Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Linking for Life: Enhancing pathways to well-being for all Australians. The Linking for Life Project will identify pathways to wellbeing and better social outcomes across the life-course for high-risk/vulnerable individuals and their families to streamline service provision, improve outcomes and identify cost-efficiencies across government agencies. The work will expand cross-sectoral data linkage capability, enhancing research capacity to generate evidence-based policy to improve integrated ser ....Linking for Life: Enhancing pathways to well-being for all Australians. The Linking for Life Project will identify pathways to wellbeing and better social outcomes across the life-course for high-risk/vulnerable individuals and their families to streamline service provision, improve outcomes and identify cost-efficiencies across government agencies. The work will expand cross-sectoral data linkage capability, enhancing research capacity to generate evidence-based policy to improve integrated service delivery across government. The project will also trial innovative data linkage models including the creation of data repositories to improve efficiency for data provision and access, which will have application nationally and enable more timely access to whole-population linked cross-sector data.Read moreRead less
Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide ....Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide a comprehensive assessment of driving performance for drivers with mild dementia and a comparison group without dementia. The project will create a partnership between leading researchers, clinicians and policy makers in order to provide an answer to a complex problem.Read moreRead less
Social practices of oral health in Australian preschool children. The aim of the study is to explore "social practices" of oral health in Australian (Aboriginal and non-Aboriginal) preschool children. We use this emerging theory to move away from focusing on individuals and individual behaviour (and blame) to identify and map social practices: actions, materials and meanings families attribute to
child’s oral health. Expected project outcomes include identifying practices promoting or underminin ....Social practices of oral health in Australian preschool children. The aim of the study is to explore "social practices" of oral health in Australian (Aboriginal and non-Aboriginal) preschool children. We use this emerging theory to move away from focusing on individuals and individual behaviour (and blame) to identify and map social practices: actions, materials and meanings families attribute to
child’s oral health. Expected project outcomes include identifying practices promoting or undermining children’s oral health that can inform upstream and downstream policy directions and practices to improve health outcomes. This offers a new approach to "wicked" problems such as oral health where extensive
effort has not reduced morbidity and cost despite rhetoric that oral health is preventable.Read moreRead less
Effective clinical handover communication: improving patient safety, experiences and outcomes. Communication in clinical handover (transfer of responsibility for patient care) plays a causal role in many adverse events. This project will contribute new knowledge for improvements in handover communication which will be shared across hospitals and health departments nationally to improve patient safety and reduce healthcare costs.
Policy orientation of non-health sectors to social determinants of health. This project aims to advance understanding of how Australian government policies in four sectors (justice, environment, planning, and industry) are oriented to action on social determinants of health equity (SDHE), including Indigenous health. Evidence shows that government policy in all sectors affects health. The World Health Organization and the United Nations have called for whole-of-government approaches to SDHE. The ....Policy orientation of non-health sectors to social determinants of health. This project aims to advance understanding of how Australian government policies in four sectors (justice, environment, planning, and industry) are oriented to action on social determinants of health equity (SDHE), including Indigenous health. Evidence shows that government policy in all sectors affects health. The World Health Organization and the United Nations have called for whole-of-government approaches to SDHE. The project plans to apply theory to understand how policy values and strategies in the selected sectors provide for or present barriers to this approach. Expected project outcomes will produce evidence for policy-makers on how to strengthen policy coherence across sectors to address SDHE more effectively in order to promote Australian health and reduce health inequities.Read moreRead less
Global dementias: Examining structural vulnerability and dementia outcomes. This project aims to examine the social and cultural dimensions of dementia by using a comparative ethnographic approach to examine the experiences of people living with dementia in Australia, Malaysia and India. The project expects to generate new anthropological knowledge about structural inequalities by examining how dementia is responded to in diverse geographic, cultural and social settings. Expected outcomes of thi ....Global dementias: Examining structural vulnerability and dementia outcomes. This project aims to examine the social and cultural dimensions of dementia by using a comparative ethnographic approach to examine the experiences of people living with dementia in Australia, Malaysia and India. The project expects to generate new anthropological knowledge about structural inequalities by examining how dementia is responded to in diverse geographic, cultural and social settings. Expected outcomes of this project include the creation of a new evidence-base on dementia and the production of briefing documents to guide global health frameworks. The project should provide significant benefits for people living with dementia by providing locally-relevant strategies to respond to dementia and resultant disability.Read moreRead less
Innovative Health Programs To Reduce Inequality In Heart Disease
Funder
National Health and Medical Research Council
Funding Amount
$876,005.00
Summary
As part of his Senior NHMRC Fellowship, Prof Simon Stewart, a world-renowned health services researcher, will lead an internationally linked team of researchers from a broad range of health disciplines to undertake a program of research designed to improve the lives of those most vulnerable to heart disease and poor health outcomes. His program of research will focus on Indigenous Australians, patients with complex forms of heart disease and urban African communities in economic transition.
Looking Forward - Moving Forward Project: Transforming Systems To Improve Mental Health And Drug And Alcohol Outcomes For Aboriginal Peoples
Funder
National Health and Medical Research Council
Funding Amount
$1,304,508.00
Summary
Despite the clear need for support, Aboriginal people do not access mental health and drug and alcohol services at a level that corresponds with their need. We need to know how services can respond appropriately to this high-risk group of people. This project brings together Perth-based services, researchers and local Aboriginal Elders to implement and evaluate a framework for organisational change that will transform the way in which services respond to Aboriginal people.
Options, Opportunities and Older people: An exploration of care transitions of older people. Older Australians experience transition points in type and level of support needed to age in their place of choice. Transition points refer to some form of destabilisation in the life of the older person resulting in a changed level of care required along the continuum of care options and opportunities available. This multi-stage, multi-State, qualitative study will determine what constitutes a 'good t ....Options, Opportunities and Older people: An exploration of care transitions of older people. Older Australians experience transition points in type and level of support needed to age in their place of choice. Transition points refer to some form of destabilisation in the life of the older person resulting in a changed level of care required along the continuum of care options and opportunities available. This multi-stage, multi-State, qualitative study will determine what constitutes a 'good transition' for older people, how 'transition points' are identified by consumers and service providers, and what happens after such identification. The study contributes to prevention and early intervention responses enabling older people to age in place wherever possible.Read moreRead less