A Randomised Controlled Trial Of Deprescribing To Optimise Medical Therapy For Frail Older People: The Opti-Med Study.
Funder
National Health and Medical Research Council
Funding Amount
$1,444,996.00
Summary
Many older people living in residential aged care facilities (RACF) are prescribed medications of uncertain benefit. The primary aim of the Opti-med study is to determine the safety and benefits of reducing the number of medications prescribed to frail older people in RACF. We will withdraw as many medications as possible from participants in the intervention group. Our study will provide randomised controlled data on the safety and efficacy of ceasing medications in frail older people.
Telehealth In Residential Aged Care Facilities: Improving Access To Specialist Care
Funder
National Health and Medical Research Council
Funding Amount
$972,606.00
Summary
People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" b ....People in long term residential care have complex and chronic care issues. The staff may be able to provide more focused care if they have the support of specialists for advice on the care of residents. This project considers the value of a geriatric specialist assessment for all new residents via video conferencing, directly to the residential care facility. This will be supplemented by access to a wide range of other specialists coordinated through a telehealth service model on an "as needs" basis.Read moreRead less
A Study Of Statins For Reducing Events In The Elderly
Funder
National Health and Medical Research Council
Funding Amount
$5,372,965.00
Summary
Statins prevent heart attacks and strokes in people who have already experienced one or are at high risk. Statins are thought to do this by lowering cholesterol levels and improving the function of blood vessels. It is not known whether people 75 years or over should receive this therapy, as past studies have not included older people because they are more likely to suffer from drug side effects. This study will investigate the benefits versus risks of statins in healthy elderly people.
Effect Of An Interactive Therapeutic Robotic Animal On Engagement, Mood States, Agitation And Antipsychotic Drug Use In People With Dementia: A Cluster Randomized Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,144,641.00
Summary
This study aims to reduce the impact of dementia symptoms and burden on the person with dementia, family and care staff, as well as potentially reducing pharmaceutical usage through an engaging activity using a robotic animal called PARO.
Improving Vision And Quality Of Life: An Innovative And Comprehensive Eye Care Model For Individuals In Residential Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$896,953.00
Summary
Elderly people living in residential care facilities have high levels of vision loss which can impact on emotional health, falls, daily functioning, and quality of life. Appropriate correction and cataract surgery can improve vision and, with low vision rehabilitation, can enhance quality of life. This project will assess the efficacy and cost-effectiveness of a new model of eye care targeting vision impairment to improve residents’ daily functioning, enhance their emotional well-being and quali ....Elderly people living in residential care facilities have high levels of vision loss which can impact on emotional health, falls, daily functioning, and quality of life. Appropriate correction and cataract surgery can improve vision and, with low vision rehabilitation, can enhance quality of life. This project will assess the efficacy and cost-effectiveness of a new model of eye care targeting vision impairment to improve residents’ daily functioning, enhance their emotional well-being and quality of life; and reduce falls.Read moreRead less
Innovative Patient Education For Preventing Falls After Hospital Discharge
Funder
National Health and Medical Research Council
Funding Amount
$573,186.00
Summary
Older people are at increased risk of falls after hospital discharge, but have low levels of knowledge about falls and may be reluctant to undertake falls prevention activities. Providing suitable education may reduce falls in these older patients. This randomized trial will determine if providing personalized falls prevention education in addition to usual care, reduces falls among older people after they leave hospital. Falls are the leading cause of injury among older people in Australia
Effectiveness Of Occupational Therapy Homevisits To Improve Participation After Stroke
Funder
National Health and Medical Research Council
Funding Amount
$1,774,083.00
Summary
This randomized controlled trial will determine the effectiveness of occupational therapy pre-discharge homevisits for people after stroke, with health economic evaluation conducted alongside to determine the cost-benefits. Recruiting adults from Australian rehabilitation hospitals, this study is designed to provide guidance for hospitals, policy-makers and clinical practice guideline developers on whether occupational therapy homevisits improve the level of community participation after stroke.
Use Of Analgesics To Reduce Agitation And Agression In Older Persons With Dementia
Funder
National Health and Medical Research Council
Funding Amount
$552,556.00
Summary
Understanding the causes of Behavioural and Psychological Symptoms of Dementia (BPSD) provides a potentially remedial target for interventions. The current study will undertake the first ever trial of analgesics to reduce the frequency of agitation/aggression and other BPSD. By completion we will have new insights into the relationship between pain and various sub-types of BPSD and robust evidence on the best class of analgesics to treat BPSD
A Computerised Treatment Planning System For Synchrotron Radiotherapy Trials At The Australian Synchrotron’s Imaging & Medical Beamline.
Funder
National Health and Medical Research Council
Funding Amount
$646,812.00
Summary
Microbeam Radiotherapy (MRT) using synchrotron-generated X-rays has shown tremendous promise in pre-clinical trials in tumour-bearing rodents, with remarkable sparing of normal tissue. Synchrotron MRT has the potential to radically alter the way radiotherapy is performed for human cancers. Every radiotherapy patient undergoes some form of computerised treatment planning before their treatment starts. We aim to test and implement a synchrotron Treatment Planning System, as an essential step in re ....Microbeam Radiotherapy (MRT) using synchrotron-generated X-rays has shown tremendous promise in pre-clinical trials in tumour-bearing rodents, with remarkable sparing of normal tissue. Synchrotron MRT has the potential to radically alter the way radiotherapy is performed for human cancers. Every radiotherapy patient undergoes some form of computerised treatment planning before their treatment starts. We aim to test and implement a synchrotron Treatment Planning System, as an essential step in realising synchrotron radiotherapy trials.Read moreRead less
Blocking The Factor XII- Kallikrein Pathway To Limit Abdominal Aortic Aneurysm
Funder
National Health and Medical Research Council
Funding Amount
$686,995.00
Summary
Artery weakening is present in 2-5% of older adults and is an important cause of sudden death. The investigators have generated substantial preliminary data from a previous NHMRC project implicating the contact pathway in the process of artery weakening. In the current project the investigators will examine the ability of agents which are currently available or being developed for patient use in limiting the process of artery degeneration using established pre-clinical models.