The Prevention And Optimal Treatment Of Type II Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$227,332.00
Summary
Lifestyle related metabolic disease including obesity and diabetes, represent a disease continuum and present an increasing public health challenge. This research focuses on mechanisms underpinning lifestyle diseases and on prevention and treatment covering the spectrum from health related behaviours (barriers to change and behavioural modification), to mechanisms of action of exercise-diet and medications, to public health interventions to improve prevention and treatment of lifestyle diseases.
The Development And Evaluation Of Management Strategies Designed To Address Poly-morbidity In Older People: Implications
Funder
National Health and Medical Research Council
Funding Amount
$2,150,705.00
Summary
Medicines are used to prevent or manage the symptoms of chronic disease, and thus their appropriate use impacts significantly on the quality of life of the elderly. Poly-morbidity, multiple chronic health problems affecting the one individual, is a common and increasing issue in our ageing population. In Australia, 60% of 65 year olds have 2 or more chronic conditions, while 80% of 85 year olds have 4 or more chronic conditions. As a result, medicine use is almost universal in the older populati ....Medicines are used to prevent or manage the symptoms of chronic disease, and thus their appropriate use impacts significantly on the quality of life of the elderly. Poly-morbidity, multiple chronic health problems affecting the one individual, is a common and increasing issue in our ageing population. In Australia, 60% of 65 year olds have 2 or more chronic conditions, while 80% of 85 year olds have 4 or more chronic conditions. As a result, medicine use is almost universal in the older population and it is common for older patients to take multiple medications concurrently. There are no studies which report on current patterns of care and their outcomes in these patients. The use of individual disease-specific management guidelines may be problematic for those with poly-morbidity. Disease specific treatment guidelines often fail to take into account complexities that arise when patients suffer from more than one chronic disease particularly when it is common for one treatment to be both beneficial and harmful in the same person. In addition, the evidence for medicine-based treatment often comes from studies on younger people. Consequently, older patients with lower tolerance are at a greater risk of adverse drug reactions and are admitted to hospital as a result of such reactions at a disproportionately high rate. The aim of this study is to establish a methodology, by examination of two health databases, for developing guidelines to achieve the best possible outcomes for older Australians with common combinations of chronic conditions. This research will provide a better understanding of the consequences of current patterns of care for older people with multiple chronic conditions, and enable the development of improved approaches to care. We will demonstrate the methodology using selected commonly occurring combinations of chronic conditions in older Australians. More realistic guidelines generated by undertaking this analysis in these major population databases will reduce the extent to which the elderly are placed at risk of adverse drug reactions, and better enable health care practitioners, in consultation with their elderly patients, to ensure the best possible health and quality of life outcomes for many older Australian patients who suffer from two or more chronic conditions.Read moreRead less
Preventing Obesity Among Socioeconomically Disadvantaged Women And Children
Funder
National Health and Medical Research Council
Funding Amount
$2,072,674.00
Summary
The research will investigate the causes of the increased risk of obesity among socioeconomically disadvantaged women and children. It will also focus on women and children who appear �resilient� to obesity and will explore the possibility of applying the lessons learned to other women and children, in order to help support them in adopting and maintaining obesity-protective behaviours. The research aims to provide evidence to inform policies and programs that should be put into place to prevent ....The research will investigate the causes of the increased risk of obesity among socioeconomically disadvantaged women and children. It will also focus on women and children who appear �resilient� to obesity and will explore the possibility of applying the lessons learned to other women and children, in order to help support them in adopting and maintaining obesity-protective behaviours. The research aims to provide evidence to inform policies and programs that should be put into place to prevent obesity among socioeconomically disadvantaged groups.Read moreRead less
Reducing Depression And Suicide Amongst Older Australians: A Clustered Randomised Clinical Trial In Primary Health Care
Funder
National Health and Medical Research Council
Funding Amount
$765,050.00
Summary
Like many industrialised nations, Australia's population is ageing. By the year 2051, the population aged 65 years and over is projected to triple in size, while those over 85 will increase five-fold. The social, financial, and health consequences of a rapidly ageing society cannot be ignored. Accompanying this population explosion will be greater numbers of individuals experiencing age-related physical disorders and disabilities that give rise to social and psychological problems, including dep ....Like many industrialised nations, Australia's population is ageing. By the year 2051, the population aged 65 years and over is projected to triple in size, while those over 85 will increase five-fold. The social, financial, and health consequences of a rapidly ageing society cannot be ignored. Accompanying this population explosion will be greater numbers of individuals experiencing age-related physical disorders and disabilities that give rise to social and psychological problems, including depression and suicide. Suicide rates are very high in later life, with the ratio of men who kill themselves in late old age greater than that found in their youthful counterparts. Depression is most often linked to suicidal behaviour in this age group, with research suggesting that the treatment of this mental disorder may directly lead to a reduction in suicide in the aged. Approximately 80% of older adults will visit their general practitioner at least once per year in Australia, while up to 70% of older people will consult their GP in the month prior to their death by suicide. This suggests that GPs are in the best possible position to detect and manage depression and suicide risk in later life. Unfortunately, depression is consistently reported to be underdiagnosed and undertreated in this setting. The purpose of this study is to determine whether an educational programme targeting Australian GPs can enhance doctors' detection rates of depression and suicide risk, thereby leading to a reduction in depression and suicidal behaviour among those older patients visiting their surgeries.Read moreRead less
The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and ....The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and early childhood nursing services. Most importantly, skillful early identification of women in distress or 'at risk' is the first step in providing appropriate services and support to ensure better child outcomes. The research will be at the cutting edge internationally and directly addresses National Research Priorities.Read moreRead less
Ageing Well And Productively: Pathways To Healthy Workforce Participation And Caregiving.
Funder
National Health and Medical Research Council
Funding Amount
$143,660.00
Summary
Good health is vital to increase workforce participation,which enables us to pay for rising health care costs. This study will examine how socio-economic, behavioural, environmental and health-related factors impact on healthy workforce participation among older Australians. It will identify ways to prevent people having to retire early because of ill-health and will inform policy makers and health program developers about how best to maintain or increase a healthy workforce participation.
Implementing Guidelines To Routinely Prevent Chronic Disease In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$764,446.00
Summary
High quality, evidence-based guidelines for preventive activities and for the implementation of prevention in general practice have been developed by the Royal Australian College of General Practitioners and other bodies, yet available information suggests that many patients miss out on evidence-based preventive care. This project aims to evaluate current practice and develop a model of practice aimed at improving the implementation of preventive guidelines in general practice.