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Identification And Quantification Of Risk Of Falls In Cognitively Impaired Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$530,741.00
Summary
This study represents the first systematic approach to understanding the complex interaction of factors that contribute to risk of falling in cognitively impaired older people. The results will provide much needed information on how to intervene to prevent falls and fractures in this high risk population. In the last decade, 25 randomised controlled trials have been published which show it is possible to prevent falls in older people. However, a major disappointing outcome of research in this fi ....This study represents the first systematic approach to understanding the complex interaction of factors that contribute to risk of falling in cognitively impaired older people. The results will provide much needed information on how to intervene to prevent falls and fractures in this high risk population. In the last decade, 25 randomised controlled trials have been published which show it is possible to prevent falls in older people. However, a major disappointing outcome of research in this field is that trials that have included or specifically focused on older people with cognitive impairment have been unsuccessful in preventing falls. Cognitive impairment has long been known to be a major risk factor for falls and fractures but little research has been undertaken to understand the underlying mechanisms as to why this is the case. It is likely that previous falls prevention trials involving people with cognitive impairment were unsuccessful because they did not directly assess mechanisms for falls in this group and simply translated intervention strategies from studies undertaken in cognitively intact older people. This study aims to develop our understanding of the important factors that contribute to risk of falling in older people with cognitive impairment and dementia. Participants will be recruited from a number of sources including hospitals, out-patient clinics, retirement villages, hostels etc. Whilst some participants will be able to consent to take part, all participants must have a nominated person responsible. Consenting participants will undergo a series of assessments, the majority of which can be undertaken in their own home. These will include medical and medication history, measures of gait and balance and tests assessing performance of different regions of the brain. An MRI scan will allow us to determine whether risk of falling relates to any specific pathology in different parts of the brain. We anticipate that we will be able to identify which risk factors and underlying mechanisms are most strongly associated with falling in cognitively impaired older people. We then hope to use the information to design targeted and tailored intervention strategies to reduce falls and fractures in this high risk population.Read moreRead less
SEARCH - Study Of Environment On Aboriginal Resilience And Child Health
Funder
National Health and Medical Research Council
Funding Amount
$2,114,618.00
Summary
The SEARCH program of research investigates the relationship between environmental determinants of health in a cohort study with five year follow up involving 800 urban NSW Aboriginal families with approximately 2000 children aged 0-17. A subset of 480 families will be recruited to participate in a randomised controlled trial of the impact of a health broker on (i) improving treatment of otitis media, and (ii) a feasibility study of an intervention to improve housing in 50 households. These two ....The SEARCH program of research investigates the relationship between environmental determinants of health in a cohort study with five year follow up involving 800 urban NSW Aboriginal families with approximately 2000 children aged 0-17. A subset of 480 families will be recruited to participate in a randomised controlled trial of the impact of a health broker on (i) improving treatment of otitis media, and (ii) a feasibility study of an intervention to improve housing in 50 households. These two studies will form the basis of an urban Aboriginal cohort study spanning 20 years with funding from alternate sources.Read moreRead less
The aim of this project is to design and implement a broad-ranging research program that produces in-depth knowledge of motorcycle rider behaviour, performance, and safety that can be used to inform and develop a broad, and integrated package of countermeasures and-or public policies to improve the safety of motorcycle riders. A key focus of the research program will be on the identification and characterisation of errors that give rise to incidents and crashes involving motorcycle riders. Austr ....The aim of this project is to design and implement a broad-ranging research program that produces in-depth knowledge of motorcycle rider behaviour, performance, and safety that can be used to inform and develop a broad, and integrated package of countermeasures and-or public policies to improve the safety of motorcycle riders. A key focus of the research program will be on the identification and characterisation of errors that give rise to incidents and crashes involving motorcycle riders. Australian motorcycle riders are three times more likely to be involved in a casualty crash than car drivers, and comprised 14% of the national road toll in 2005. The proposed research program aims to improve motorcycle safety by developing appropriate countermeasures that will be derived from the findings of simulator experiments, on-road studies, focus groups, and surveys. The results of these studies will be used to develop guidelines and recommendations for improving motorcycle safety.Read moreRead less
Changing Patterns Of Work: Impacts On Physical And Mental Health And The Meditating Role Of Resiliency And Social Capital
Funder
National Health and Medical Research Council
Funding Amount
$1,140,342.00
Summary
This project will provide, for the first time in Australia, a detailed understanding of the impact of the changing forms of employment and unemployment on overall health. It will provide original insights into what aspects of the employment relation help or harm health, and on what enables some people to escape the harm that others experience. This will provide vital information to underpin policies designed to gain the benefits of a flexible workplace, with minimum harm to workers.