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Testing, Translation And Uptake Of Evidence In General Practice: A Systems Approach To Rapid Translation
Funder
National Health and Medical Research Council
Funding Amount
$2,411,050.00
Summary
Testing, Translation & Uptake of Evidence in General Practice: A systems approach. Though General Practice is the frontline of Australia’s health system, new research findings are often ignored by busy GPs, resulting in suboptimal care. We plan to improve this by: A. A network of influential GPs practices to test new research, B. Practice support units who provide GP and patient summaries of new research, C. Active transfer of successful new practices via social media, guidelines, and courses.
The OPTIMISE Project: Collaborative Improvement Of Primary Health Care Delivery To The Australian Refugee Community
Funder
National Health and Medical Research Council
Funding Amount
$1,022,303.00
Summary
Identifying and addressing the health needs of refugees arriving in Australia can be difficult amidst current primary care system limitations. Our team will build the capacity of frontline health services for providing comprehensive, evidence-based care to this vulnerable community, while addressing system gaps in health service access and coordination. Our framework for effective, practical and sustainable primary health care delivery will improve health outcomes for refugees nationally.
Preventing Overdiagnosis: A Research Programme To Investigate And Respond To The Health Impacts Of Expanding Disease Definitions And Lowering Diagnostic Thresholds
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
The “modern epidemic” of overdiagnosis is recognised as a source of harm and waste in healthcare. Overdiagnosis happens when someone is given a diagnosis for a disease that won’t harm them, leading to unnecessary treatment. This project will investigate how expanding disease definitions are helping drive overdiagnosis by labelling too many people, how to communicate about the problem, and how to improve the process of defining disease, so health resources can focus more on those most in need.
The Evidence-based Consumer: Making Informed Decisions About Menopause, Hormone Replacement And Complementary Therapies
Funder
National Health and Medical Research Council
Funding Amount
$97,750.00
Summary
This project aims to find out whether providing women with information about menopause, and therapies to treat the symptoms and effects of menopause will change their use of hormone replacement therapy (HRT) or complementary therapies. A menopause information kit or brochure(s) with information about the risks and benefits of therapies and treatments for the symptoms and effects of menopause, will be provided to a group of women between the ages of 40 and 64 years. The information will be based ....This project aims to find out whether providing women with information about menopause, and therapies to treat the symptoms and effects of menopause will change their use of hormone replacement therapy (HRT) or complementary therapies. A menopause information kit or brochure(s) with information about the risks and benefits of therapies and treatments for the symptoms and effects of menopause, will be provided to a group of women between the ages of 40 and 64 years. The information will be based on up-to-date medical evidence about conventional HRT along with evidence about complementary therapies such as wild yam cream and herbal medicines. The information will outline the risks and benefits of these and other therapies as well as the proper use of HRT to control symptoms and effects of menopause. Current knowledge about reduction in heart disease risk and prevention of osteoporosis with the use of HRT, and the current knowledge about risk of ovarian, breast and uterine cancer will also be included in the information kit or brochure(s). The sample of women living in the Southern metropolitan region of South Australia will be included in the trial. They will be asked to complete a questionnaire and then some of the women will be asked to study the information about menopause and HRT. All participants will be asked to complete further questionnaires 3 months and 12 months later. The results will show whether providing women with information about menopause, HRT and complementary therapy will result in: 1. the women being more informed and better equipped to make the right decisions about treatment of the symptoms and effects of menopause, and 2. a more appropriate use of hormone replacement and complementary therapies to meet the individual needs of the women.Read moreRead less
Changing Decision-making Behaviour In General Practice By Providing Access To Online Evidence.
Funder
National Health and Medical Research Council
Funding Amount
$206,375.00
Summary
The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online eviden ....The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online evidence retrieval systems as a component in any evidence-based strategy, through a rigorous and controlled approach to the study of clinical behaviour change. It will also provide a powerful test of the value of search filters as a specific technology in support of evidence retrieval. The focus on prescribing patterns in NHMRC priority areas as an outcome measure will also provide a significant data set reflecting current practice in primary care.Read moreRead less
The Centre For Research Excellence In Minimising Antibiotic Resistance For Acute Respiratory Infections [CREMARA]
Funder
National Health and Medical Research Council
Funding Amount
$2,455,000.00
Summary
Antibiotic resistance is threat to international health. Most antibiotics are prescribed for acute respiratory infections. The Centre for Research Excellence in Minimising Antibiotic Resistance for Acute Respiratory Infections focuses on the major contributors to resistance: antibiotic overuse and person-to-person transfer of antibiotic resistance genes. Research will inform the design, evaluation and translation of urgently needed interventions, aimed at clinicians, patients and policy-makers.
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.
The First Placebo-controlled Trial Of Paracetamol For Back Pain.
Funder
National Health and Medical Research Council
Funding Amount
$626,021.00
Summary
Each year in Australia over $1Billion is spent on treatments for low back pain. An important approach to solving this problem is to evaluate back pain treatments that are readily available, safe, cheap and effective. Our previous work suggests that regular paracetamol may be such a treatment. We propose to conduct the first ever placebo controlled trial of paracetamol for acute low back pain in a large clinical trial.
Implementing Clinical Practice Guidelines In General Practice: A Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$426,000.00
Summary
Evidence based clinical practice guidelines have the potential to improve clinical practice through providing health care workers with the most reliable information on which to base their treatment decisions. Many governments and organisations are investing significantly in the development of guidelines for common and important clinical disorders. To date, however, we do not fully understand how to increase the uptake of guidelines and facilitate health care workers to change their practice in l ....Evidence based clinical practice guidelines have the potential to improve clinical practice through providing health care workers with the most reliable information on which to base their treatment decisions. Many governments and organisations are investing significantly in the development of guidelines for common and important clinical disorders. To date, however, we do not fully understand how to increase the uptake of guidelines and facilitate health care workers to change their practice in line with the guideline's recommendations. This project aims to work with general practitioners to develop a method or strategy to increase the uptake of guidelines for the treatment of acute low back pain, particularly to reduce the number of patients who are unnecessarily x-rayed, and to increase advice to stay active. The effectiveness of the developed strategy will be tested by randomly assigning general practice clinics to either receive the intervention or to have access to the guidelines without any extra interventions (such as training and reminders) to help doctors change their practice. Both the doctor's practice, and patient outcomes of pain and disability will be measured to determine not only if the doctors followed the guidelines, but whether this resulted in an improvement in patient outcome. The findings of this study will help us understand the best ways to improve adhesion to guidelines and so has the potential to be applied to other conditions presenting to general practice where there are recommendations not currently being implemented into practice.Read moreRead less