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ASPREE is the largest clinical trial ever conducted in Australia and will determine whether daily low dose aspirin prevents disease in healthy older people. The study was well-funded initially but will require additional support to complete the vital final stage of data collection and analysis. This will enable the study to answer important questions about the benefits and risks of aspirin in this age group and its effect on disability free survival.
Low Dose Aspirin And Age-related Macular Degeneration: Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,043,189.00
Summary
Age-related macular degeneration (AMD) is a major cause of visual impairment in advanced countries, responsible for nearly half of all legal blindness in Australia. Due to increased life expectancy, the number of people with this progressive late onset disease will double by 2025. Aspirin could prevent or delay the onset of AMD in older persons but its bleeding risk also needs to be considered. This project will determine whether treatment with low dose aspirin reduces incidence or progression o ....Age-related macular degeneration (AMD) is a major cause of visual impairment in advanced countries, responsible for nearly half of all legal blindness in Australia. Due to increased life expectancy, the number of people with this progressive late onset disease will double by 2025. Aspirin could prevent or delay the onset of AMD in older persons but its bleeding risk also needs to be considered. This project will determine whether treatment with low dose aspirin reduces incidence or progression of AMD.Read moreRead less
Minimising Disability And Falls In Older People Through A Post-hospital Individualised Exercise Program.
Funder
National Health and Medical Research Council
Funding Amount
$536,435.00
Summary
This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of ....This study aims to implement and evaluate the Functional Activities for Better Balance (FABB) program, a tailored exercise program which is designed to minimise disability and falls, among older adults who have recently had a hospital stay. A randomised controlled trial will be undertaken to determine the success of the program in minimising disability and falls and improving balance, muscle strength, and reaction time, quality of life and fear of falling. In addition, predictors of adoption of and adherence to the exercise program and the cost effectiveness of the program will be established. We will recruit 350 older people in the first six months after an in-patient stay in aged care and rehabilitation wards at one of two large teaching hospitals. Participants randomised to the intervention group will be asked to complete an individualised home exercise program three times a week. In addition, they will be offered a choice between receiving monthly physiotherapy home visits or attending exercise classes. These weekly exercise classes will be conducted by physiotherapists and will be made up of 6-8 people. The control group will receive an education booklet about falls prevention and will be given the opportunity to join the program on a self-funding basis after their one-year control period is complete. Post-intervention between-group comparisons will be made using appropriate statistical techniques including regression models. Additional analyses will establish predictors for program adoption and adherence and cost-effectiveness (the incremental cost per fall prevented in the exercise group compared with the control group). This study addresses an increasingly important health care problem in a systematic manner and thus has the potential to substantially enhance the health of older people in Australia and internationally.Read moreRead less
From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of ....From Suspician to Intervention : Improving responsiveness to abuse of the elderly in acute and sub-acute health care. Early identification of risk and an integrated multidisciplinary response across the health service would be effective in responding to the multiple and complex behavioural and social issues which contribute to aged abuse as it presents in emergency, acute and sub-acute care, but are currently often ignored in health services and the literature. We propose that effective use of this "window of opportunity in health care" could extend the level of community response to this vulnerable group of people. 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
The development of emotion regulation strategies and their relationships with psychological wellbeing: A long-term follow-up study. A largely neglected area, emotion regulation in young people will be comprehensively examined. The first of its kind worldwide, this research will provide a rich understanding of the development of emotion regulation over the course of development from late childhood to early adulthood. An understanding of the role played by emotion regulation in wellbeing will prov ....The development of emotion regulation strategies and their relationships with psychological wellbeing: A long-term follow-up study. A largely neglected area, emotion regulation in young people will be comprehensively examined. The first of its kind worldwide, this research will provide a rich understanding of the development of emotion regulation over the course of development from late childhood to early adulthood. An understanding of the role played by emotion regulation in wellbeing will provide important foundations for the development of intervention and prevention strategies that incorporate emotional functioning processes. This is predicted to result in a marked increase in the efficacy of existing prevention and intervention efforts which will lead to significant health care cost savings and social benefits, particularly for our youth.Read moreRead less
Enhancing emotion knowledge in pre-schoolers with disruptive behaviour: the role of mother-child emotion talk. How can the mother of a disruptive son help him deal better with his anger and fears? The research identifies aspects of mother-child emotion talk that influence the child's ability to understand negative emotions. It assesses if mothers can alter their emotion talk with their children to improve their child's emotion knowledge and behaviour.
The use of social marketing strategies and adult education principles to improve asthma self management in older people. Asthma is estimated to affect up to 10 per cent of people aged 65+ some of whom experience the condition for the first time later in life. Mortality rates from asthma in Australia are highest in the older population and statistics show that older people are most likely to be admitted to hospital following attendance at an Emergency Department for asthma. Older people lack aw ....The use of social marketing strategies and adult education principles to improve asthma self management in older people. Asthma is estimated to affect up to 10 per cent of people aged 65+ some of whom experience the condition for the first time later in life. Mortality rates from asthma in Australia are highest in the older population and statistics show that older people are most likely to be admitted to hospital following attendance at an Emergency Department for asthma. Older people lack awareness about asthma, often manage it poorly, and their health related quality of life is impacted by asthma. There is disparity in asthma information, management and service provision targeted specifically to the needs of the elderly. This project will provide much-needed evidence on the effectiveness of carefully researched and targeted programs for older asthmatics.Read moreRead less
Developing a disability policy model to target the prevention or reduction of limitations on functioning and wellbeing. With the ageing of Australian society the challenge for public health is shifting from preventing death and disease onset to supporting healthy and productive ageing. The disability policy model will allow cost-effective targeting of interventions to reduce or prevent onset of disability or reduce its severity particularly among older Australians.
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