Assessing risk in aged mental health care. This study will explore practices and developments in relation to the assessment of risk in aged persons mental health from the perspective of multiple stakeholders. The aims are to gain a thorough understanding of existing practices with a view to developing and evaluating a comprehensive risk assessment model. The outcomes will enhance the provision of mental health services within aged mental health services.
Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to ....Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to produce more effective use of services. This study will compare the effectiveness of innovative strategies to prevent deconditioning, functional decline and hospital readmissions. Comparative analysis of these strategies will provide information with potential to reduce costs whilst improving functional status, psychosocial well-being and independence in older peopleRead moreRead less
Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and qua ....Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and quality of life. This research aims to design, deliver and evaluate an innovative model of discharge planning and in-home exercise-based follow-up for community-living frail older people at high risk of hospital re-admission as a means of promoting health. Results should delay occurrence of disease, reduce re-admissions, and improve functional status, psycho-social well-being and patient satisfaction.Read moreRead less
Developing a novel method for delivering a behavioral intervention for decreasing morbidity in women with a chronic disease: a randomized controlled trial. Currently there are 209.8 deaths from heart, stroke and vascular diseases per 100 000 of the Australian female population each year, with the rates being considerably high in the elderly female population. Despite the potential benefits of behavioural strategies to prevent morbidity in women with chronic disease, studies to date have not targ ....Developing a novel method for delivering a behavioral intervention for decreasing morbidity in women with a chronic disease: a randomized controlled trial. Currently there are 209.8 deaths from heart, stroke and vascular diseases per 100 000 of the Australian female population each year, with the rates being considerably high in the elderly female population. Despite the potential benefits of behavioural strategies to prevent morbidity in women with chronic disease, studies to date have not targeted women who already have a chronic disease in a clinical setting. This research study will address this, helping postmenopausal women who have chronic disease change negative health behaviours and increase physical activity and self efficacy, improve quality of life and decrease blood pressure, obesity and tobacco use.Read moreRead less
A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.
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
Mass Disseminable Approaches To Smoking Cessation In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$412,100.00
Summary
Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one ....Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one of the most common uses of this technology. The rapid growth of Internet use potentially provides access to a number of cessation aids for tobacco smokers, including online support through 'chat rooms'. It is also possible to tailor interventions to individuals according to their stated interests and readiness to quit. General practitioners, in addition to providing support and care to smokers attemtping to quit, can direct them to community services such as Quit Victoria, which now offers smoking cessation programs tailored to individuals' needs delivered either through telephone counselling or by the Internet. We want to know whether more smokers quit successfully if their GP refers them to Quit services in addition to their usual care. As well as assessing the effectiveness of broadly distributable interventions in smoking cessation, this project will also collect data about the use of the Internet for health research. Little is known about how to perform research on the Web. This project will allow automatic monitoring of how people respond to research endeavours in this environment.Read moreRead less
The Effectiveness Of A Clinical Practice Change Intervention In Increasing, On A Health Service Wide Basis, Community Health Clinician Adherence To Preventive Care Guidelines.
Funder
National Health and Medical Research Council
Funding Amount
$612,290.00
Summary
The delivery of preventive care that aims to decrease smoking, risky alcohol use, physical inactivity and inadequate fruit and vegetable consumption is less than optimal in community health services. The study examines the effectiveness of an intervention in increasing the delivery of such across an area health service. The findings will demonstrate the ability of community health clinicians to routinely provide preventive care, and hence improve the health of the community.
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
Turning them on: engaging young people in disrupting silences about their sexual wellbeing. This project will investigate what young people think they should be taught in school-based sexuality education programs. This information will inform the re-design of these programs and promote the sexual health of the next generation of Australians.