Communication Connect: Improving Long Term Communication And Mental Health Outcomes Following Stroke And Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$1,809,756.00
Summary
The 250,000 Australians living in the community with communication disability caused by stroke and traumatic brain injury experience unacceptably high rates of depression, anxiety, inactivity and social isolation. Their carers experience high levels of burden, and they struggle to access health and community services. We aim to develop and test a program of community and self-managed care, aimed at reversing these negative impacts and reducing reliance on high cost health care services.
I am a speech pathologist working to improve psychosocial outcomes for adults with traumatic brain injury by improving their communication and social skills.
Improving The Communication Of People With Severe Traumatic Brain Injury: A Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$448,293.00
Summary
Traumatic brain injury is the leading cause of disability in young Australians, and is particularly prevalent in young men. The condition disturbs thinking and problem solving. Ultimately, these problems manifest in impaired verbal communication. Communication problems following traumatic brain injury can make critical relationships-such as father, husband, and employee-impossible to sustain. Those affected are socially inappropriate and uncomfortable to be around, which causes a lifetime of los ....Traumatic brain injury is the leading cause of disability in young Australians, and is particularly prevalent in young men. The condition disturbs thinking and problem solving. Ultimately, these problems manifest in impaired verbal communication. Communication problems following traumatic brain injury can make critical relationships-such as father, husband, and employee-impossible to sustain. Those affected are socially inappropriate and uncomfortable to be around, which causes a lifetime of lost friendships, unemployability, and social isolation. Minimisation of these lifelong effects is of the utmost importance to the health of those affected, and is critical to reducing the economic burden of the condition. Two approaches have been shown to improve the communication of those with traumatic brain injury. Training in social skills is helpful, as is training partners to deal with difficult communication behaviours. However, to date, no research has concurrently studied these two approaches to rehabilitation. Consequently, it is unknown whether best results are achieved with either one of the two methods, or both. The present project uses a clinical trials approach in an innovative evaluation of three methods of treating those with traumatic brain injury compared with a control group. The trial involves the conceptual advances of including cost effectiveness of treatment as an outcome measure, and inclusion of advanced methods to measure the intricacies of verbal communication. The multidisciplinary team of Chief Investigators has international track records in the requisite disciplines for the study of traumatic brain injury and its rehabilitation.Read moreRead less
Accurate Differentiation Of Acquired Speech And Language Disorders For Positive Rehabilitation Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$398,840.00
Summary
Loss of speech due to acquired brain injury causes long-term disability, increased risk for depression, and substantial caregiver burden. Speech disorders can affect linguistic processes or control of speech movements. The current gold standard for diagnosis of speech movement disorders is expert judgment of speech characteristics. We propose to test a novel diagnostic tool that has potential to drive a reframing of rehabilitation strategies to improve outcomes and quality of life.
This national research centre uniquely combines two recent advances in rehabilitation, applies them to rehabilitation of acquired communication disorder (aphasia) and translates them into a clear pathway for clinical management of people with aphasia. This cell to society research program integrates a consumer's perspective into research in the relearning of lost skills after injury. The resulting Australian Aphasia Clinical Pathway will enable and ensure best practice in aphasia services.
Longitudinal Communication Outcomes Following Traumatic Brain Injury
Funder
National Health and Medical Research Council
Funding Amount
$798,171.00
Summary
Traumatic brain injury (TBI) is the leading cause of disability in young Australians. The condition frequently manifests in impaired verbal communication. Communication is essential to successful rehabilitation, and return to society. However, the critical time for delivery of optimal treatment for communication remains unknown. This prospective longitudinal study will examine communication recovery following (TBI) to identify predictors of recovery and the best time to offer treatment.
Determinants Of Successfully Living With Aphasia After Stroke: A Prospective Cohort Mixed Methods Study
Funder
National Health and Medical Research Council
Funding Amount
$469,003.00
Summary
People with the communication disability of aphasia following stroke are critical of rehabilitation services. This project seeks to determine what it takes to live successfully with aphasia so that aphasia rehabilitation can be improved. Participants will be interviewed over the first 12 months following the stroke. The most important factors contributing to success will be identified and barriers and facilitators described. The most important factors can then be targeted in rehabilitation.
Hypothalamic Regulation Of Cardiovascular Function In Hypertension And Stress
Funder
National Health and Medical Research Council
Funding Amount
$570,880.00
Summary
Blood pressure is controlled to a large extent by nerves, known as sympathetic nerves, that supply the heart and blood vessels. The activity of sympathetic nerves is commonly increased in people with high blood pressure, particularly younger patients. This has the effect of constricting blood vessels and increasing heart rate, which places an additional load on the heart, and increasing the risk of heart attacks and stroke. Sympathetic nerves are also activated strongly in response to stress. In ....Blood pressure is controlled to a large extent by nerves, known as sympathetic nerves, that supply the heart and blood vessels. The activity of sympathetic nerves is commonly increased in people with high blood pressure, particularly younger patients. This has the effect of constricting blood vessels and increasing heart rate, which places an additional load on the heart, and increasing the risk of heart attacks and stroke. Sympathetic nerves are also activated strongly in response to stress. In some people stress can trigger an extreme reaction, called a panic disorder, characterised by intense sympathetic activation, which also increases the risk of heart attacks. A region in the brain called the hypothalamus plays a key role in generating these increases in sympathetic nerve activity. This project aims first to identify the precise region or regions in the hypothalamus that are responsible for causing increased sympathetic activity in high blood pressure, and also in response to acute stress. There is also evidence from studies in humans that drugs which act on a particular type of receptor in the brain (called a serotonin receptor) can strongly inhibit the normal response to stress. We also aim to determine exactly where and how such drugs work. These studies may lead to much more effective treatments for high blood pressure and stress-related disorders.Read moreRead less