Can Self-management Education Programs Improve Outcomes Of People With Osteoarthritis?
Funder
National Health and Medical Research Council
Funding Amount
$343,874.00
Summary
Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Tre ....Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Treatment guidelines used by doctors to treat people with arthritis regularly recommend that patients should be referred to such courses. Although the course is widely distributed, the evidence scientific evidence regarding its effectiveness is patchy, and some overviews suggest it is not useful at all. Confusion exists regarding the value of the course. While treatment guidelines advise doctors to refer patients to the program by very few GPs, Rheumatologist or Orthopaedic surgeons do refer. The proposed study is a large controlled trial which will provide essential evidence to inform patients, doctors and policy makers on the benefits of the course. It will involve people with well defined moderate to severe arthritis who have consulted a surgeon or rheumatologist. People will be randomised to receive the intervention (two hours per week, six session course including an 'arthritis self-help' book) will be compared with people in a control group (who only receive the book without instruction). People will be followed for 1 year to see if the course improves quality of life, health behaviours, and whether less health care resources (ie attendance at doctors or less medication use) are used. The results of this study will be influential in determining government policy as the number of people with chronic diseases like arthritis is rapidly growing and the acute healthcare system, including hospitals, are poorly equipped to deal with this growing problem.Read moreRead less
Understanding And Preventing Avoidable Readmissions: Development Of A Patient Centered And Disease Specific Screening Tool
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop a screenings tool to prevent unplanned re-admissions, based on specific patient centred and disease specific factors. We will include index admission data (367,782 in 2015) of five MACH hospitals. The cohort will be divided into a group for index derivation and a group for internal validation. Variables on patient and admission characteristics are based on literature. After internal validation we will validate the tool externally and implement it in clinical practice
Special Research Initiatives - Grant ID: SR0354827
Funder
Australian Research Council
Funding Amount
$10,000.00
Summary
HEALTHY AGEING - PREVENTION AND INTERVENTION (HA-PI) NETWORK:
A RESEARCH NETWORK PROPOSAL ON THE BIOLOGICAL, SOCIAL AND PRIMARY CARE DYNAMICS OF AGEING
. Australian ageing research is dispersed across bioscience, social science and primary care organisations. Advances in healthy, productive ageing require connection of these three vital links. Bioscience and social science groupings are engaged in generating the evidence that primary care experts need to promote healthy ageing. Primary ....HEALTHY AGEING - PREVENTION AND INTERVENTION (HA-PI) NETWORK:
A RESEARCH NETWORK PROPOSAL ON THE BIOLOGICAL, SOCIAL AND PRIMARY CARE DYNAMICS OF AGEING
. Australian ageing research is dispersed across bioscience, social science and primary care organisations. Advances in healthy, productive ageing require connection of these three vital links. Bioscience and social science groupings are engaged in generating the evidence that primary care experts need to promote healthy ageing. Primary care experts also need to act as ?direction finders? for research on ageing so that the right questions are addressed. All these groups are relatively under-funded and poorly connected. The HA-PI Network will connect and support them to over-come barriers to the implementation of existing research and to create innovations for the future.Read moreRead less
Socio-economic determinants and health inequalities over the life course: Australian and English comparisons. Our multidisciplinary investigation will yield Australia's first major body of knowledge on the socio-economic determinants of health and health inequalities over the life course. It will point the way towards policies that can promote health and reduce the health inequalities experienced by disadvantaged individuals and families. It will indicate how improving the health of ageing Aus ....Socio-economic determinants and health inequalities over the life course: Australian and English comparisons. Our multidisciplinary investigation will yield Australia's first major body of knowledge on the socio-economic determinants of health and health inequalities over the life course. It will point the way towards policies that can promote health and reduce the health inequalities experienced by disadvantaged individuals and families. It will indicate how improving the health of ageing Australian men and women can increase productivity and reduce needs for health services during the rapid population ageing that lies ahead. Comparisons with England will inform policy choices. We will train researchers who will play a future role in building Australia's evidence base to guide constructive policies to 2020 and beyond.Read moreRead less
Increasing and Sustaining Physical Activity Levels of Sedentary Older Adults by Improving Social Support and Links with Local Community Resources. This project will promote the health of older people by linking them with local physical activity resources and social support to encourage them to increase and sustain their levels of physical activity. This project uses an innovative approach to tackle one of the key behavioural risk factors for older people, namely physical inactivity, identified b ....Increasing and Sustaining Physical Activity Levels of Sedentary Older Adults by Improving Social Support and Links with Local Community Resources. This project will promote the health of older people by linking them with local physical activity resources and social support to encourage them to increase and sustain their levels of physical activity. This project uses an innovative approach to tackle one of the key behavioural risk factors for older people, namely physical inactivity, identified by the national ageing strategy. The intervention model will provide, for the first time, a sustainable local community vehicle for engaging and sustaining sedentary older people in physical activity. It is anticipated that the community will adopt the model once its efficacy is demonstrated.Read moreRead less
Protecting The Mental Health Of Children And Child Care Workers
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
Creating healthy social environments is essential to preventing mental illness. Child care is a work and care environment that is likely to influence providers’ and children’s mental health. This project uses national surveys and interviews with providers and child care services to understand how child care work environments impact on the mental health of children and providers. This knowledge will inform organisational and government changes to support good mental health in child care.
