Suicide prevention and management of deliberate self-harm: randomised control trial of an assertive engagement, brief psychotherapy and community linkage model. Suicide is the second commonest cause of death by injury in Australia. Suicide prevention is an important public health priority but rates remain high. People who have previously attempted suicide are most likely to kill themselves. Most suicidal people attend emergency departments where they get inadequate treatment for their psychologi ....Suicide prevention and management of deliberate self-harm: randomised control trial of an assertive engagement, brief psychotherapy and community linkage model. Suicide is the second commonest cause of death by injury in Australia. Suicide prevention is an important public health priority but rates remain high. People who have previously attempted suicide are most likely to kill themselves. Most suicidal people attend emergency departments where they get inadequate treatment for their psychological and social problems and remain depressed and suicidal. This project will test the effectiveness of a new psychological and social treatment to reduce the depression and link suicidal people with community supports. If successful, this treatment could be provided in any emergency department and help decrease suicide rates in Australia.Read moreRead less
Developing a Model of ICU Transition Care; Enhancing Services, Enabling Nurses, Empowering Patients. The transition from the Intensive Care Unit (ICU) to the ward is traumatic for patients and families and difficult for ward nurses. Using focus groups and an intervention study, this research will develop and evaluate a model of ICU transition care and demonstrate the extent to which appropriate transition care improves a variety of outcomes for patients, families and staff. We anticipate that t ....Developing a Model of ICU Transition Care; Enhancing Services, Enabling Nurses, Empowering Patients. The transition from the Intensive Care Unit (ICU) to the ward is traumatic for patients and families and difficult for ward nurses. Using focus groups and an intervention study, this research will develop and evaluate a model of ICU transition care and demonstrate the extent to which appropriate transition care improves a variety of outcomes for patients, families and staff. We anticipate that this model will influence practice and policy decisions and be useful in other setting and with other groups who face life transitions such as the military, corrective care and rehabilitation.Read moreRead less
Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planner ....Patient and nurse outcomes and the cost of nurses' turnover in Australian hospitals. An adequate supply of nurses is fundamental to all of the National Health Priority disease areas where quality care cannot be delivered without an adequate number of motivated nurses. Designing cost-effective methods of retaining nurses requires understanding reasons why they leave the workforce and the impact this has on patient care and system costs. The findings will assist policy makers and workforce planners at both local and national levels, to design strategies to effectively recruit and retain nurses as demands for health care and market competition for staff both increase.Read moreRead less
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
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
Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care ....Participation following traumatic brain injury in rural, regional and remote areas. The results of this project will lead to improved rehabilitation programs and better outcomes for people with brain injury, especially in regional, rural and remote areas, by targeting the ultimate goal more directly: participation - getting people back into their home, work and community roles. Participation is associated with improved social networks, wellbeing, independence and quality of life, so health care burdens and costs are reduced, and people can lead more productive lives. The project's emphasis on country areas will benefit rural health care, and also help specialist metropolitan brain injury services to understand the specific rehabilitation issues facing people from the bush.Read moreRead less
Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, m ....Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, mapping psychosocial and cognitive change. This study entails a multidisciplinary collaboration with industry, applying innovative psychosocial and cognitive measures that will ultimately improve the detection of adverse pharmaceutical side-effects. The project is an international first, and will provide an important foundation for implementing preventive healthcare.Read moreRead less
A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in ....A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in CR patients. Given the role of self-efficacy in predicting adherence, MI needs to be evaluated in CR. This study is significant in terms of preventative health, and its potential to improve the design and delivery of CR programs and increase patient adherence. Expected outcomes include increased adherence to cardiovascular risk modification and improved psychological well-being.Read moreRead less
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evalu ....Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evaluate the success of treatment for clients diverted from the criminal justice system, but also in its unique focus on a wide range of outcomes for different client groups.Read moreRead less