Are Cardiac Conditions In Older Women Managed Appropriately?
Funder
National Health and Medical Research Council
Funding Amount
$289,492.00
Summary
Cardiac conditions, including heart attach, heart failure, angina and high blood pressure are very common among older Australians. They account for large proportions of deaths, morbidity and health care costs. For most of these conditions there are highly effective treatments, however there is evidence that these are not as well used as they should be. Also, for women, diagnosis may be delayed due to perceptions that heart disease is a problem mainly among men. The project is based on the Austra ....Cardiac conditions, including heart attach, heart failure, angina and high blood pressure are very common among older Australians. They account for large proportions of deaths, morbidity and health care costs. For most of these conditions there are highly effective treatments, however there is evidence that these are not as well used as they should be. Also, for women, diagnosis may be delayed due to perceptions that heart disease is a problem mainly among men. The project is based on the Australian Longitudinal Study on Women's Health which includes more than 10,000 women, over half living in rural and remote areas. Women with cardiac conditions will be surveyed about their medical care. This information, together with data they have provided over the last 6 years (and Medicare data if the women have given their consent), will be compared with best practice guidelines established by NHMRC and the Heart Foundation. In this way the project will examine the adequacy of medical care among older women in sufficient detail to make actionable recommendations to health authorities for where improvements are needed.Read moreRead less
Generating Credible Evidence For Health Care Decision Making: Advancing Methods For Evidence Synthesis And Meta-analysis
Funder
National Health and Medical Research Council
Funding Amount
$360,476.00
Summary
Systematic reviews often underpin recommendations in guidelines and are therefore critical to the translation of research evidence into practice. However, weaknesses in the conduct of reviews can yield biased results, which may lead to patients receiving ineffective or harmful treatments. During my fellowship I will develop and evaluate novel methods to assess and adjust for bias in reviews, to improve the credibility of evidence needed to make well-informed choices about health care.
Minimising Disability And Falls In Older People Through A Post-hospital Individualised Exercise Program.
Funder
National Health and Medical Research Council
Funding Amount
$536,435.00
Summary
This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of ....This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of and adherence to the exercise program and the cost effectiveness of the program will be established. We will recruit 350 older people in the first six months after an in-patient stay in aged care and rehabilitation wards at one of two large teaching hospitals. Participants randomised to the intervention group will be asked to complete an individualised home exercise program three times a week. In addition, they will be offered a choice between receiving monthly physiotherapy home visits or attending exercise classes. These weekly exercise classes will be conducted by physiotherapists and will be made up of 6-8 people. The control group will receive an education booklet about falls prevention and will be given the opportunity to join the program on a self-funding basis after their one-year control period is complete. Post-intervention between-group comparisons will be made using appropriate statistical techniques including regression models. Additional analyses will establish predictors for program adoption and adherence and cost-effectiveness (the incremental cost per fall prevented in the exercise group compared with the control group). This study addresses an increasingly important health care problem in a systematic manner and thus has the potential to substantially enhance the health of older people in Australia and internationally.Read moreRead less
Bridging The Gap For Women With Gestational Diabetes: Supporting Prevention Of Type 2 Diabetes Through Improved Care Of A High Risk Group.
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
The strongest risk factor for women developing diabetes is having diabetes in pregnancy or Gestational Diabetes Mellitus (GDM). Roughly half of women with GDM develop diabetes so regular GDM screening is critical alongside healthy lifestyle support, which can prevent diabetes developing. General Practice (GP) is where these activities should occur but the extent of GP delivery varies. This project will support GP delivery of these activities to improve the health of these high-risk women.
Blood Pressure Lowering In Patients With Chronic Kidney Disease: Evidence From Prospectively Planned Overview Analyses
Funder
National Health and Medical Research Council
Funding Amount
$257,271.00
Summary
This study will provide highly reliable information about the best way of managing blood pressure in people with chronic kidney disease. It will use sophisticated methods to summarize information from 25 large clinical trials and 160,000 participants to determine whether lowering blood pressure reduces the risk of heart disease and further kidney damage.The study will also determine whether currently recommended blood pressure drugs are those which will provide the most benefit.
Reducing Falls By Improving Knowledge Translation: A Mixed-methods Study To Incorporate Falls Prevention Best-practice Evidence Into Osteoarthritis Care
Funder
National Health and Medical Research Council
Funding Amount
$88,502.00
Summary
Over 50% of people with osteoarthritis (OA) will fall. Resources exist to assist clinicians in the management of OA, but give little or no attention to falls.The association between OA and falls supports the need to incorporate falls prevention strategies into routine OA care. This project aims to reduce falls and fall-related harm in people with OA by creating a list of recommendations for preventing falls that can be incorporated into current OA resources and routine OA care.
An Interdisciplinary Model Of Care For Early Detection Of Lung Damage, Smoking Cessation Support, And A Home-based Exercise/self-management Program
Funder
National Health and Medical Research Council
Funding Amount
$448,381.00
Summary
An interdisciplinary model of care comprising screening of long-term smokers for early detection of lung damage, smoking cessation support, and a home-based exercise/self-management program will be implemented and evaluated. This model could potentially reduce the burden of smoking, improve lung health and maintain health-related quality of life.
Address Socio-economic Variations In The Implementation Of Guidelines For Preventive Activities In Chronic Disease In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$340,634.00
Summary
Preventing chronic disease is a critical challenge facing the Australian health care system, and the challenge to implement prevention guidelines is even greater among people living in low socioeconomic locations and from Aboriginal and Torres Strait Islander backgrounds. The aim of this research is to examine and address socio-economic variations in the implementation of guidelines for preventive activities in chronic disease in general practice.
A Multiple Health Behaviour Approach To Prevent Common And Emerging Risk Factors For Chronic Disease: Development And Evaluation Of A Novel Online Intervention For Australian Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$408,768.00
Summary
Chronic disease is the major cause of death in Australia. This fellowship will develop and evaluate the first online program to simultaneously target the “Big 6” risk factors for chronic disease: smoking, physical inactivity, alcohol use, poor diet, sedentary behaviour and unhealthy sleep among adolescents. This program not only has the potential to improve the health of young Australians, but also to make a substantial public health impact by reducing the incidence of chronic disease.