The efficacy of a physical activity intervention in the management of psychological and physical symptoms among breast and prostate cancer patients. The vastly improved survival rates for breast and prostate cancer in recent years has resulted in an ever-increasing number of people living with a history of cancer. Treatment for cancer is often associated with negative side effects like fatigue, depression and sleep disturbance, and an overall impaired quality of life.
This project will assess ....The efficacy of a physical activity intervention in the management of psychological and physical symptoms among breast and prostate cancer patients. The vastly improved survival rates for breast and prostate cancer in recent years has resulted in an ever-increasing number of people living with a history of cancer. Treatment for cancer is often associated with negative side effects like fatigue, depression and sleep disturbance, and an overall impaired quality of life.
This project will assess the effectiveness of a physical activity program in alleviating these symptoms of treatment. The program will include regular walking and gentle resistance strength training.
The outcomes from the project will advance research by shedding light on which symptoms are most helped by physical activity, and how much activity is needed to gain these benefits.
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Assessing risk in aged mental health care. This study will explore practices and developments in relation to the assessment of risk in aged persons mental health from the perspective of multiple stakeholders. The aims are to gain a thorough understanding of existing practices with a view to developing and evaluating a comprehensive risk assessment model. The outcomes will enhance the provision of mental health services within aged mental health services.
Investigating older Australians' beliefs about and understanding of mental health and their practice of relevant protective behaviours. Healthy ageing and mental health are acknowledged national priorities. This project will generate new knowledge relating to older Australians' mental health literacy and the motivators and barriers influencing their engagement in protective behaviours. The resulting communications strategy will provide tangible outcomes for the industry partners to utilise. The ....Investigating older Australians' beliefs about and understanding of mental health and their practice of relevant protective behaviours. Healthy ageing and mental health are acknowledged national priorities. This project will generate new knowledge relating to older Australians' mental health literacy and the motivators and barriers influencing their engagement in protective behaviours. The resulting communications strategy will provide tangible outcomes for the industry partners to utilise. The project will thus produce knowledge advancement and tools for practitioners, both of which will enhance public welfare and reduce long-term healthcare costs. While this project focuses on older Australians, those of all ages will benefit from a communications campaign that provides individuals with knowledge to protect and strengthen their mental health.Read moreRead less
Personal experiences of depression and recovery; an Internet resource for the public and policy makers. The economic, health, a social and personal cost to the Australian community of depression constitutes a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about factors underlying depression and more importantly recovery from depression. The data gathered from this project will establish an evide ....Personal experiences of depression and recovery; an Internet resource for the public and policy makers. The economic, health, a social and personal cost to the Australian community of depression constitutes a public health concern of undoubted significance. Debates in both policy and public arenas are hampered by a lack of comprehensive reliable evidence about factors underlying depression and more importantly recovery from depression. The data gathered from this project will establish an evidence base and a platform for incorporating lay perspectives on depression and recovery into the currently existing discourses on depression into web based resources providing information to people searching information about depression, its treatments and recovery pathways.Read moreRead less