participation in clinical decisions across a wide spectrum of pregnancy care issues.Read moreRead less
Developing And Measuring Palliative Care Decision Making Skill
Funder
National Health and Medical Research Council
Funding Amount
$137,000.00
Summary
Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested ....Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested.Read moreRead less
An explainability oriented approach to manage dependent supply chain risks. This project aims to help supply chain companies model the impact on their operations by capturing the uncertainties impacting their upstream suppliers. In the current uncertain business environment, the project's outcome will benefit service-based industries to have an enhanced understanding of their operating environment and take decisions accordingly to avoid failures. This will significantly increase the productivity ....An explainability oriented approach to manage dependent supply chain risks. This project aims to help supply chain companies model the impact on their operations by capturing the uncertainties impacting their upstream suppliers. In the current uncertain business environment, the project's outcome will benefit service-based industries to have an enhanced understanding of their operating environment and take decisions accordingly to avoid failures. This will significantly increase the productivity of Australian service-based industries across different domains. The expected outcome is that it generates new knowledge by which risk managers of a focal company can conjointly consider risk identification/assessment with risk management analysis to develop explainable strategies for managing uncertainties. Read moreRead less
A Randomised Controlled Trial Of A Decision Aid For The Management Of Pain In Labour And Childbirth
Funder
National Health and Medical Research Council
Funding Amount
$267,375.00
Summary
Many studies have shown that women want to participate in clinical decisions about the treatments they receive during pregnancy and that involvement in decision making increases satisfaction with maternity care. Decision aids are interventions to help people make specific and deliberative decisions by providing information on the options and outcomes relevant to the person's health. This project aims to develop and evaluate the world's first decision aid for women regarding the management of pai ....Many studies have shown that women want to participate in clinical decisions about the treatments they receive during pregnancy and that involvement in decision making increases satisfaction with maternity care. Decision aids are interventions to help people make specific and deliberative decisions by providing information on the options and outcomes relevant to the person's health. This project aims to develop and evaluate the world's first decision aid for women regarding the management of pain in labour and childbirth. A decision aid for managing the pain of childbirth is both practical and timely because there is a strong evidence base on labour analgesia but a lack of evidence-based information for women. For example, brochures on epidural analgesia outline the advantages of epidurals such as complete amelioration of pain, but do not present any information on adverse obstetric outcomes such as the doubling of risk for an instrumental birth. Most women are willing to experience pain in childbirth but do not want pain to overwhelm them. The decision aid will include a range of available drug and non-drug options for pain relief in labour and childbirth. Each of the options has benefits and risks, and the relative importance of these benefits and risks varies for individual women, a scenario where a decision aid produces the greatest benefit. The pain management decision aid developed in this project will be based on the best most recently available evidence and outcomes. It will incorporate a workbook, audiotape-CD and worksheet that will guide (but not direct) women with their pain management options that best suit them, taking ~30 minutes to complete. The decision aid will be evaluated to assess the impact on women's satisfaction with decision making, knowledge, anxiety and pregnancy outcomes. If successful, the results could be applied to improve consumer information and participation in clinical decisions across a wide spectrum of pregnancy care issues.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE230101281
Funder
Australian Research Council
Funding Amount
$329,278.00
Summary
An Efficient Computational Solver for Complex Engineering Problems. This project aims to address significant gaps in the existing knowledge about solving complex engineering problems that involve conflicting objectives and unquantifiable features. In these problems, the decision-maker is interested in knowing high-quality and dissimilar solutions that determine the trade-off between the problem objectives. The intended outcomes of this project include a novel robust computational solver that can ....An Efficient Computational Solver for Complex Engineering Problems. This project aims to address significant gaps in the existing knowledge about solving complex engineering problems that involve conflicting objectives and unquantifiable features. In these problems, the decision-maker is interested in knowing high-quality and dissimilar solutions that determine the trade-off between the problem objectives. The intended outcomes of this project include a novel robust computational solver that can automatically find such solutions. The decision-makers can then choose the final solution based on their expertise and preferences. This expects to offer significant benefits to diverse engineering disciplines by finding superior and more practical solutions to their complex multidisciplinary problems.Read moreRead less
Closing The Evidence-practice Gap In Total Knee Replacement: Optimising Evidence-based Decision-making Through A Multi-dimensional Surgeon Feedback Intervention
Funder
National Health and Medical Research Council
Funding Amount
$1,091,926.00
Summary
Total knee replacement (TKR) is one of the most successful surgeries for treating knee arthritis. With an ageing population demand for TKR will increase dramatically, placing burden on our health system. It is estimated that 25% of TKRs are performed in inappropriate candidates according to evidence-based guidelines. This project evaluates a program for surgeons that will improve adherence to using guidelines, which will improve efficiencies & equitability of this important surgical procedure.
Discovery Early Career Researcher Award - Grant ID: DE240101245
Funder
Australian Research Council
Funding Amount
$445,047.00
Summary
Automated Modelling Assistance for the Creation of Complex Planning Models. Artificial Intelligence (AI) planning technology is used to control systems like automated factories, robots, or to solve complex optimisation problems. Creating these models is however rather complex and error-prone and requires experts to create them in the first place. This project aims at developing techniques and tools for automated modelling support. They will make the modelling process easier and guarantee desired ....Automated Modelling Assistance for the Creation of Complex Planning Models. Artificial Intelligence (AI) planning technology is used to control systems like automated factories, robots, or to solve complex optimisation problems. Creating these models is however rather complex and error-prone and requires experts to create them in the first place. This project aims at developing techniques and tools for automated modelling support. They will make the modelling process easier and guarantee desired model properties such as the desired system behaviour. The tools will thus contribute towards making the technology more easily accessible to companies that might want to deploy them, while reducing costs for doing so and increasing the quality of these models.
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