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Widespread Implementation Of Interventions To Prevent Falls In Older People
Funder
National Health and Medical Research Council
Funding Amount
$1,565,291.00
Summary
A major new fall prevention intervention will be implemented and funded by the NSW Department of Health who is the partner organisation for this application. The researchers have worked closely with NSW Health for many years and together we now propose a research program to evaluate the NSW Health initiative and guide future interventions.
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
An Evaluation Of How Well Brief Screening Instruments Can Classify Safe And Unsafe Older Drivers
Funder
National Health and Medical Research Council
Funding Amount
$877,030.00
Summary
This proposal seeks to evaluate a screening instrument that will assess the safety of older drivers. The assessment takes less than 10 minutes and involves measuring aspects of vision, reaction time, and balance. We will assess this instrument in persons who are potentially at risk of being unsafe drivers due to visual, cognitive or medical problems. The instrument will be evaluated against the results of an on-road driving assessment and compared to other methods of evaluating older drivers.
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.
Improving Health Outcomes With Ageing And Diabetes: A Focus On Prevention And Management Of Cardiovascular Disease
Funder
National Health and Medical Research Council
Funding Amount
$638,517.00
Summary
My research combines interventional trials, epidemiology and health services implementation research with a focus on prevention of cardiovascular disease, disability and dementia, including in the elderly and those with diabetes. With direct impact on the routine care of people who succumb to disabling vascular complications, it will evaluate treatment strategies but also influence change in health care and policy through the provision of trial evidence and evidence-based health services.
The Effectiveness Of Social Dancing As A Strategy To Prevent Falls In Older People: A Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$594,024.00
Summary
Exercise is an effective intervention to prevent falls by the elderly, particularly programs that included balance enhancement. Dance is a series of multi- directional coordinated rhythmic movements with additional mental and social components. This study will determine if participating in 12 months of social dancing is an effective option to prevent falls among the elderly, and whether dancing can improve the motor-cognitive risk factors for falling.
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
Does Pneumococcal Vaccination Protect Against Cardiovascular Disease? A Randomised Placebo-controlled Double Blind Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,849,245.00
Summary
Australian researchers have set up a novel multi-centre trial to investigate the effects of the pneumococcal vaccination in reducing heart attacks and stroke. People aged 55 to 61 from 6 sites around Australia will be invited to participate in the study. The selected participants will attend a clinic in their area and will be randomly given the pneumococcal vaccine or a placebo vaccine. Outcomes on the expected 6000 participants will be ascertained by health record linkage with government databa ....Australian researchers have set up a novel multi-centre trial to investigate the effects of the pneumococcal vaccination in reducing heart attacks and stroke. People aged 55 to 61 from 6 sites around Australia will be invited to participate in the study. The selected participants will attend a clinic in their area and will be randomly given the pneumococcal vaccine or a placebo vaccine. Outcomes on the expected 6000 participants will be ascertained by health record linkage with government databases after 4 years.Read moreRead less