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A Prospective Study To Examine The Effectiveness And Safety Of Antivirals Against Pandemic Influenza
Funder
National Health and Medical Research Council
Funding Amount
$142,394.00
Summary
Pandemic influenza could cause significant mortality in populations of Australia and the south-east Asian region. Currently, avian influenza A (H5N1) is a concern to public health agencies because of its extreme pathogenicity. At present this strain is not transmitted readily between humans. A number of drugs are available to treat influenza infection in humans and research has shown these to be effective in preventing significant mortality in the setting of seasonal influenza epidemics (specifi ....Pandemic influenza could cause significant mortality in populations of Australia and the south-east Asian region. Currently, avian influenza A (H5N1) is a concern to public health agencies because of its extreme pathogenicity. At present this strain is not transmitted readily between humans. A number of drugs are available to treat influenza infection in humans and research has shown these to be effective in preventing significant mortality in the setting of seasonal influenza epidemics (specifically the influenza neuraminidase inhibitors _NIs). As a consequence public health agencies around the world have been stockpiling these drugs and developing sophisticated plans for their use if an influenza pandemic was announced. However, there are no data indicating that the neuraminidase inhibitors (NIs) are safe and effective when used to manage pandemic influenza. Neither are there any data to support the use of these drugs on a population basis. Genetic resistance to NIS has been described but it is not clear if this has any relevance to public health. Our research will clarify this issue. This project will develop a number of clinical trials that could be implemented rapidly should pandemic influenza ever be announced by health authorities in Australia-Singapore or Hong Kong. Patients with suspected influenza infection will be asked to provide informed consent prior to commencing NI therapy. Clinical information will then be collected for a period of approximately one month along with some blood samples and swabs from the throat and nasal passages. Data will be analysed as quickly as possible to help inform the continued use of NI therapy as a cornerstone of the public health agency response to pandemic influenza. In addition, the study team will prepare clinical trials to be conducted in essential workers who are likely to receive long-term NI preventive treatment as well as the immediate contacts of people with presumed influenza infection who are likely to receive short-term prophylaxis with NIs.Read moreRead less
Developing And Testing A Pain Management Program For Family Caregivers Of Advanced Cancer Patients
Funder
National Health and Medical Research Council
Funding Amount
$119,500.00
Summary
To improve cancer patients' and family carers' knowledge and attitudes about pain management. A secondary aim is to examine the effect of a pain education program (PEP) on patients' actual pain experiences. This study builds on pilot data indicating that a pain education program (PEP) for family carers of cancer patients in a home based palliative service is effective in improving family carers' knowledge of pain management and family carers' attitudes toward managing the patient's pain. The PEP ....To improve cancer patients' and family carers' knowledge and attitudes about pain management. A secondary aim is to examine the effect of a pain education program (PEP) on patients' actual pain experiences. This study builds on pilot data indicating that a pain education program (PEP) for family carers of cancer patients in a home based palliative service is effective in improving family carers' knowledge of pain management and family carers' attitudes toward managing the patient's pain. The PEP will be tested with both patients with progressive or recurrent cancer and their family carers, taking into account three recommendations arising from the pilot study: Both patients and family carers should be included in the education sessions to ensure that they receive the same information because the attitudes and behaviours of those close to the patient can directly influence outcomes; Recruitment should occur at an early stage of the illness rather than the palliative stage so that patients will be well enough to participate in the education sessions and the information provided will be useful for a longer period of time; Education sessions should be short and be delivered in the outpatient oncology settings, which is more cost-effective and typical of the way that the intervention will be delivered in practice, if found to be effective.Read moreRead less
Keeping Kids On Track: An Initiative Developing The Resilience Of Aboriginal Students During A Critical Transition Phase
Funder
National Health and Medical Research Council
Funding Amount
$1,430,435.00
Summary
This initiative aims to build Indigenous children�s capacity to cope with life�s challenges and promote resilience through social and emotional skill development, cognitive development, community engagement and appropriate health provision. This will build children�s capacity as improved educational and employment outcomes accrue in the longer term. A model of the process will be developed. Indigenous researchers and community members will take part in governance and conduct of the study.
