Listen to me, I really am sick! Understanding patient and family perspectives in triggering responses to medical emergencies. This project investigates whether patient and family perspectives are treated as evidence of a deteriorating health state whilst in hospital. Recommendations from this study will inform the development of patient centred strategies to reduce delays in clinician response to physiological deterioration and improve patient safety in hospitals.
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Examining the complexity of communication processes across transition points from the emergency department to improve medication safety. Problems in communication contribute significantly to adverse events that lead to serious harm for Australian consumers. Recent data show medication errors account for over 25% of all adverse events, while over 50% of consumers who move across transition points have medication errors relating to their treatment regimen. Financial costs from adverse events are e ....Examining the complexity of communication processes across transition points from the emergency department to improve medication safety. Problems in communication contribute significantly to adverse events that lead to serious harm for Australian consumers. Recent data show medication errors account for over 25% of all adverse events, while over 50% of consumers who move across transition points have medication errors relating to their treatment regimen. Financial costs from adverse events are estimated at around $A2billion/year, which are likely to increase with further complexities involving consumer care. This study will result in new knowledge about communication processes to inform the development of reporting methods and strategies, which positively influence the practices of health professionals in managing medications as consumers move across different environments.Read moreRead less
IPrevent: Development And Pilot Testing Of An Evidence-based, Tailored, Computerised Risk Assessment And Decision Support Tool To Facilitate Discussions About Breast Cancer Prevention And Screening Measures.
Funder
National Health and Medical Research Council
Funding Amount
$415,143.00
Summary
Women at increased risk for breast cancer should be identified and offered prevention and intensified screening. Yet most women don’t know their personal risk for breast cancer. We will develop a user friendly, computerised tool which, used with her doctor, will help each woman understand her personal breast cancer risk and the benefits and disadvantages of prevention and screening strategies. It will empower women to understand and take control of their breast cancer risk.
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
Minimising Disability And Falls In Older People Through A Post-hospital Individualised Exercise Program.
Funder
National Health and Medical Research Council
Funding Amount
$536,435.00
Summary
This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of ....This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of and adherence to the exercise program and the cost effectiveness of the program will be established. We will recruit 350 older people in the first six months after an in-patient stay in aged care and rehabilitation wards at one of two large teaching hospitals. Participants randomised to the intervention group will be asked to complete an individualised home exercise program three times a week. In addition, they will be offered a choice between receiving monthly physiotherapy home visits or attending exercise classes. These weekly exercise classes will be conducted by physiotherapists and will be made up of 6-8 people. The control group will receive an education booklet about falls prevention and will be given the opportunity to join the program on a self-funding basis after their one-year control period is complete. Post-intervention between-group comparisons will be made using appropriate statistical techniques including regression models. Additional analyses will establish predictors for program adoption and adherence and cost-effectiveness (the incremental cost per fall prevented in the exercise group compared with the control group). This study addresses an increasingly important health care problem in a systematic manner and thus has the potential to substantially enhance the health of older people in Australia and internationally.Read moreRead less
Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Tri ....Improving Outcome after Stroke through Earlier Rehabilitation: The Very Early Rehabilitation Research Program. Stroke presents a major, growing global public health challenge accounting for 25% of all chronic disability. Treatments that reduce the burden of stroke are urgently needed, and early rehabilitation may significantly reduce chronic disability. A large, high quality, National Health and Medical Research Council funded clinical trial is at the heart of the A Very Early Rehabilitation Trial (AVERT) program. The trial tests whether a simple, rehabilitation intervention (early and intensive out of bed activity) results in fewer deaths and less disability for stroke sufferers and is cost effective. If effective the intervention could be adopted across different health services both here and overseas, reducing the global burden of stroke.Read moreRead less
Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortali ....Preventing Adverse Events in Hospitals. Our research will construct strategies and tools for preventing hospital adverse events and should develop knowledge and expertise about reducing care complications in high risk patients.This research has collaborating partners which are hospitals in Victoria, South Australia and Queensland. These form part of the preventative healthcare network with implications for the nation's social and economic fabric through their role in reducing morbidity, mortality and supporting the health of all Australians. Since acquired complications have comparable costs to the healthcare system as that of all other forms of injury combined, there will be substantial benefits to hospitals through reduced costs.Read moreRead less
The Increasing Burden Of Stroke With Ageing: Using CARAT To Optimise Preventative Treatment In The Community
Funder
National Health and Medical Research Council
Funding Amount
$709,036.00
Summary
This clinical trial will test whether a novel clinical tool can assist GPs in improving the prevention of stroke in the community, especially in older people and those with atrial fibrillation (an irregular heartbeat). This tool, called CARAT (Computerised Antithrombotic Risk Assessment Tool), has been developed to help GPs calculate a patient's risk of stroke and then identify the optimal preventative medicine. Selecting appropriate therapy is important to prevent stroke and avoid side-effects.