Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced und ....Neurocognitive substrates of naming facilitation in aphasia. This research directly addresses the national research priority goal of ageing well, ageing productively, by providing foundational knowledge for improved outcomes in the growing population of individuals in Australia with language impairments from age-related disease. Outcomes of the proposed research will include (1) development of a new theory of word production which can improve treatment of language impairment, (2) an enhanced understanding of the cognitive and brain mechanisms involved in word production and its treatment after stroke, and (3) postgraduate training in state-of-the-art cognitive neuroimaging and language neuroscience research. Read moreRead less
Individual Nutrition Therapy And Exercise Regime: A Controlled Trial Of Injured, Vulnerable Elderly (INTERACTIVE Trial).
Funder
National Health and Medical Research Council
Funding Amount
$572,542.00
Summary
Hip fractures are a common and growing problem for older Australians. Unfortunately recovery is incomplete in most people. In this study two factors believed to be important for recovery will be investigated - exercise and nutrition. After a hip fracture the ability to walk is severely compromised, as are appetite and dietary intake. These factors are likely to contribute to the loss of muscle mass and strength frequently observed amongst this patient group. There is considerable evidence to sug ....Hip fractures are a common and growing problem for older Australians. Unfortunately recovery is incomplete in most people. In this study two factors believed to be important for recovery will be investigated - exercise and nutrition. After a hip fracture the ability to walk is severely compromised, as are appetite and dietary intake. These factors are likely to contribute to the loss of muscle mass and strength frequently observed amongst this patient group. There is considerable evidence to suggest that this loss has serious consequences in terms of ability to return to pre-injury levels of function, restriction in independence and ultimately transfer into a hostel or nursing home. Given these facts it makes sense that an exercise program incorporating strength and functional activities, and a nutrition program aimed at achieving nutritional requirements, will improve ability to walk, but there is no conclusive evidence that this is so. Only a small number of studies have tested whether an exercise program improves recovery after a hip fracture and these have mostly commenced weeks or months after the injury when it is likely that there has been irreversible decline in muscle mass and strength. In contrast, most of the nutrition studies commence soon after the injury but provide protein and calories insufficient to meet requirements, provide supplements that patients find difficult to drink or provide the supplements for only a short duration. This study will use the best quality research methods to test whether providing a 6-month individualised exercise and nutrition program to hip fracture patients soon after injury improves walking and other important health outcomes. Patients will be followed for 12 months to determine what difference the exercise and nutrition programs make. If they help then health services will have the evidence they need to recommend this type of program to the growing number of older Australians that suffer a hip fracture.Read moreRead less
Identifying Malingered Posttraumatic Stress Disorder: Biological Markers for Legal Assessment. Posttraumatic stress disorder (PTSD) is the most common psychiatric disorder that is claimed in compensation claims in Australia. There are currently no reliable means to distinguish malingered from genuine PTSD. This project aims to develop the most accurate means of identifying malingered PTSD by using the most recent technology to index biological responses, including fMRI, in participants with PT ....Identifying Malingered Posttraumatic Stress Disorder: Biological Markers for Legal Assessment. Posttraumatic stress disorder (PTSD) is the most common psychiatric disorder that is claimed in compensation claims in Australia. There are currently no reliable means to distinguish malingered from genuine PTSD. This project aims to develop the most accurate means of identifying malingered PTSD by using the most recent technology to index biological responses, including fMRI, in participants with PTSD, without PTSD, and malingered PTSD. This study will lead to a biological assessment that can objectively index PTSD and be resistant to intentional feigning. These data will significantly enhance legal assessments of PTSD and facilitate compensation resolution.Read moreRead less
Client Centred Palliative Rehabilitation: An Evaluation Of Its Efficacy
Funder
National Health and Medical Research Council
Funding Amount
$90,570.00
Summary
�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program ....�I don�t want to sit here waiting to die�. Many people towards end of life want their palliative care to continue to be rehabilitative as well as supportive, yet no study to formally evaluate the effectiveness of a patient-centred palliative rehabilitation program has been conducted in Australia. This study aims to identify patient and carer-centred rehabilitation goals such as independence in self care, and develop, trial and evaluate a rehabilitation program to address these goals. The program would be transfer stage conditions such as cancer, cardiac or renal failure.Read moreRead less
Investigating Linguistic Factors Associated with Stuttering in Cantonese. The aim of this research is to gain new knowledge about the cause of stuttering. The project is a collaboration between experts in stuttering in Australia and Hong Kong. Despite decades of study, the cause of stuttering is still not well understood. Research in English has suggested that changes in emphasis from syllable to syllable can trigger individual moments of stuttering. However, Cantonese is very different from Eng ....Investigating Linguistic Factors Associated with Stuttering in Cantonese. The aim of this research is to gain new knowledge about the cause of stuttering. The project is a collaboration between experts in stuttering in Australia and Hong Kong. Despite decades of study, the cause of stuttering is still not well understood. Research in English has suggested that changes in emphasis from syllable to syllable can trigger individual moments of stuttering. However, Cantonese is very different from English, being a tonal and syllabic language, and uncovering the linguistic triggers of stuttering in Cantonese will yield new insight into the complex causality of this disabling condition.Read moreRead less
Effective Management Of Acute Whiplash Injuries Requires A Pragmatic Approach: An RCT With Stratified Treatments
Funder
National Health and Medical Research Council
Funding Amount
$382,550.00
Summary
