Discovery Early Career Researcher Award - Grant ID: DE240100095
Funder
Australian Research Council
Funding Amount
$378,920.00
Summary
Using systems science to secure the health workforce against climate change. The widespread maldistribution of the Australian health workforce is creating significant health human resource shortages in non-urban areas of need. Climate-related extreme weather events (i.e., heat, droughts, fires, floods) are projected to exacerbate workforce deficiencies in rural regions. This project aims to explore how climate change will impact the future of the rural health workforce through a novel integratio ....Using systems science to secure the health workforce against climate change. The widespread maldistribution of the Australian health workforce is creating significant health human resource shortages in non-urban areas of need. Climate-related extreme weather events (i.e., heat, droughts, fires, floods) are projected to exacerbate workforce deficiencies in rural regions. This project aims to explore how climate change will impact the future of the rural health workforce through a novel integration of computational systems science methods. The project expects to discover new policies to correct the maldistribution and strengthen the resilience of the rural health workforce against climate change impacts. Benefits include a sustained and more adaptable workforce leading to improved health for vulnerable communities.Read moreRead less
The CRE in Telehealth will advance knowledge and research capacity in telehealth to increase the availability of healthcare to all Australians. Modern communication technologies used in telehealth have the potential to revolutionise healthcare delivery. The CRE will focus on health service settings where access is currently challenging: Small rural hospitals; residential aged care facilities; people’s homes (particularly for disabled and older people); and indigenous communities.
Home-based Speech Treatment For Parkinsons Disease Via Telerehabilitation : Clinical And Economic Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$485,793.00
Summary
Parkinson's Disease affects a person's ability to speak clearly. Speech pathologists can provide effective treatment for this speech disorder. Access to a speech pathologist, however, is difficult for many people with Parkinson's Disease due to their physical difficulties and the limited availability of speech pathology services in rural areas. This study demonstrates the use of telerehabilitation to deliver speech treatment to people with Parkinson's Disease in their own homes via the Internet.
1+1- A Healthy Start To Life:Targeting The Year Before And The Year After Birth In Aboriginal Children In Remote Areas
Funder
National Health and Medical Research Council
Funding Amount
$587,272.00
Summary
Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential ....Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential for promoting health and providing quality care. Evidence suggests redesigned models based on continuity of care, focused, proactive family support and workload reform will improve maternal and infant outcomes. New models need to be developed, costed, implemented and evaluated providing governments with the evidence base to initiate service improvement. Such models will have applicability elsewhere in Australia. Professor Lesley Barclay and her team of researchers from Charles Darwin University will conduct research into developing such a model. The project aims to improve the quality of care for remote dwelling Aboriginal women and infants in the year before, during and the year after birth by providing evidence for, and facilitating changes to, service delivery. This will enhance the potential for the development of resilience and well-being of their children. It will also test if service improvements can improve the health of women and reduce childhood disease and therefore reduce the impact of health conditions occurring in adulthood which have their origins in the early stages of life.Read moreRead less
Exploring The Value Of Telehealth In Primary Care: A Controlled Trial Within The Royal Flying Doctor Service
Funder
National Health and Medical Research Council
Funding Amount
$465,165.00
Summary
This project will evaluate how telehealth services can partially replace expensive fly-in fly-out primary care services for people living in remote communities through reduced waiting times for appointments and significant savings related to the use of aeroplane and staff travel. The study will examine the patient and staff experiences of the change, providing important lessons to guide future development of telehealth not only for rural communities but also for primary health care in general.
Validation Of Cognitive Assessments Using Telecommunication
Funder
National Health and Medical Research Council
Funding Amount
$257,261.00
Summary
This project will assess the use of video conferencing to enable geriatricians to assess and diagnose memory problems including dementia. Establishing the reliability of diagnosis and other related assessments, and identifying which functions can confidently be carried out via video conferencing, is one step towards extending the availability of this service to rural and remote communities. Access to accurate diagnosis and assessment of cognitive impairment is an important step in the management ....This project will assess the use of video conferencing to enable geriatricians to assess and diagnose memory problems including dementia. Establishing the reliability of diagnosis and other related assessments, and identifying which functions can confidently be carried out via video conferencing, is one step towards extending the availability of this service to rural and remote communities. Access to accurate diagnosis and assessment of cognitive impairment is an important step in the management of dementia, Alzheimer's disease and other associated disorders. High level expertise, such as that offered by a specialist Memory Disorder Clinic, is particularly important if there is uncertainty about the diagnosis, or if the prescription of cholinesterase inhibitors and associated medications are being considered. It was estimated that in 2005 there were 52,000 people diagnosed with dementia in Australia and by 2050 there will be an additional 175,000 cases each year. For the vast number of people who will be affected by dementia, early detection and intervention will play an important role in their healthy ageing experience. Access to accurate diagnosis and advice as a function of detection and intervention is often not as freely available to people in rural areas. The experience of travelling long distances for assessment can be detrimental to the emotional well being of people who may have dementia. Access to geriatrician services in a local rural area is an important element to maintaining their sense of well being. Geriatricians are not commonly available in rural areas which means current access to specialist diagnosis and assessment is either a missed opportunity or involves extensive travel. Internationally, there are many individuals living in remote regions with no access to geriatrician services, or reliable cognitive assessment. This study will inform similar experiments in other cultural settings.Read moreRead less
Telerehabilitation: Assessing Acquired Neurogenic Communication Disorders Online.
