Closing The Evidence-practice Gap In Total Knee Replacement: Optimising Evidence-based Decision-making Through A Multi-dimensional Surgeon Feedback Intervention
Funder
National Health and Medical Research Council
Funding Amount
$1,091,926.00
Summary
Total knee replacement (TKR) is one of the most successful surgeries for treating knee arthritis. With an ageing population demand for TKR will increase dramatically, placing burden on our health system. It is estimated that 25% of TKRs are performed in inappropriate candidates according to evidence-based guidelines. This project evaluates a program for surgeons that will improve adherence to using guidelines, which will improve efficiencies & equitability of this important surgical procedure.
Australian Predicting Infectious ComplicatioNs In Children With Cancer (PICNICC) Project
Funder
National Health and Medical Research Council
Funding Amount
$694,980.00
Summary
Children undergoing cancer treatment are at an increased risk of infection. This is managed by admission to hospital for antibiotics which can be a frightening experience for the child, disruptive for their family and expensive for the healthcare system. While many need admission, a proportion of patients can be safely managed at home with oral or intravenous antibiotics. This project aims to identify these children, so as to improve their quality of life, and decrease cost of treatment.
Improving Patient Management Pathways In Age-Related Macular Degeneration
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Age related macular degeneration (AMD) is the most common cause of vision impairment in Australians aged over 50 years. In recent years, there have been a number of diagnostic tests and new interventions developed for AMD, but it has proven challenging to communicate this information to all primary eye care practitioners. This project will investigate the reasons management guidelines are not always being followed, and develop online training to provide direct bench-to-bedside AMD education.
Centre For Research Excellence In Reducing Healthcare Associated Infection
Funder
National Health and Medical Research Council
Funding Amount
$2,495,795.00
Summary
Each year in Australia 180,000 patients suffer a healthcare associated infection. Risk can be reduced with relatively simple technology but substantial costs arise with system wide adoption and monitoring. The economic paradigm is that funds can be invested for infection reduction to save costs and lives. The CRE will reveal the cost-effectiveness of infection control programmes and show health services decision-makers how to improve patient outcomes, save resources and save lives.
Centre For Research Excellence In Total Joint Replacement OPtimising OUtcomes, Equity, Cost Effectiveness And Patient Selection (OPUS)
Funder
National Health and Medical Research Council
Funding Amount
$2,500,000.00
Summary
Joint replacement surgery is one of the most successful surgeries performed in Australia and globally. With an ageing population, demand for this procedure will increase dramatically, placing burden on a constrained health system. This Centre targets the journey of patients undergoing joint replacement surgery, seeking to optimise patient safety and outcomes, in addition to improving efficiencies and equitablity of this important surgical procedure.
Maximum Acceptable Risk Of Complication In Total Knee Arthroplasty (MARKA) Study: Using Discreet Choice Experiments To Elicit Patient And Surgeon Perception Of Acceptable Risk In Total Knee Arthroplasty
Funder
National Health and Medical Research Council
Funding Amount
$465,199.00
Summary
Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end- ....Patient expectation is the strongest predictor of satisfaction following total knee replacement. Dissatisfaction with surgery is reported in approximately 1 in 5 patients undergoing knee replacement. Unrealistic patient expectations and uninformed perceptions of potential benefits, risks and limitations of surgery lead to dissatisfaction in many cases. This study will examine the “risk-benefit” preferences in patients and surgeons considering total knee replacement as a treatment option for end-stage osteoarthritis.Read moreRead less
The independent and combined effects of front-of-pack food labelling systems and health claims on consumers' food-related beliefs and behaviours. Recent developments in food labelling policy are changing the nature of the food environment. This project aims to allow the Australian government to capitalise on its investments in food labelling and health claims policies by investigating the independent and combined effects of front-of-pack labelling systems and health claims on adults' and childre ....The independent and combined effects of front-of-pack food labelling systems and health claims on consumers' food-related beliefs and behaviours. Recent developments in food labelling policy are changing the nature of the food environment. This project aims to allow the Australian government to capitalise on its investments in food labelling and health claims policies by investigating the independent and combined effects of front-of-pack labelling systems and health claims on adults' and children's food-related beliefs and behaviours. Three different forms of front-of-pack labelling systems and three types of health claims will be tested in varying combinations to identify the effects on different consumer segments, especially those of lower socioeconomic status. This approach aims to show how different forms of nutrition information are processed and traded-off during decision making.Read moreRead less
Decoding change of mind decisions and errors from brain activity in humans. This project intends to provide new insights into how the brain changes a decision to achieve better outcomes. Decision-making is rarely optimal, and in a dynamic world people must often change their initial decisions in order to avoid consequential errors. This project aims to investigate the neural mechanisms underlying such change-of-mind decisions and decision errors in humans. To this end, it plans to use novel deco ....Decoding change of mind decisions and errors from brain activity in humans. This project intends to provide new insights into how the brain changes a decision to achieve better outcomes. Decision-making is rarely optimal, and in a dynamic world people must often change their initial decisions in order to avoid consequential errors. This project aims to investigate the neural mechanisms underlying such change-of-mind decisions and decision errors in humans. To this end, it plans to use novel decoding techniques to predict the evolution of change-of-mind decisions from brain activity while decisions unfold. This approach would clarify how quality of information, effort, and reward are integrated at a neural level to bias people towards changing their decisions. The expected results would provide an improved understanding of the neural dynamics of errors and how the brain corrects decisions online to achieve better outcomes.Read moreRead less
Super Financial Security: Improving Flexibility, Trust and Communication. This project aims to address the significant worldwide challenge of how to safeguard financial wellbeing at older ages. In doing so it aims to investigate three important and interconnected influences on retirement preparation: flexible choice architecture, trust formation and effective communication. The project aims to use a combination of innovative modelling, experimental and field-based approaches. The principal expec ....Super Financial Security: Improving Flexibility, Trust and Communication. This project aims to address the significant worldwide challenge of how to safeguard financial wellbeing at older ages. In doing so it aims to investigate three important and interconnected influences on retirement preparation: flexible choice architecture, trust formation and effective communication. The project aims to use a combination of innovative modelling, experimental and field-based approaches. The principal expected outcomes are insights into the factors that guide superannuation choice, build trust with superannuation providers, and ensure clear and effective communication with members.Read moreRead less
The Psychology of Misinformation—Towards A Theory-driven Understanding. The project aims to develop a psychological theory of misinformation effects. Misinformation influences people’s memory, reasoning and decision-making even after corrections – it thus poses a significant challenge for science and society. Through the combination of systematic experimentation with theory-driven computational modelling, the project will strive to concurrently consider individual-level cognition and the impact ....The Psychology of Misinformation—Towards A Theory-driven Understanding. The project aims to develop a psychological theory of misinformation effects. Misinformation influences people’s memory, reasoning and decision-making even after corrections – it thus poses a significant challenge for science and society. Through the combination of systematic experimentation with theory-driven computational modelling, the project will strive to concurrently consider individual-level cognition and the impact of sociocultural context. It is anticipated that this novel integrative approach will substantially expand our understanding of misinformation effects, and that this theoretical progress will result in the formulation of specific communication strategies to reduce the impact of misinformation on society.Read moreRead less