Inter-rater Reliability And Predictive Validity Of A New Functional Capacity Evaluation For Chronic Back Pain
Funder
National Health and Medical Research Council
Funding Amount
$105,794.00
Summary
Back pain costs the Australian community tens of billions of dollars. Back pain is one of the main causes of work injury and lost time from work. The longer a person is off work, the harder it is to get them back to work. Workers' compensation systems around Australia aim at getting the injured worker with back pain back to work as soon as possible. One of the difficulties in this process is determining what the person with back pain can physically do in the workplace. An evaluation technique, c ....Back pain costs the Australian community tens of billions of dollars. Back pain is one of the main causes of work injury and lost time from work. The longer a person is off work, the harder it is to get them back to work. Workers' compensation systems around Australia aim at getting the injured worker with back pain back to work as soon as possible. One of the difficulties in this process is determining what the person with back pain can physically do in the workplace. An evaluation technique, called functional capacity evaluation (known as FCE), is one method used to find out what the person with back pain physically can and cannot do. In a FCE, a trained health professional such as an occupational therapist, observes the person performing a range of physical activities like the ones he or she may have to perform in a job. The therapist closely observes the person performing activities such as lifting, carrying, kneeling, crouching, balancing, and walking and notes any limitations in the person's ability to complete the activities. The therapist makes comments about what difficulties the person may have on the job and recommendations about how these could be reduced or eliminated. The information gained from these evaluations can be valuable for the treating doctor in deciding whether the person is ready to go back to work and what duties the person can and cannot do on the job. Because of such value they provide, FCE is commonly used in rehabilitation programs endorsed by workers' compensation systems around Australia. This widespread use and endorsement of FCE occurs despite limited research on the soundness of the ratings made from these evaluations. There is a need to see whether recommendations made from FCEs are consistent between therapists (i.e. reliable) and to see if the FCE accurately predicts the person's physical capacity for work. This research will examine these issues with injured workers with back pain.Read moreRead less
Improving The Phenotypic Severity Of Intellectual Disability And Seizures Caused By Expanded Polyalanine Tract Mutations In The ARX Homeobox Transcription Factor.
Funder
National Health and Medical Research Council
Funding Amount
$683,622.00
Summary
Intellectual disability is frequent in the population, with as many as 1 in every 50 people in the world directly affected. ARX is a gene mutated in X chromosome-linked intellectual disability and seizures. Our study will comprehensively address the basis for improvements to disease outcomes following treatment with steriod horomones in mice modelling these mutations. We will also address the mechanism contributing to disturbed protein function due to these expanded polyalanine tract mutations.
Increasing organisational capacity of community residential units to facilitate ageing in place for people with intellectual disability. Unique challenges face the disability, aged care and health sectors because of the increased life expectancy of people with life-long intellectual disability (ID) and the likelihood of their premature ageing. Although this group is recognised by Federal and State governments as requiring specific and special service arrangements, little is known about adapting ....Increasing organisational capacity of community residential units to facilitate ageing in place for people with intellectual disability. Unique challenges face the disability, aged care and health sectors because of the increased life expectancy of people with life-long intellectual disability (ID) and the likelihood of their premature ageing. Although this group is recognised by Federal and State governments as requiring specific and special service arrangements, little is known about adapting disability and aged care services to their needs. This research will inform the development of policy and programs in the disability, aged care, and health sectors. The research aims to improve the capacity of disability group homes to respond to the health and ageing issues of older people with ID,to improve their quality of life.Read moreRead less
Outcomes of specialist disability housing for people with disability. This project aims to systematically investigate the experience, outcomes and economic impact of people with disability moving into specialist disability accommodation housing. Health, wellbeing, community participation, support outcomes and lived experience of people with disability will be measured before moving and over 2 years after they move. The project provides the opportunity to identify the personal, disability, housi ....Outcomes of specialist disability housing for people with disability. This project aims to systematically investigate the experience, outcomes and economic impact of people with disability moving into specialist disability accommodation housing. Health, wellbeing, community participation, support outcomes and lived experience of people with disability will be measured before moving and over 2 years after they move. The project provides the opportunity to identify the personal, disability, housing and support factors that shape outcomes for people with disability. The intended outcome is comprehensive knowledge that can inform policy, build evidence across housing, technology, support and disability sectors and ultimately benefit people with disability by generating innovative practice in housing and support.Read moreRead less