A Randomised Clinical Trial To Test A Pain Education Program For Patients With Cancer And Their Family Carers
Funder
National Health and Medical Research Council
Funding Amount
$150,000.00
Summary
This study seeks to improve cancer patients' and family carers' knowledge and attitudes toward pain management. A pain education program will be offered to patients with recurrent or progressive cancer and their primary family carers. The study addresses a palliative care concern that impacts upon a large number of Australians each year. The study has the potential to provide a brief, standardised protocol that could be taught and integrated into usual practice and to reduce health care costs fo ....This study seeks to improve cancer patients' and family carers' knowledge and attitudes toward pain management. A pain education program will be offered to patients with recurrent or progressive cancer and their primary family carers. The study addresses a palliative care concern that impacts upon a large number of Australians each year. The study has the potential to provide a brief, standardised protocol that could be taught and integrated into usual practice and to reduce health care costs for advanced cancer patients.Read moreRead less
Pall Care Approaches For Pain Management Education Among Care Assistants Residential Aged Care Hostels: A Feasiblity Stu
Funder
National Health and Medical Research Council
Funding Amount
$25,000.00
Summary
Pain is a devastating symptom that seriously diminishes quality of life1, yet few care assistants in residential aged care hostels are familiar with the principles of palliative care2. This project seeks to explore the feasibility of palliative approaches as a framework for developing a pain education program for these workers. The study will identify: required levels of knowledge; appropriate educational strategies; barriers to learning; best methods for evaluating programs; and cost implicatio ....Pain is a devastating symptom that seriously diminishes quality of life1, yet few care assistants in residential aged care hostels are familiar with the principles of palliative care2. This project seeks to explore the feasibility of palliative approaches as a framework for developing a pain education program for these workers. The study will identify: required levels of knowledge; appropriate educational strategies; barriers to learning; best methods for evaluating programs; and cost implications of providing pain management education in the hostel settings.Read moreRead less
Identification Of The Palliative Care Needs Of Home-based People With End-stage Dementia
Funder
National Health and Medical Research Council
Funding Amount
$50,000.00
Summary
This project seeks to identify the palliative care needs of home-based people with end-stage dementia. Although the need for home-based palliative care may apply to people with dementia as well as to those with cancer and other terminal illnesses, few people with end-stage dementia receive such care. For this reason, people with dementia may experience suffering and unmet needs towards the end of life. The proposed research is important because as the population ages and the prevalence of dement ....This project seeks to identify the palliative care needs of home-based people with end-stage dementia. Although the need for home-based palliative care may apply to people with dementia as well as to those with cancer and other terminal illnesses, few people with end-stage dementia receive such care. For this reason, people with dementia may experience suffering and unmet needs towards the end of life. The proposed research is important because as the population ages and the prevalence of dementia increases, home-based care will be the preferred option for many people. Palliative care practice however is not necessarily transferable between cancer care and dementia care. The needs of people with end-stage dementia may be different to those of people with cancers because of the different trajectories and symptoms experienced. There is evidence to suggest that a palliative care approach in dementia is favoured by formal and informal carers, however the preferences of people with dementia are not known. Understanding the palliative care needs of home-based people with end-stage dementia, carers and care providers is required, hence the motivation for this inquiry.Read moreRead less
Potential Avian Influenza-induced Pandemic: Minimising Public Panic
Funder
National Health and Medical Research Council
Funding Amount
$249,854.00
Summary
Communication appearing in the Australian media regarding a potential bird flu epidemic can serve to accurately and effectively inform the public OR misinform and contribute to panic and undesirable behavioural responses. The Australian Government has time to develop communication strategies and specific messages that can effectively convey desired information at different stages of the anticipated pandemic. This research team proposes to develop communication strategies (including specific mess ....Communication appearing in the Australian media regarding a potential bird flu epidemic can serve to accurately and effectively inform the public OR misinform and contribute to panic and undesirable behavioural responses. The Australian Government has time to develop communication strategies and specific messages that can effectively convey desired information at different stages of the anticipated pandemic. This research team proposes to develop communication strategies (including specific messages, media vehicles, spokespeople, images etc for the different target audiences) that government, medical authorities, NGOs and other relevant organisations can use to increase the public's understanding of the risk. Such strategies will ensure that we can minimise fear, refute misinformation the public may encounter from individuals (e.g., co-workers) or media sources, and enhance the likelihood of the public taking the recommended preventive and remedial actions should an Avian Influenza pandemic occur. Additionally, the research team will then utilise these communication strategies to develop evidence-based guidelines for communication strategies to be used in cases of similar serious health threats in Australia. Based at the University of Wollongong, the project team is a sophisticated and synergistically qualified team of experts. The team includes: a main media health promotions expert (Associate Professor Sandra Jones); two marketing communications experts, one of whom has an academic focus and the other a practitioner focus (Professor John Rossiter and Dr Max Sutherland respectively); a public health and medical expert in health behaviour change (Professor Don Iverson); a senior public health campaigns expert (Professor Chris Puplick), and an expert in communicable diseases and infection control education and programs (Professor Julian Gold).Read moreRead less
Dementia Literacy In Greek, Italian And Chinese Australians
Funder
National Health and Medical Research Council
Funding Amount
$228,473.00
Summary
The dementia knowledge and beliefs of persons from Italian, Greek and Chinese backgrounds will be compared to third generation Australians. Five hundred persons from each group will be randomly selected from around Australia to be surveyed by telephone. Questions will assess whether dementia symptoms are recognised, what these persons think causes dementia, where they would go for help, how likely they are to use aged care services and stigma towards persons with dementia. Focus groups will be c ....The dementia knowledge and beliefs of persons from Italian, Greek and Chinese backgrounds will be compared to third generation Australians. Five hundred persons from each group will be randomly selected from around Australia to be surveyed by telephone. Questions will assess whether dementia symptoms are recognised, what these persons think causes dementia, where they would go for help, how likely they are to use aged care services and stigma towards persons with dementia. Focus groups will be conducted to identify barriers to service use and identify methods to improve dementia knowledge in Italian, Greek and Chinese groups. This information will be used to improve community education and service delivery for persons with dementia from culturally and linguistically diverse backgrounds. The Primary Dementia Collaborative Research Centre at the University of NSW, NSW Multicultural Health Communication Service and Alzheimer’s Australia are partners in this research.Read moreRead less