Which Heart Failure Intervention Is Most Cost Effective In Reducing Hospital Care (WHICH? II) Trial: A Multicentre, Randomised Trial Of Standard Versus Intensified Management Of Metropolitan And Regional-dwelling Patients With Heart Failure
Funder
National Health and Medical Research Council
Funding Amount
$1,891,210.00
Summary
Chronic heart failure (CHF) management programs are now the gold-standard to cost-effectively care for thousands of Australians hospitalised with CHF each year. We’ve shown that home-based management is most cost-effective in reducing hospital stay in CHF. The Which Intervention is most Cost-effective in reducing Hospital care (WHICH? II) Trial, a multicentre, randomised study, will determine if more intensive care (via home visits and remote care contacts) further improves poor outcomes in CHF.
Burden Of Rheumatic Heart Disease (RHD) And Impact Of Prevention Strategies: Comprehensive Evidence To Drive The RHD Endgame
Funder
National Health and Medical Research Council
Funding Amount
$960,655.00
Summary
Rheumatic heart disease is chronic damage to the heart valves caused by repeated bouts of acute rheumatic fever. Both are preventable, yet rates among Indigenous Australians are of the highest recorded. We propose to undertake the first multi-jurisdictional study of these conditions to determine trends in occurrence and evaluate the impact of existing interventions in Australia. Findings will be used to inform the development of a roadmap to remove RHD as a public health problem in Australia.
Impact Of Health Policy On The Delivery Of Dental Services And Child Oral Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$1,304,799.00
Summary
This project will study the use of dental services by children and adolescents in Australia and how use relates to oral health outcomes. Variation in the support for the use of private dentists and the organisation and delivery of school dental services will be compared both within and across all states and territories so as to inform policy discussions on how to best improve child oral health.
A prospective study of the mental health of grandparents providing part-time child care for their preschool age grandchildren. This project addresses national research priorities and will identify the characteristics of a high-risk subgroup of Australian grandparents for whom the childcare burden has a deleterious impact on health and well being. Results will enable development of improved approaches to education and awareness in health professionals and the lay community about this subgroup, fa ....A prospective study of the mental health of grandparents providing part-time child care for their preschool age grandchildren. This project addresses national research priorities and will identify the characteristics of a high-risk subgroup of Australian grandparents for whom the childcare burden has a deleterious impact on health and well being. Results will enable development of improved approaches to education and awareness in health professionals and the lay community about this subgroup, facilitating early identification and intervention. The study will provide evidence-based guidance to policy makers about the most appropriate support services for grandparents involved in high levels of childcare, reducing their level of stress and improving the quality of the childcare they provide.
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Architecture and healthy ageing: an investigation into the relationship between aged care facility design, management and the well being of residents. Residential care for the future will need to meet expanding demands for aged care in a manner which responds to more discerning older people including those from non-English speaking backgrounds and Aboriginal and Torres Strait Islanders with expected increases in the number of services required. To do so design processes must incorporate the need ....Architecture and healthy ageing: an investigation into the relationship between aged care facility design, management and the well being of residents. Residential care for the future will need to meet expanding demands for aged care in a manner which responds to more discerning older people including those from non-English speaking backgrounds and Aboriginal and Torres Strait Islanders with expected increases in the number of services required. To do so design processes must incorporate the needs of those involved in residential care yet meet the requirements of statutory authorities standards for health care provision. This research will provide a comprehensive picture of the issues that impact on the design process and the effect on residential care facilities ability to provide residents and workers with the highest possible quality of life. It will inform accreditation and certification standards.Read moreRead less
Clinical And Psychosocial Changes Over Late Childhood And Adolescence And Early Life Determinants Of Long Term Clinical Outcomes In Cystic Fibrosis
Funder
National Health and Medical Research Council
Funding Amount
$1,135,570.00
Summary
Cystic fibrosis is the most common life shortening inherited disease in Caucasians. Lung damage starts in infancy and lung function falls most rapidly in adolescence although why and how this happens and early life determinants are not known. This study takes advantage of a previous study that monitored young children from 3 months to 5 years of life and follows them closely through early adolescence to investigate the protective and risk factors for falling lung function.
Cognitive and behavioural benefits of omega-3 fatty acid supplementation across the lifespan. The Australian Bureau of Statistics recently estimated that 7-19% of children have learning and behaviour problems associated with child ADHD. Concurrently, rates of dementia are rapidly increasing worldwide, currently costing the Australian government $6.6 billion pa, and it has been predicted that rates of dementia could double every 20 years. If omega-3 PUFA research can show benefits in cognition an ....Cognitive and behavioural benefits of omega-3 fatty acid supplementation across the lifespan. The Australian Bureau of Statistics recently estimated that 7-19% of children have learning and behaviour problems associated with child ADHD. Concurrently, rates of dementia are rapidly increasing worldwide, currently costing the Australian government $6.6 billion pa, and it has been predicted that rates of dementia could double every 20 years. If omega-3 PUFA research can show benefits in cognition and behaviour across the lifespan, this has potential benefit for fish oil products and their ability to enhance mental health and cognitive outcomes, thereby helping to lower the substantial social and health care costs associated with poor academic performance, mental illness and growing rates of dementia.Read moreRead less
Addressing significant product safety knowledge gaps for older Australians . This project addresses significant gaps in contemporary knowledge of consumer product safety risks for older persons, with 25 years since the last Australian product safety research found older persons are at high risk of product-related injury/death. Products have evolved substantially and aged care models have changed in that time. This project generates contemporary knowledge of unsafe products causing injuries/death ....Addressing significant product safety knowledge gaps for older Australians . This project addresses significant gaps in contemporary knowledge of consumer product safety risks for older persons, with 25 years since the last Australian product safety research found older persons are at high risk of product-related injury/death. Products have evolved substantially and aged care models have changed in that time. This project generates contemporary knowledge of unsafe products causing injuries/deaths, risk factors/behaviours, and human rights issues. Outcomes benefiting the Australian community are improved prediction/characterisation of product safety issues for older Australians informing safer product design and use, targetted regulatory responses, ageing-in-place strategies, and creating safer home environments.Read moreRead less
Retirement activity planning: a randomised controlled trial. Retirement is a life transition where people must rethink the way they use their time, but little thought is given to planning for this. This project will assess the effect of systematic pre-retirement activity planning on use of time after retirement, with an emphasis on physical activity and sedentary behaviours.
Adaptive capabilities in the elderly during extreme heat events in South Australia. This study, using first hand accounts of experiences and perceptions of the extreme heat event of 2009 in South Australia, will provide a valuable insight into the heat adaptive capability of the ageing population, factors affecting susceptibility, and ways to curb the predicted increase in often life-threatening heat exacerbated illnesses, many of which require extended hospital stays. It is envisaged that findi ....Adaptive capabilities in the elderly during extreme heat events in South Australia. This study, using first hand accounts of experiences and perceptions of the extreme heat event of 2009 in South Australia, will provide a valuable insight into the heat adaptive capability of the ageing population, factors affecting susceptibility, and ways to curb the predicted increase in often life-threatening heat exacerbated illnesses, many of which require extended hospital stays. It is envisaged that findings will help inform health policy and contribute to the formulation of a National Heatwave Response plan. Study findings will be disseminated widely at government (state and federal), non-government, and community levels and will help to raise the awareness of heat exacerbated illness in general.Read moreRead less