Implementation Of Quality Use Of Advanced CT Imaging In Acute Stroke
Funder
National Health and Medical Research Council
Funding Amount
$1,128,594.00
Summary
Many centres now use advanced CT scanning techniques to assess stroke patient suitability for clot-dissolving treatment. However, there is major variation across Australia in the clinical application of advanced CT scanning techniques, which is a barrier to the delivery of this treatment. This project addresses the variation in CT imaging techniques by developing, piloting and evaluating the implementation of a standardised advanced CT scanning strategy for acute stroke patients.
Using Linked Population-based Health-related Datasets To Optimise Cancer Care And Reduce Survival Disparities.
Funder
National Health and Medical Research Council
Funding Amount
$850,941.00
Summary
In partnership with the Victorian Department of Health and Human Services, we will use detailed health data from various sources to assess how care is provided to people with cancer and determine why some have better survival than others. The findings will be used to change government policy and clinical practice in order to improve cancer outcomes for those who fair worse. We will establish a data bank to enable this information to be used to improve services into the future.
Giving An Adult Life After Fontan Surgery To Those With The Most Severe Congenital Heart Conditions
Funder
National Health and Medical Research Council
Funding Amount
$1,295,355.00
Summary
The Fontan operation is the last of a series of operations performed for babies born with a single pumping heart chamber (ventricle). In the largest research of its kind, the Australia and New Zealand Fontan Registry partners with Heartkids, the parents’ association and the National Heart Foundation are intending to improve their life as they step into adulthood. We believe that our new standardised model of care will decrease their risk of experiencing adverse events such as stroke and reoperat ....The Fontan operation is the last of a series of operations performed for babies born with a single pumping heart chamber (ventricle). In the largest research of its kind, the Australia and New Zealand Fontan Registry partners with Heartkids, the parents’ association and the National Heart Foundation are intending to improve their life as they step into adulthood. We believe that our new standardised model of care will decrease their risk of experiencing adverse events such as stroke and reoperation.Read moreRead less
STROKE123: A Collaborative, National Effort To Monitor, Promote And Improve The Quality Of Stroke Care In Hospitals And Patient Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$1,261,292.00
Summary
Stroke is a major public health issue in Australia. This Better Health Initiative partnership project is designed to rigorously evaluate a methodology to improve the monitoring and use of data for stroke, as well as an intervention to address evidence-practice gaps for essential interventions known to have a direct association with patient outcomes. The findings will provide a platform for national roll-out of appropriate and enhanced data collection solutions linked to an effective model for im ....Stroke is a major public health issue in Australia. This Better Health Initiative partnership project is designed to rigorously evaluate a methodology to improve the monitoring and use of data for stroke, as well as an intervention to address evidence-practice gaps for essential interventions known to have a direct association with patient outcomes. The findings will provide a platform for national roll-out of appropriate and enhanced data collection solutions linked to an effective model for improving clinical care and outcomes of stroke.Read moreRead less
Telehealth And Advanced CT Imaging Combined Study (TACTICS)
Funder
National Health and Medical Research Council
Funding Amount
$979,270.00
Summary
This project aims to converge several acute stroke therapy systems of care to provide the best possible health outcomes for patients living in regional areas. We will implement a proven telehealth program with the aim of providing increased access to thrombolysis through screening with multimodal CT. During this project we will also undertake a nested randomised trial of advanced imaging to identify which is the most efficient imaging protocol to ensure the best possible patient outcomes
A Network Of Sites And ‘up-skilled’ Therapists To Deliver Best Practice Stroke Rehabilitation Of The Upper Limb.
Funder
National Health and Medical Research Council
Funding Amount
$955,910.00
Summary
We aim, through our partnership, to bring better therapy to more stroke survivors. Effective therapies are available to improve hand function but survivors are not currently receiving these. We will systematically address this evidence-practice gap using knowledge-transfer methods to up-skill therapists and change practice behaviours. A network of sites and up-skilled therapists will deliver this therapy and sustain change. A template will guide future translational activities.
A Randomised Controlled Trial Of The Effectiveness Of ‘Enable Me’: An E-health Innovation For Stroke Survivors And Support Persons.
Funder
National Health and Medical Research Council
Funding Amount
$245,109.00
Summary
Stroke survivors experience significant burdens, including depression and reduced quality of life. The demands placed on support persons of stroke survivors also impact on the physical and mental health of these individuals. This study will examine the effectiveness of Enable Me, an online program developed to support stroke survivors and their support persons following discharge from hospital. We will also identify effective strategies which encourage uptake and continued use of the program.
Enhancing Rehabilitation Services For Aboriginal Australians After Brain Injury: Healing Right Way
Funder
National Health and Medical Research Council
Funding Amount
$906,445.00
Summary
This project involves implementation of the first culturally secure intervention package for Aboriginal survivors of brain impairment in Australia. Stroke and traumatic brain injury occur significantly more frequently in Aboriginal populations, yet Aboriginal people are under-represented in rehabilitation programs. The project will improve accessibility to rehabilitation, improve health outcomes, and establish an economic model contributing to sustainability and planning of future services.
A Stratified Radomised Control Trial Of An Intensive, Comprehensive Aphasia Program To Compare Patient Outcomes Post Stroke With Usual Care
Funder
National Health and Medical Research Council
Funding Amount
$798,036.00
Summary
Aphasia is a chronic communication disability that affects language processing (talking, understanding, reading & writing) after a brain injury, such as a stroke. Access to rehabilitation services is highly variable, compounding experiences of social isolation, depression & poorer quality of life. Our intensive & comprehensive Aphasia LIFT program has yielded improvements in communication & quality of life, & may provide more cost effective rehabilitation. This study examines whether LIFT is mor ....Aphasia is a chronic communication disability that affects language processing (talking, understanding, reading & writing) after a brain injury, such as a stroke. Access to rehabilitation services is highly variable, compounding experiences of social isolation, depression & poorer quality of life. Our intensive & comprehensive Aphasia LIFT program has yielded improvements in communication & quality of life, & may provide more cost effective rehabilitation. This study examines whether LIFT is more effective than current models of usual care.Read moreRead less
Improving The Health Of Aboriginal Mothers And Babies Through Continuity Of Midwife Care
Funder
National Health and Medical Research Council
Funding Amount
$1,496,532.00
Summary
Indigenous Australians have significantly poorer health than non-Indigenous Australians. This study will evaluate the effect of continuity of midwifery care in pregnancy, labour, birth and the postnatal period (called caseload midwifery) on outcomes for Aboriginal women and their infants. Recent studies (which have often excluded Aboriginal women) demonstrated substantial benefits of continuity of midwifery care for both mothers and babies, e.g. improved rates of low birthweight, preterm birth