Whiplash injuries from a motor vehicle crash continue to incur substantial personal and financial costs to the community and the insurance industry. The current approaches to an acute whiplash injury in Australia and internationally have failed to lessen the rate of how many people develop chronic neck pain. Between 40 and 60% still have pain 6 months after injury. Motor Accident Insurance Commission (Qld) figures indicate that 20% of patients with chronic whiplash account for 60% of the costs. ....Whiplash injuries from a motor vehicle crash continue to incur substantial personal and financial costs to the community and the insurance industry. The current approaches to an acute whiplash injury in Australia and internationally have failed to lessen the rate of how many people develop chronic neck pain. Between 40 and 60% still have pain 6 months after injury. Motor Accident Insurance Commission (Qld) figures indicate that 20% of patients with chronic whiplash account for 60% of the costs. Transition from an acute to a chronic condition must be prevented. A new direction in management in the acute stage is urgently required as once the pain has become chronic, it is difficult to help. This research will conduct a novel randomised controlled trial for acute whiplash. It will test individually prescribed multi-professional management against usual care with the aim to lessen the numbers who go on to develop chronic pain. It will be the first clinical trial that acknowledges from the outset that the whiplash injuries and affects people in different ways. Our previous research with acute whiplash patients has documented the variations in presentation from physical, physiological and psychological perspectives. In this trial, management will be prescribed as directed by measurable pain, muscle and psychological impairments in the individual, rather than regard all patients as the same as in other trials. This trial will offer individualised treatments; medical, physiotherapy and-or psychological using an empirically derived treatment algorithm. Cost-effectiveness of the program will be evaluated against that incurred during usual care. It is predicted that early multi-professional management will be less expensive in the long term than existing approaches. This RCT stands to extend knowledge in the management of whiplash associated disorders (WAD).Read moreRead less
Determinants of successful community transition for individuals with acquired brain injury and their families. Transition home following acquired brain injury (ABI) is a critical phase in which individuals and families are vulnerable. Unsuccessful transitions are characterised by events such as financial crisis, family breakdown, loss of work, social isolation, and institutionalisation. ABI does not discriminate, but there is a higher rate in Indigenous, rural and remote communities and amongst ....Determinants of successful community transition for individuals with acquired brain injury and their families. Transition home following acquired brain injury (ABI) is a critical phase in which individuals and families are vulnerable. Unsuccessful transitions are characterised by events such as financial crisis, family breakdown, loss of work, social isolation, and institutionalisation. ABI does not discriminate, but there is a higher rate in Indigenous, rural and remote communities and amongst younger people. The societal impact of ABI includes loss of income and livelihood, health and welfare dependence, and long-term accommodation support. Research into the determinants of successful transition will alleviate the personal, social and economic burden of ABI and inform policy and program priorities for appropriate Australian Government bodies.Read moreRead less
The dynamics of viral latency in chronic infection. Although many acute infections can now be controlled, we still suffer from a large number of chronic infections such as HIV or herpes that cannot be eradicated. Many of these infections persist because they can lie dormant in a 'latent' state. How this latent state is established, and how long it lasts are important to understand if we want to control these infections. We have assembled a team of mathematicians, immunologists and virologists in ....The dynamics of viral latency in chronic infection. Although many acute infections can now be controlled, we still suffer from a large number of chronic infections such as HIV or herpes that cannot be eradicated. Many of these infections persist because they can lie dormant in a 'latent' state. How this latent state is established, and how long it lasts are important to understand if we want to control these infections. We have assembled a team of mathematicians, immunologists and virologists in order to study latent infection at the cellular level, and within infected monkeys. This will provide the first insights into the dynamics of latency - how these cells are produced and die - and should lead to novel approaches to controlling chronic infection.Read moreRead less
Children's Changing Speech Error Patterns: Articulating, Listening, and Thinking. When children are learning to talk, they make many errors of pronunciation. Between speech onset and five years of age, their pronunciations change, gradually approaching adult pronunciations of words. Most children share the same error patterns, although 6% have difficulty acquiring intelligible speech, that affects their academic and social development. The investigation will examine factors that contribute to ....Children's Changing Speech Error Patterns: Articulating, Listening, and Thinking. When children are learning to talk, they make many errors of pronunciation. Between speech onset and five years of age, their pronunciations change, gradually approaching adult pronunciations of words. Most children share the same error patterns, although 6% have difficulty acquiring intelligible speech, that affects their academic and social development. The investigation will examine factors that contribute to the acquisition of speech in normally developing and speech-disordered populations: oro-motor skills, auditory and cognitive processing. Experiments will determine the importance of each domain for speech development. The efficacy of a novel intervention programme for children with speech disorders will be evaluated.Read moreRead less
Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation st ....Improved identification of patients 'at risk' of depression, and optimal targeting of rehabilitation post-stroke through novel brain imaging and biomarkers. Use of novel brain imaging and biomarkers for identification of stroke survivors at risk of depression and recurrent stroke will permit early access to preventative and effective treatments for depression and improve capacity to benefit from rehabilitation. Development of predictive models to guide selection of most optimal rehabilitation strategies based on viable brain will maximise the capacity for persons with stroke to reach their full potential for recovery and ensure rehabilitation is more targeted and cost efficient. Improved capacity to benefit from treatment will have ongoing benefits for activity participation and productive living in Australians who experience stroke.Read moreRead less