Best Evidence To Best Practice: Implementing An Innovative Model Of Care For Nutritional Management Of Patients With Head And Neck Cancer
Funder
National Health and Medical Research Council
Funding Amount
$276,250.00
Summary
This project aims to implement and evaluate an innovative best-practice dietetic model of care (MOC) based on published Evidence Based Guidelines for Nutritional Management of Patients with Head and Neck Cancer. Through integration with the multidisciplinary team, the MOC will take a patient-centred approach to delivery of nutritional care to minimise the detrimental sequelae of malnutrition and improve outcomes in this complex patient group.
Overcoming Barriers To Protected Mealtimes Implementation To Prevent And Treat Malnutrition
Funder
National Health and Medical Research Council
Funding Amount
$176,250.00
Summary
Protected mealtimes, where patient meals are protected from negative interruptions, is a systems approach to address the vast problem of in-hospital malnutrition. It aims to positively improve food intake at mealtimes, treating and preventing malnutrition. Observational studies have previously shown promising clinical outcomes, limited due to reports of barriers to implementation of the strategy. This is the first study internationally to implement protected mealtimes in subacute care.
Use Of An Online Canteen Ordering System To Implement Healthy Canteen Policies In NSW Primary Schools
Funder
National Health and Medical Research Council
Funding Amount
$175,303.00
Summary
Given evidence that school food policies can improve children’s dietary intake, Australian state governments have launched healthy canteen policies. However, these policies are poorly implemented. This research seeks to assess the effectiveness of an online classification tool in increasing policy compliance. The tool will be embedded in an online canteen system, and will automatically assess whether menu items are compliant as they are uploaded onto the online canteen system.
Effective Strength Training For Walking In Neurological Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$175,303.00
Summary
Muscle weakness is the cause of walking problems following neurological problems such as stroke and brain injury. Many studies have used strengthening exercises but few have benefitted. It appears that clinicians have been strengthening the wrong muscle groups and have not used exercises that stimulate the muscles to work the way they do when walking. The aim of this project is to use well established biomechanical and strengthening guidelines to improve walking after neurological injury.
Implementing Appropriate Exercise And Education For Australians With Knee Osteoarthritis
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Knee osteoarthritis (OA) affects 4% of the population. It is effectively treated with physiotherapy led exercise and education. Most Australian’s with OA do not receive these treatments, and many physiotherapists lack the required knowledge and capability to provide exercise and education. I will develop a program involving workshops and online resources to teach physiotherapists how to provide exercise and education to knee OA patients, and support patients with online education resources.
Implementation Of A Treat-to-target Remission Strategy For Rheumatoid Arthritis In Australian Public And Private Rheumatology Clinics
Funder
National Health and Medical Research Council
Funding Amount
$178,157.00
Summary
Rheumatoid arthritis (RA) is a common and incurable inflammatory joint disease affecting 2% of Australians. RA is associated with significant pain, disability, loss of work capacity and reduced life expectancy. Research has shown that 'treating to a target' for the goal of remission significantly improves outcomes for people living with RA. This TRIP fellowship will assess the barriers to clinicians and people living with RA managing the disease in a targeted way and develop a package to assist.
Improving Outcomes In Lung Cancer: Implementation Of Physical Activity Guidelines
Funder
National Health and Medical Research Council
Funding Amount
$274,107.00
Summary
Lung cancer is associated with complex symptoms which frequently lead to inactivity and functional decline. There are well-established evidence-based recommendations regarding the amount of physical activity that people with cancer should engage in. However the current models of care in lung cancer do not formally utilise these recommendations. This project aims to bridge the evidence-practice gap with the ultimate aim of improving outcomes for people with lung cancer.
Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.
TELEHANCED: Best Evidence To Best Practice Improving Access To Care With Enhanced Telecare For Children In Rural NSW
Funder
National Health and Medical Research Council
Funding Amount
$175,303.00
Summary
The proposed TELEHANCED Study will evaluate an enhanced telecare intervention to improve telecare for children living in rural NSW. Consistent evidence indicates telecare fails due to confusion surrounding remuneration of health professionals and insufficient human resource to coordinate the program. There is evidence that telecare programs employing a skilled coordinator can increase effectiveness, efficiency and sustain up-take and use of telecare services.
Increasing The Implementation Of A Mandatory Primary School Physical Activity Policy
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
This will be the first RCT of its kind. This study will test the effectiveness of an implementation support strategy in supporting schools to implement a physical activity policy mandated by the NSW Government. The trial could provide a model for supporting schools to implement school health or education policies, which seek to improve wellbeing of students.