Implementing Guidelines To Routinely Prevent Chronic Disease In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$764,446.00
Summary
High quality, evidence-based guidelines for preventive activities and for the implementation of prevention in general practice have been developed by the Royal Australian College of General Practitioners and other bodies, yet available information suggests that many patients miss out on evidence-based preventive care. This project aims to evaluate current practice and develop a model of practice aimed at improving the implementation of preventive guidelines in general practice.
Novel Retinal Architectural Vascular Signs And Risk Of Cardiovascular Disease: The AusDiab Study
Funder
National Health and Medical Research Council
Funding Amount
$754,254.00
Summary
Cardiovascular disease (CVD) and diabetes are major health problems. Identifying 'people at risk' is critical to design preventative strategies. We have developed new computer software to measure detailed characteristics of retinal vessels. By appling this system to predict CVD or diabetes in the AusDiab Study we aim to find 'the best combination of risk factors' to predict CVD and diabetes. This will open up the possibility of new risk assessment using a simple 'eye scan.'
Aspirin For The Prevention Of Cognitive Decline In The Elderly: A Neuro-Vascular Imaging Study (ENVIS-ion) From ASPREE
Funder
National Health and Medical Research Council
Funding Amount
$1,341,232.00
Summary
The ENVIS-ion trial will examine whether Aspirin is effective in delaying the onset of worsening of thinking and memory abilities in healthy older adults. Magnetic resonance imaging (MRI) of brain structure will detect markers of early worsening of thinking and memory abilities. Blood vessels in the back of the eye (retina) share many features with vessels in the brain. We will compare whether aspirin lessens changes over time of features shown with brain MRI and retinal photography.
Improving safety and quality: psychosocial influences of managing medicines by consumers with chronic health problems. Many Australians have multiple chronic conditions that require complex prescribed medicine regimens to control symptoms and prevent further illness. Long-term health outcomes depend on how well consumers manage their medicines. This project will contribute to the development and evaluation of a medicine self-management training package to help consumers understand and manage the ....Improving safety and quality: psychosocial influences of managing medicines by consumers with chronic health problems. Many Australians have multiple chronic conditions that require complex prescribed medicine regimens to control symptoms and prevent further illness. Long-term health outcomes depend on how well consumers manage their medicines. This project will contribute to the development and evaluation of a medicine self-management training package to help consumers understand and manage their complex medication regimens. Optimal medicine self-management improves the consumer's general wellbeing and benefits the Australian community through promoting good health and reducing health care costs.Read moreRead less
The efficacy of a referral and physical activity program for survivors of prostate cancer. Although survival rates of prostate cancer are approximately 83 per cent with earlier detection and improved treatment modalities, prostate cancer survivors are at an increased risk of dying from co-morbidities, which may be prevented or ameliorated through participation in physical activity. This project aims to establish an effective and sustainable referral and physical activity program to improve the ....The efficacy of a referral and physical activity program for survivors of prostate cancer. Although survival rates of prostate cancer are approximately 83 per cent with earlier detection and improved treatment modalities, prostate cancer survivors are at an increased risk of dying from co-morbidities, which may be prevented or ameliorated through participation in physical activity. This project aims to establish an effective and sustainable referral and physical activity program to improve the health outcomes of prostate cancer survivors by utilising the influence of clinicians in their delivery of information to patients. This concept of a referral and physical activity program has the potential to translate across all cancer tumour streams to reduce the physiological and psychological burden associated with living with cancer.Read moreRead less
A Randomised Controlled Trial Of Interventional Versus Conservative Treatment Of Primary Spontaneous Pneumothorax
Funder
National Health and Medical Research Council
Funding Amount
$412,315.00
Summary
Primary spontaneous pneumothorax (PSP) is a collapsed lung that occurs in otherwise healthy people without underlying lung disease. Current standard treatment is to insert a chest drain into the chest to remove the air around the collapsed lung so that the lung re-inflates rapidly ("interventional treatment"). We will determine whether doing nothing, i.e. letting the lung re-inflate slowly on its own over several weeks ("conservative treatment"), is just as good or even better for patients.
Re-EValuating The Inhibition Of Stress Erosions (REVISE): Gastrointestinal Bleeding Prophylaxis In ICU
Funder
National Health and Medical Research Council
Funding Amount
$2,955,164.00
Summary
Around 50,000 patients in Australian Intensive Care Units receive a drug called pantoprazole each year with the aim of preventing bleeding from the gut. Recent research suggests this practice is ineffective and may harm patients by increasing their risk of serious infections. We will perform a definitive study to determine whether the widespread use of pantoprazole is beneficial or harmful.
Neuroimaging changes underpinning improvements in cognition in the elderly. Natural supplements are often used to improve brain and cognitive function, however, we do not know how these supplements work in the brain. Using novel brain imaging scans, the project will investigate whether 12-month administration of two promising natural supplements improves brain markers of ageing and cognitive decline in an elderly population.
Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselve ....A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselves predictors of suicide. Understanding the nature and extent of self-injury in Australian adolescents, and the causal relationships between self-injury, suicidal ideation and psychological distress, will improve the care given to those who self-injure, improve their well-being, decrease their chances of further self-injury, and decrease the chance they will die by suicide.Read moreRead less