Music Therapy Interventions For Dementia: Cluster Randomised Control Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,014,430.00
Summary
Music therapy interventions are increasingly used in aged care facilities across Australia, however Australian-based research that tests its effectiveness is scarce. In this study, we track the impact of group music therapy and group singing on levels of depression, cognitive function, quality of life, and other symptoms of dementia. By providing music therapy programs across sites in Victoria, NSW and Queensland, we will also evaluate the cost effectiveness of the intervention.
STROKE123: A Collaborative, National Effort To Monitor, Promote And Improve The Quality Of Stroke Care In Hospitals And Patient Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$1,261,292.00
Summary
Stroke is a major public health issue in Australia. This Better Health Initiative partnership project is designed to rigorously evaluate a methodology to improve the monitoring and use of data for stroke, as well as an intervention to address evidence-practice gaps for essential interventions known to have a direct association with patient outcomes. The findings will provide a platform for national roll-out of appropriate and enhanced data collection solutions linked to an effective model for im ....Stroke is a major public health issue in Australia. This Better Health Initiative partnership project is designed to rigorously evaluate a methodology to improve the monitoring and use of data for stroke, as well as an intervention to address evidence-practice gaps for essential interventions known to have a direct association with patient outcomes. The findings will provide a platform for national roll-out of appropriate and enhanced data collection solutions linked to an effective model for improving clinical care and outcomes of stroke.Read moreRead less
Improving The Prevention, Treatment And Management Of Cardiovascular & Chronic Disease In The Community
Funder
National Health and Medical Research Council
Funding Amount
$774,540.00
Summary
The identification, prevention and management of cardiovascular and chronic disease risk factors and understanding impact on clinical outcomes is fundamental to improving health and well-being. The program of work encapsulated in this application utilises modern epidemiological research methods involving large scale clinical trials, registries and epidemiological modelling to advance our understanding and provide new directions for cardiovascular disease prevention and management.
Improving Vision And Quality Of Life: An Innovative And Comprehensive Eye Care Model For Individuals In Residential Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$896,953.00
Summary
Elderly people living in residential care facilities have high levels of vision loss which can impact on emotional health, falls, daily functioning, and quality of life. Appropriate correction and cataract surgery can improve vision and, with low vision rehabilitation, can enhance quality of life. This project will assess the efficacy and cost-effectiveness of a new model of eye care targeting vision impairment to improve residents’ daily functioning, enhance their emotional well-being and quali ....Elderly people living in residential care facilities have high levels of vision loss which can impact on emotional health, falls, daily functioning, and quality of life. Appropriate correction and cataract surgery can improve vision and, with low vision rehabilitation, can enhance quality of life. This project will assess the efficacy and cost-effectiveness of a new model of eye care targeting vision impairment to improve residents’ daily functioning, enhance their emotional well-being and quality of life; and reduce falls.Read moreRead less
The identification, prevention and management of chronic disease risk factors and understanding impact on clinical outcomes is fundamental to improving health and well-being. The program of work encapsulated in this application utilises a number of research methods to advance our understanding and provide new directions for cardiovascular disease prevention and management.
To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of t ....To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of their health services. Based on improved indicators, the Health Services Commission and health providers will have access to a better evidence base for maximising the quality of health care and services available in rural areas.Read moreRead less
Bridging The Gap: Addressing Refugee Inequalities Through Primary Health Care Service Reform
Funder
National Health and Medical Research Council
Funding Amount
$690,568.00
Summary
This proposal will develop and test interventions to reform maternity and maternal & child health systems to tackle known inequalities in health and health care for vulnerable families, particularly clients of refugee backgrounds. Innovation in system redesign and service delivery will result in sustainable improvements in access to and quality of care and measurable improvements in maternal, newborn and child health.
A Phase III Trial Comparing Adjuvant Versus Salvage Radiotherapy For High Risk Patients Post Radical Prostatectomy
Funder
National Health and Medical Research Council
Funding Amount
$819,138.00
Summary
About half of all patients Treated with an operation to remove their prostate cancer have a high chance of the cancer coming back. Giving immediate radiotherapy to all patients will improve cure rates but does not benefit all men and can cause significant side effects. This study explores whether it is safe to wait and only give radiotherapy when there is a rising PSA after surgery indicating active cancer. A total of 470 men from Australasia will enter this study comparing the two approaches.
Randomised Double-blind Placebo-controlled Trial Of Aspirin In Primary Prevention Of CVD Events Or Dementia In The Aged.
Funder
National Health and Medical Research Council
Funding Amount
$3,532,500.00
Summary
The single most important risk factor for cardiovascular disease is age. All men aged 75 years have a 10-15% risk of having a stroke or heart attack in the next 5 years. Low dose aspirin has been shown to prevent further strokes and heart attacks in people who have already had one. It has been also shown to protect people who have not had a heart attack or stroke but who are at increased risk. Given that the elderly are at increased risk why do we need to do a trial in this particular group? The ....The single most important risk factor for cardiovascular disease is age. All men aged 75 years have a 10-15% risk of having a stroke or heart attack in the next 5 years. Low dose aspirin has been shown to prevent further strokes and heart attacks in people who have already had one. It has been also shown to protect people who have not had a heart attack or stroke but who are at increased risk. Given that the elderly are at increased risk why do we need to do a trial in this particular group? The reason is that relatively few elderly patients were included in the previous prevention trials. Also while the elderly may have the most to gain from treatment, they also have the most to lose because they are more likely to suffer from side-effects. Aspirin prevents heart attacks by stopping clots forming in blood vessels. This also means that people taking it have an increased tendency to bleed. Thus though it may prevent strokes due to clots it may also increase the risk of strokes caused by bleeding. Bleeding from the gut is another major problem as aspirin tends to erode the lining of the stomach. Minor bleeding from the gut can also lower blood oxygen carrying capacity which may exacerbate other diseases associated with ageing, e.g. heart failure. Dementia may be caused by repeated clots in small or large vessels. Dementia is a particular problem in the elderly affecting 10% of 85 year olds. It is a major cause of loss of quality of life and a significant cost to the community. Aspirin may reduce the progression of such a disease leading to a maintained quality of life (QOL) for individuals and their families. As our age increases our years of life remaining decreases. This is self-evident. Thus the potential to add years to life reduces and the potential of diseases to adversely affect quality of life becomes more important. Thus it may be more important to prevent a nonfatal stroke that leads to institutionalisation than a fatal stroke. Hence QOL will be assessed.Read moreRead less
Improved electrophoretic analyser for water quality monitoring. This proposal will advance the Australian made Eco Detection portable electrophoretic analyser for autonomous monitoring of water chemistry - the Eco Sensor. We will re-design and miniaturise the fluidic manifold to reduce capital- and per-sample cost, increase the sensitivity of nutrients - nitrate and phospate - by 100-times in both fresh- and sea-waters, and develop new ultra-sensitive reagents for heavy metal detection at enviro ....Improved electrophoretic analyser for water quality monitoring. This proposal will advance the Australian made Eco Detection portable electrophoretic analyser for autonomous monitoring of water chemistry - the Eco Sensor. We will re-design and miniaturise the fluidic manifold to reduce capital- and per-sample cost, increase the sensitivity of nutrients - nitrate and phospate - by 100-times in both fresh- and sea-waters, and develop new ultra-sensitive reagents for heavy metal detection at environmentally regulated levels. This will provide a single platform for at-site near-real-time monitoring of water chemistry for agricultural, mining, water corporations and other industries that use and/or discharge water to the environment. Read moreRead less