Funder
National Health and Medical Research Council
Funding Amount
$172,446.00
Summary
People who suffer brain damage as a result of a stroke, head injury, or a disorder such as Parkinson's disease frequently develop difficulty in either speaking, writing, reading, or understanding the spoken language. As a result, the person's ability to communicate with his or her family and friends, and the community in general is seriously affected. Individuals who experience these speech and language disorders are treated by a speech pathologist who focuses on improving the person's ability t ....People who suffer brain damage as a result of a stroke, head injury, or a disorder such as Parkinson's disease frequently develop difficulty in either speaking, writing, reading, or understanding the spoken language. As a result, the person's ability to communicate with his or her family and friends, and the community in general is seriously affected. Individuals who experience these speech and language disorders are treated by a speech pathologist who focuses on improving the person's ability to communicate. The treatment of these disorders is frequently long-term requiring speech pathology management beyond existing hospital care. For many people with these communication disorders, accessing speech pathology services after their discharge from hospital may be very difficult due to their physical difficulties, the distances they are required to travel, and the limited availability of speech pathologists in their local community. This project aims to overcome these access issues through the development of a telerehabilitation system that will enable speech pathologists to assess people with these speech and language difficulties across the Internet using videoconferencing. It is intended that this research will ultimately enable people with these types of communication difficulties to be assessed and treated within their own home or local community.Read moreRead less
Evaluation Of Internet-based, Cognitive Behaviour Therapy For The Treatment Of Anxiety Disorders In Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$570,750.00
Summary
Anxiety disorders affect around 5-10% of adolescents and are associated with a range of adverse consequences if left untreated. The majority of young people with anxiety disorders do not seek nor receive treatment. This may be due partly to the perceived stigma of attending a mental health clinic and logistic problems of attending therapy. A challenge is to identify ways in which treatment can be made more accessible to adolescents in need, particularly those in rural and remote areas. Contrary ....Anxiety disorders affect around 5-10% of adolescents and are associated with a range of adverse consequences if left untreated. The majority of young people with anxiety disorders do not seek nor receive treatment. This may be due partly to the perceived stigma of attending a mental health clinic and logistic problems of attending therapy. A challenge is to identify ways in which treatment can be made more accessible to adolescents in need, particularly those in rural and remote areas. Contrary to original beliefs, evidence shows that the internet can be used to deliver effective psychological therapies for a range of mental health problems, including anxiety disorders. So far this research has focused on adults, but adolescents may be in a particularly strong position to benefit from these forms of therapy, being experienced users of internet resources. This research investigates the effectiveness of internet-based cognitive-behaviour therapy (CBT) in the treatment for anxiety disorders in adolescents. Recently we have piloted CBT for anxious children that combines clinic and internet therapy, with half the therapy sessions in the clinic and half over the internet. Pilot data show that clinic + internet therapy produced significant reductions in anxiety and is almost as effective full clinic-based therapy. The proposed research builds on our pilot work by evaluating the effectiveness of a more extensive internet-based therapy in which all sessions are completed using the internet and with an older age group. The research also examines the factors that predict which young people will respond most positively to the intervention so that the treatment can be matched to those most likely to benefit from it in the future. The aim is to develop an effective internet-based treatment for adolescents with anxiety disorders that is easily accessed and suitable for use in rural and remote populations, requiring minimal face-to-face therapist contact.Read moreRead less
Assisting rural communities in South Australia adapt to the health challenges of increasing temperatures and climate change. This study will investigate the effects of extreme heat, increasing temperatures and consequences of climate change, on the population health of rural communities in South Australia. Findings will inform adaptation strategies to prevent an increase in heat-associated and climate change-associated morbidity and mortality in rural areas.
To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of t ....To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of their health services. Based on improved indicators, the Health Services Commission and health providers will have access to a better evidence base for maximising the quality of health care and services available in rural areas.Read moreRead less