Address Socio-economic Variations In The Implementation Of Guidelines For Preventive Activities In Chronic Disease In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$340,634.00
Summary
Preventing chronic disease is a critical challenge facing the Australian health care system, and the challenge to implement prevention guidelines is even greater among people living in low socioeconomic locations and from Aboriginal and Torres Strait Islander backgrounds. The aim of this research is to examine and address socio-economic variations in the implementation of guidelines for preventive activities in chronic disease in general practice.
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
METHODS - A Randomised Controlled Trial Of METhotrexate To Treat Hand Osteoarthritis With Synovitis
Funder
National Health and Medical Research Council
Funding Amount
$770,014.00
Summary
Hand osteoarthritis (OA) is common, but has no treatment. Almost 50% of people with hand OA will have joint swelling (synovitis). The hand joint of people with synovitis are 3.5 times more likely to experience joint destruction within as little as 2 years. Drugs used to treat synovitis may reduce pain and joint destruction. We propose that treating patients with symptomatic hand OA and synovitis with the anti-synovitis drug, methotrexate, will be a major medical advance.
Uptake, Sustainability And Impact Of Scaling Up Point-of-care Testing For Sexually Transmissible Infections In Remote And Regional Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,461,788.00
Summary
Aboriginal youth experience unacceptably high rates of curable sexually transmissible infections (STI). Coverage of testing and treatment is insufficient for disease control but could be enhanced via point-of-care (POC) testing. We have been trialling a highly accurate STI/POC diagnostic in the TTANGO (Test, Treat ANd GO) trial. The TTANGO2 partnership will assess the long-term uptake, sustainability and impact of POC testing in 20 Aboriginal health services in regional/remote WA over 5 years.
Enhanced Prevention And Control Of Sexually Transmitted Infections
Funder
National Health and Medical Research Council
Funding Amount
$782,370.00
Summary
The entire developed world is witnessing dramatic increases in bacterial sexually transmitted infections (STIs), the likes of which have not been seen since prior to the emergence of the HIV epidemic in the 1980s. My vision is to reduce the burden of STIs by identifying innovative, cost-effective approaches to STI prevention and management that are acceptable to the populations affected (including healthcare workers and people are risk of STIs) and able to be implemented on a broad scale.
Should Australia Introduce A National Chlamydia Testing Program? Evaluation Of A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$518,510.00
Summary
Chlamydia is a very common sexually transmissible infection that can lead to infertility in women. About 4% of young adults have it, yet most are unaware they have it. Chlamydia is easy to diagnose and treat, but it is not known whether annual testing can reduce its spread. Over1 million tests are conducted each year in general practice, costing the government $30 million. This evaluation of a well-established trial of chlamydia testing in young adults will resolve the debate of whether annual t ....Chlamydia is a very common sexually transmissible infection that can lead to infertility in women. About 4% of young adults have it, yet most are unaware they have it. Chlamydia is easy to diagnose and treat, but it is not known whether annual testing can reduce its spread. Over1 million tests are conducted each year in general practice, costing the government $30 million. This evaluation of a well-established trial of chlamydia testing in young adults will resolve the debate of whether annual testing works and is a good use of money.Read moreRead less
Addressing Evidence-practice Gaps In Chronic Disease Prevention And Control
Funder
National Health and Medical Research Council
Funding Amount
$709,931.00
Summary
Cardiovascular diseases are the leading causes of premature death and disability worldwide. Effective treatments for prevention and control of these conditions are available however their use remains far from optimal, in Australia and globally. My current and proposed research will develop and evaluate highly innovative solutions to reduce large evidence-practice gaps in healthcare delivery. These include task shifting to non-physician health workers and novel approaches to drug delivery.
A Randomised Controlled Trial Of Cognitive-only And Cognitive-motor Training To Prevent Falls In Older People: Understanding Physical, Neuropsychological And Neural Mechanisms
Funder
National Health and Medical Research Council
Funding Amount
$1,624,934.00
Summary
The rate of falls in older people remains a significant problem. We have developed and validated a home-based computerised training intervention that can be delivered either while seated (cognitive) or while standing and undertaking balance exercises (cognitive+motor). This unique design will allow us to assess whether cognitive and cognitive+motor training can prevent falls, as well as the neural, physiological, physical and neuropsychological mechanisms behind the intervention effects.
The Prevention And Control Of Sexually Transmitted Infections In Australia
Funder
National Health and Medical Research Council
Funding Amount
$590,785.00
Summary
The increasing sexually transmitted infection diagnoses in Australia have considerable public health implications and there are still many questions about the most effective way to prevent and control their transmission. The goal of my fellowship is to build on my existing program of research and generate new evidence to further our understanding of the epidemiology of these infections and identify the most effective ways for their prevention and control.