Use Of Analgesics To Reduce Agitation And Agression In Older Persons With Dementia
Funder
National Health and Medical Research Council
Funding Amount
$552,556.00
Summary
Understanding the causes of Behavioural and Psychological Symptoms of Dementia (BPSD) provides a potentially remedial target for interventions. The current study will undertake the first ever trial of analgesics to reduce the frequency of agitation/aggression and other BPSD. By completion we will have new insights into the relationship between pain and various sub-types of BPSD and robust evidence on the best class of analgesics to treat BPSD
A Cluster RCT Of A Novel Psychological Intervention To Reduce Depression Among At-risk Older Adults Transitioning To Residential Aged Care
Funder
National Health and Medical Research Council
Funding Amount
$893,152.00
Summary
Depression is common in aged care facilities, with many older adults finding the transition extremely difficult. We have developed a simple intervention to help new residents, including those with dementia, to adjust to life in aged care. This program focuses on key aspects of psychological wellbeing, and is designed for widespread use in aged care. We will evaluate the intervention to determine if it is superior to current care approaches in reducing depression and improving quality of life.
The Prevention, Early Detection, & Effective Management Of Neurocognitive Disorders In The Elderly
Funder
National Health and Medical Research Council
Funding Amount
$4,929,014.00
Summary
The unprecedented greying of the world population is posing a major challenge to health care in meeting the needs of older individuals with cognitive disorders such as Alzheimer�s disease. At the same time, drugs are being developed to prevent these disorders, or to treat them effectively. Our proposal is a comprehensive attempt at dealing with the neuropsychiatric aspects of these neurocognitive disorders. Our group is endeavouring to better define the early stages of these disorders, and study ....The unprecedented greying of the world population is posing a major challenge to health care in meeting the needs of older individuals with cognitive disorders such as Alzheimer�s disease. At the same time, drugs are being developed to prevent these disorders, or to treat them effectively. Our proposal is a comprehensive attempt at dealing with the neuropsychiatric aspects of these neurocognitive disorders. Our group is endeavouring to better define the early stages of these disorders, and studying methods of detecting them at an early stage, using the latest neuropsychological and neuroimaging techniques. We wish to investigate new drugs for the prevention of dementia. Much of dementia is not treated early because of lack of training of primary care physicians in identifying dementia, and we are developing methods to deal with this problem. We are also examining the role of cognitive disorders in accidents and suicides in the elderly, and the development of depression. We are determining the role of psychiatric disorders in the care of these patients, and the methods of alleviating the burden of disease. We expect that this research will make a major impact on health policy for these disorders in Australia. We also hope to make our Program the premier centre for training in geriatric neuropsychiatry.Read moreRead less
Mental illnesses are the largest single cause of disability and costs the economy $56.7 billion per year. Depression and anxiety in those with dementia lead to poorer outcomes with reduced quality of life, poor functional status and worsening cognition, despite under-treatment. I will develop an integrated network in Australia to maximise treatment outcomes for depression and anxiety in dementia.
Regenerative Neuroscience Strategies For Brain Ageing And Dementia
Funder
National Health and Medical Research Council
Funding Amount
$426,079.00
Summary
Dementia is the pre-eminent medical challenge of our times as it affects 34 million individuals and will quadruple by 2050. This research therefore aims to develop new preventative and therapeutic strategies for dementia. Seven different studies are proposed, ranging from new stem-cell treatments for testing in rodents, to human clinical trials looking at the preventative effects of physical and mental exercise. These are linked by a central idea of boosting the brain’s neuroplasticity.
This Fellowship will examine factors that contribute to depression and other behavioural symptoms in people with Alzheimer's type dementia. These symptoms are common and difficult to treat so it is extremely important that we gain a better understanding of why they develop and look at ways to prevent their occurrence. The study will also test a simple, safe and novel intervention aimed at altering the biases we have in our thought processes that may underlie the development of these symptoms.
Antipsychotic medications are commonly used in managing behavioral symptoms, among nursing home residents with dementia. However, these medications only have modest effect, and can increase the risk of stroke and death. Unfortunately the use of antipsychotics in nursing homes has continued to rise in Australia. This Fellowship focuses on a subgroup of people with dementia, due to Huntington Disease. It will design and refine a flowchart to help health care workers minimize antipsychotic use, and ....Antipsychotic medications are commonly used in managing behavioral symptoms, among nursing home residents with dementia. However, these medications only have modest effect, and can increase the risk of stroke and death. Unfortunately the use of antipsychotics in nursing homes has continued to rise in Australia. This Fellowship focuses on a subgroup of people with dementia, due to Huntington Disease. It will design and refine a flowchart to help health care workers minimize antipsychotic use, and test its effectiveness in a trial.Read moreRead less
Improving Clinical Diagnosis Of Mild Neurocogntive Disorders Using Neuropsychological Assessment
Funder
National Health and Medical Research Council
Funding Amount
$155,932.00
Summary
A major proportion of neuropsychiatric disability in old age is due to dementia or milder cognitive disorders. However, these disorders can be challenging to diagnose because of the subtlety of cognitive deficits and a lack of appropriate normative reference groups. By developing comprehensive, representative Australian normative data for key diagnostic measures and refining clinical diagnostic methods, the study will have a major impact on the accuracy of neuropsychological assessment practice.
Modifying The Trajectory Of Insidious Late Life Cognitive Decline Using Computerised Cognitive Training
Funder
National Health and Medical Research Council
Funding Amount
$743,152.00
Summary
Supervised, group-based computerised cognitive training (CCT) is a safe and effective intervention to maintain cognition in healthy older adults. This project will examine the extent to which CCT can attenuate or even reverse the rate of decline in older people with previously documented cognitive decline, as well as strategies to maintain CCT effects in the long term.
Modifying Cognitive Trajectories Using Computerised Cognitive Training
Funder
National Health and Medical Research Council
Funding Amount
$72,768.00
Summary
The "Use it or lose it" principal is highly applicable in cognition functions, particularly with ageing. This project aims to use an intervention that promotes active brain processes and function to protect and preserve it from deterioration. The effect of this dementia-prevention strategy and results will help fill gaps in the current body of knowledge, and will allow the prescription of individualised treatment by showing the mechanisms by which this intervention works to improve cognition.