Optimising Prevention And Treatment Strategies For Low Back Pain And Disability
Funder
National Health and Medical Research Council
Funding Amount
$384,160.00
Summary
Low back pain is a major public health problem worldwide. It is the most prevalent and costly musculoskeletal condition in Australia. Lifetime prevalence is reported to be as high as 80% in Australian adults and the total cost per annum is estimated to be $9.17 billion dollars. This research program will examine both prevention and treatment strategies for low back pain. The results may have significant implications for reducing the disability and socioeconomic burden associated with this condit ....Low back pain is a major public health problem worldwide. It is the most prevalent and costly musculoskeletal condition in Australia. Lifetime prevalence is reported to be as high as 80% in Australian adults and the total cost per annum is estimated to be $9.17 billion dollars. This research program will examine both prevention and treatment strategies for low back pain. The results may have significant implications for reducing the disability and socioeconomic burden associated with this condition.Read moreRead less
Integrating Evidence Intopolicy And Sustainableservice Delivery: The Wobbly Hub And Double Spokes Model
Funder
National Health and Medical Research Council
Funding Amount
$825,458.00
Summary
Vast distances and workforce shortages limit access to health services in rural and remote NSW. The University of Sydney, NSW Department of Ageing, Disability and Home Care (DADHC) and University of Technology Sydney, will explore current issues and develop, implement and evaluate evidence-based policies for workforce utilisation in service delivery. Expected outcomes include increased access to allied health services in Western NSW and a sustainable program of policy monitoring and development.
Improving Decision Making On Health Interventions: Factoring In The Long Term Economic Impacts Of Informal (unpaid) Care
Funder
National Health and Medical Research Council
Funding Amount
$628,963.00
Summary
This project looks at the future health of the Australian population that will keep more informal carers out of employment and diminish their own livings standards, thereby reducing funds available to government and the impact of interventions that could improve the health of the population and increase employment of carers.
This Australian-led, investigator initiated and conducted study, is the first and only large scale clinical trial designed to assess the balance of potential benefits and risks of early rapid blood pressure lowering in intracerebral haemorrhage stroke, a disease in which there is still no convincing evidence of benefit from any medical treatment, where the role of surgery remains controversial, and from which the chances of surviving has failed to improve in recent decades.
Building the numeracy and information and communication technology capability of students with intellectual disabilities. This project investigates strategies to build numeracy and information and communication technology capability among students with intellectual disabilities. It aims to support teachers in mainstream and special education schools as they plan and monitor personalised instruction for their students. The research combines disciplines of special schools, the state Education Depa ....Building the numeracy and information and communication technology capability of students with intellectual disabilities. This project investigates strategies to build numeracy and information and communication technology capability among students with intellectual disabilities. It aims to support teachers in mainstream and special education schools as they plan and monitor personalised instruction for their students. The research combines disciplines of special schools, the state Education Department’s Student Inclusion and Wellbeing Division, and the Assessment Research Centre. The expected outcome is an integrated program of assessment, reporting, curriculum, and instructional advice that promotes inclusive educational practices and seeks to ensure all children have improved opportunities to participate in a technology driven, emerging knowledge economy.Read moreRead less
A Health And Wellbeing Model Of Care For Disability Service Providers
Funder
National Health and Medical Research Council
Funding Amount
$599,428.00
Summary
This project aims to develop a model of care that improves the health and wellbeing of children with a disability, and their parents, implementing it within a major disability service and providing evidence of its impact on outcomes. The research involves partners from service planning, health economics, child health and development working together to ensure that the model of care for services is strongly aligned to the vision for improved outcomes through the National Disability Insurance Sche ....This project aims to develop a model of care that improves the health and wellbeing of children with a disability, and their parents, implementing it within a major disability service and providing evidence of its impact on outcomes. The research involves partners from service planning, health economics, child health and development working together to ensure that the model of care for services is strongly aligned to the vision for improved outcomes through the National Disability Insurance Scheme.Read moreRead less