STEP: Improving The Evaluation And Use Of Tests For Screening, Diagnosis And Monitoring In Healthcare.
Funder
National Health and Medical Research Council
Funding Amount
$9,566,865.00
Summary
Medical tests - for screening, diagnosis, and monitoring - are often poorly evaluated and poorly used. This program, run by an established team with skills in public health, clinical epidemiology, biostatistics, health economics and behavioural science, addresses the under-researched issues of whether, when and how to use medical tests. The elements of the program follow the sequence in which testing is often done: for screening (early detection), for diagnosis on which to base treatment decisio ....Medical tests - for screening, diagnosis, and monitoring - are often poorly evaluated and poorly used. This program, run by an established team with skills in public health, clinical epidemiology, biostatistics, health economics and behavioural science, addresses the under-researched issues of whether, when and how to use medical tests. The elements of the program follow the sequence in which testing is often done: for screening (early detection), for diagnosis on which to base treatment decisions, and for monitoring the effects of treatment. A common approach throughout is the identification of the benefits and harms of testing and assessing their trade-offs; how benefits weigh up against harms. This research is relevant to all partners in healthcare - consumers, clinicians and policymakers - who currently are being tested or implementing tests without being fully informed about the accuracy and effects of these tests.Read moreRead less
I conduct epidemiological research on illicit drug use and harm, with a particular focus upon surveillance of drug use disorders and morbidity in sentinel populations. My epidemiological research has focused particularly on the comorbidity between drug de
Goodness-of-fit Testing Of Log-link Models For Categorical Outcome Data
Funder
National Health and Medical Research Council
Funding Amount
$260,863.00
Summary
Information about the health consequences of exposure to causal factors is obtained from mathematical models of observed data. Incorrect inferences are possible if the model does not adequately represent the data. Relative risk models are recommended for observations over time on a cohort of subjects, but it is not known how best to assess the adequacy of such models. This project will assess the performance of summary measures of goodness-of-fit when applied to relative risk models.
Improving Translation Of Evidence Into Practice For Musculoskeletal Conditions
Funder
National Health and Medical Research Council
Funding Amount
$948,684.00
Summary
Musculoskeletal conditions place a huge burden on the world’s population. Yet current trials in this field may not reflect priorities based upon this burden and few trials address well-recognised evidence-practice gaps. My fellowship will aim to transform the current ad hoc approach to Australian musculoskeletal clinical trials. It will identify the most critical unanswered questions, formulate a national research agenda, and identify best methods for optimising uptake of findings into practice.
Exploring Innovative Epidemiological Research To Understand Sexually Transmissible Infections In Large Cohorts
Funder
National Health and Medical Research Council
Funding Amount
$396,249.00
Summary
The aim of my postdoctoral research is to develop skills in epidemiological and sexual health research dealing with large cohorts, and to produce data that will aid in the improvement of sexual health outcomes in the population. One study I will work on is The National Survey of Sexual Attitudes and Lifestyles, a population-based survey of 15,000 men and women covering a range of sexual and reproductive health outcomes, and measuring the prevalence of sexually transmissible infections.
Diabetes And Obesity: From Benchtop To Public Health
Funder
National Health and Medical Research Council
Funding Amount
$705,501.00
Summary
Obesity. Novel factors, not related to food intake or physical activity, will be explored as possible causes of obesity. The obesity paradox, in which overweight is associated with reduced mortality, will be examined. Diabetes treatment. Methods will be developed to predict which is the right drug for each individual patient. A study will test the use of nurse-led clinics. A novel insulin delivery mechanism will be developed. Novel causes and consequences of diabetes will be explored.
On The Scene: The Epidemiology Of HIV Among Men Who Have Sex With Men (MSM) In Victoria
Funder
National Health and Medical Research Council
Funding Amount
$73,397.00
Summary
This PhD will focus specifically on HIV among men who have sex with men in Victoria in effort to identify factors that may explain recent increases in rates of new HIV diagnoses and explore characteristics associated with HIV risk. It will incorporate surveillance and epidemiological data, examinations of local health promotion and HIV prevention initiatives and incorporate modelling methods for HIV to support HIV prevention programs and inform health and service planning in Australia.
Plotting A Course To Tuberculosis Elimination In Our Lifetime
Funder
National Health and Medical Research Council
Funding Amount
$348,768.00
Summary
Tuberculosis (TB) is the world’s leading infectious killer and more than half of TB cases occur in Australia’s region. I have developed a software program and used it to simulate improved TB control in eight countries across the world. In this fellowship, I will extend this program to allow simulation of TB transmission across multiple countries. This will allow me to compare the effects of TB control programs in Australia and overseas, as well as to re-estimate the global number of TB deaths.
Is Infection An Acute Trigger For Preeclampsia? A Case-crossover Study.
Funder
National Health and Medical Research Council
Funding Amount
$207,761.00
Summary
Preeclampsia is a multisystem hypertensive disease affecting up to 10% of pregnancies. It puts both mother and baby at increased risk of major illness and death. The cause is unknown but inflammation appears to play a key role. We will use an innovative design to determine whether recent maternal infection triggers the onset of preeclampsia. If preeclampsia is associated with infection, preventative strategies can be developed.