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Randomised Controlled Trial Of Multimedia Patient Education Approaches To Preventing In-hospital Falls
Funder
National Health and Medical Research Council
Funding Amount
$524,137.00
Summary
In hospital falls are one of the most frequently occurring adverse events in Australian hospitals. They are the cause of considerable patient morbidity, stress to family members and care givers, and health care resource use. However, there are many potential causes of in-hospital falls which has made minimising them a difficult task for hospitals around the country. Recent evidence has indicated that a patient intervention strategy is useful for preventing in-hospital falls as a part of a multi- ....In hospital falls are one of the most frequently occurring adverse events in Australian hospitals. They are the cause of considerable patient morbidity, stress to family members and care givers, and health care resource use. However, there are many potential causes of in-hospital falls which has made minimising them a difficult task for hospitals around the country. Recent evidence has indicated that a patient intervention strategy is useful for preventing in-hospital falls as a part of a multi-factorial falls prevention program. This research aims to investigate the effectiveness and economic benefit of two approaches to providing patient education for the prevention of in-hospital falls. Patients at high risk for falls will be recruited from the Princess Alexandra Hospital and be randomly allocated to either a DVD + 4 sessions of face-to-face education with an occupational therapist program, to a DVD alone education program, or to a usual care with no additional education control condition. Patients will be followed up until their discharge from hospital and the number of in-hospital falls they incur will be compared between groups. It is expected that both the DVD + 4 sessions of face-to-face education with an occupational therapist program, to a DVD alone education program will be effective in reducing falls and that the DVD alone education program will demonstrate the greater cost-effectiveness in reducing falls. Stemming from this research, it is anticipated that a cost-effective resource for preventing in-hospital falls will be developed and evaluated such that it can be used in hospitals Australia wide.Read moreRead less
Investigating Causes Of Stillbirths: A Prospective Cohort Study Examining Use And Effectiveness Of A Comprehensive Investigation Protocol
Funder
National Health and Medical Research Council
Funding Amount
$567,508.00
Summary
The effects of stillbirth on women and their families are often devastating and long term. Many stillbirths are not appropriately investigated, resulting in lack of accurate data on causes with one-third classified as unexplained. A major driver for suboptimal investigation is the lack of research to guide which tests should be done. This study aims to accurately identify causes of death in 984 comprehensively investigated stillbirths and determine which tests are needed, with consideration of c ....The effects of stillbirth on women and their families are often devastating and long term. Many stillbirths are not appropriately investigated, resulting in lack of accurate data on causes with one-third classified as unexplained. A major driver for suboptimal investigation is the lack of research to guide which tests should be done. This study aims to accurately identify causes of death in 984 comprehensively investigated stillbirths and determine which tests are needed, with consideration of costs and value.Read moreRead less
A Computer Simulation Model For The Evaluation Of Interventions For The Management Of Type 2 Diabetes In Austral
Funder
National Health and Medical Research Council
Funding Amount
$334,505.00
Summary
Diabetes imposes a heavy personal, societal and financial burden in Australia and this is predicted to increase over time. It has been estimated that one million people in Australia have diabetes and the annual cost of diabetes care is in the order of 3 billion dollars. Many studies show that the current quality of diabetes care in Australia is sub-optimal and therefore decisions must be made about prioritizing the allocation of limited resources to correct these deficiencies. This project invol ....Diabetes imposes a heavy personal, societal and financial burden in Australia and this is predicted to increase over time. It has been estimated that one million people in Australia have diabetes and the annual cost of diabetes care is in the order of 3 billion dollars. Many studies show that the current quality of diabetes care in Australia is sub-optimal and therefore decisions must be made about prioritizing the allocation of limited resources to correct these deficiencies. This project involves building a computer simulation model to inform clinicians and assist policy makers in the efficient allocation of resources to improve the quality of diabetes care in Australia.Read moreRead less
Quality Of Life, Associated Psychological And Economic Family Impacts, And Trajectory Of Recovery In Aboriginal And Torres Strait Islander Paediatric Burns Patients.
Funder
National Health and Medical Research Council
Funding Amount
$86,117.00
Summary
Over a third of burns injuries in Australia are paediatric, with over representation of Aboriginal and Torres Strait Islander children. Burns are a major injury, having devastating long term consequences, connected to psychological distress, trauma, cost and disability. This research focusses on quality of life measures, economic impacts and psychological distress, investigating enabling and inhibitory factors to burns recovery in Aboriginal and Torres Strait Islander children and their family.
The IDEAL Trial - Initiating Dialysis Early And Late
Funder
National Health and Medical Research Council
Funding Amount
$752,500.00
Summary
Kidney replacement therapy by dialysis has in the past been provided for patients with endstage renal failure once their remaining kidney function has deterioriated to less than 5-10% of normal. There has been an increasing trend in recent years to offer dialysis therapy at an earlier stage of kidney failure, such that more than 20% of dialysis patients in Australia (and up to 35% in some subgroups) now commence that therapy when their remaining kidney function is greater than 10%. This change h ....Kidney replacement therapy by dialysis has in the past been provided for patients with endstage renal failure once their remaining kidney function has deterioriated to less than 5-10% of normal. There has been an increasing trend in recent years to offer dialysis therapy at an earlier stage of kidney failure, such that more than 20% of dialysis patients in Australia (and up to 35% in some subgroups) now commence that therapy when their remaining kidney function is greater than 10%. This change has occurred because of the unproven belief that earlier dialysis may be associated with a better health outcome. However, dialysis treatment is associated with complications and it is very expensive. Therefore, it is important to determine the health and economic consequences of commencing dialysis early rather than late. The IDEAL trial (Initiating Dialysis Early And Late) is a large multi-centre study being conducted in many renal units in Australia and New Zealand, which will determine whether it is better, in terms of health outcomes and total cost of treatment, to commence dialysis at a time when remaining kidney function is between 10 and 14% or between 5 and 7% of normal.Read moreRead less
Striking The Balance: Combining Best Patient Outcomes And Cost-effective Interventions To Manage Cardiovascular Disease
Funder
National Health and Medical Research Council
Funding Amount
$782,370.00
Summary
This research will combine effective patient outcomes with strategic spending of health dollars. Through detailed analyses of current and recent clinical trials on cardiovascular disease, this project will identify treatments that provide the most benefit to patients’ quality of life and, crucially, will also be the most cost-effective to fund. This will pave the way for similar processes to be used in other areas of health to develop cost-effective healthcare programs for vulnerable groups.
New Approaches To Describing And Valuing Quality Of Life
Funder
National Health and Medical Research Council
Funding Amount
$304,596.00
Summary
The ability of healthcare to improve quality of life is a major factor in determining public subsidy. This fellowship first explores patterns in Australian quality of life. This will identify groups with poor quality of life, and the remedying impact achieved under various interventions. It will then consider how people place value on aspects of quality of life. The two strands will allow linkage between important areas of quality of life and the policy impact of health interventions.