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Person-centred Environment And Care For Residents With Dementia: A Cost-effective Way Of Improving Quality Of Life And Q
Funder
National Health and Medical Research Council
Funding Amount
$1,548,805.00
Summary
Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. Thi ....Improving the quality of life (QOL) and quality of care for persons with dementia are important areas of Australian health research. A growing body of evidence shows that QOL in dementia can be improved by relatively simple and inexpensive modifications to nursing care practices and the physical environment. Most studies in these areas are observational, few have utilized a randomized control group design, and none has included economic evaluation. This study will address these deficiencies. This is the first time that a randomized controlled trial of Person-Centred Care (PCC) and Person-Centred Environment Design (PCD) will be undertaken. The study will be conducted in 40 residential aged care services in New South Wales, to determine the efficacy and cost effectiveness of implementing PCC and PCD separately, and in combination, in improving resident quality of life and quality of care.Read moreRead less
Improving Quality Of Life Of People With Dementia Living In Residential Care Facilities A Randomised Trail Of Educat Int
Funder
National Health and Medical Research Council
Funding Amount
$777,409.00
Summary
The DIRECT study aims to determine if education of General Practitioners (GPs) and Residential Care Staff can improve the quality of life (QOL) of people with dementia living in Residential Care Facilities (RCF). Our hypothesis is that a systematic educational intervention delivered to GPs and RCF staff will improve care delivery, leading to measurable improvements in the quality of life of residential care recipients. We hypothesise that education delivered to GPs will have additive effects to ....The DIRECT study aims to determine if education of General Practitioners (GPs) and Residential Care Staff can improve the quality of life (QOL) of people with dementia living in Residential Care Facilities (RCF). Our hypothesis is that a systematic educational intervention delivered to GPs and RCF staff will improve care delivery, leading to measurable improvements in the quality of life of residential care recipients. We hypothesise that education delivered to GPs will have additive effects to education delivered to RCF staff. Dementia is the leading cause of non-fatal disease burden among older Australians. Of people with dementia, nearly half live in RCF. There appears to be much scope to improve care, and thus QOL, for people with dementia living in residential facilities. However, the most effective way to translate knowledge regarding the components of high quality care into practice is uncertain and there is a paucity of Australian data to guide practice. Education of RCF staff is likely to be the cornerstone of improved care for recipients of residential care who have dementia. GPs also play a key-role in the care of older people living in RCF, including collaboration in the development of management plans, prescription of medications and initiation of health referrals. A detailed action research process with data collected from surveys, focus groups and pilots will be used to develop educational programmes for delivery to GPs and RCF staff. The primary outcome of the study will be quality of life of the people with dementia, assessed by themselves, their family carers and the staff looking after them. Several tools incorporating different sources of information will be used to assess QOL in a comprehensive fashion. Secondary outcomes will include knowledge among GPs and RCF staff regarding dementia, markers of quality care, participants’ sleep quality, and carer satisfaction. It is anticipated that the results will fill this current gap in evidence and will be of value to policy makers and stakeholders from the Residential Care Industry and Peak Community and General Practice bodies. The study results will have tangible implications for proprietors, managers and staff from the residential care sector and policy makers. The results have potential to directly benefit the quality of life of both patients and carers.Read moreRead less
Sustainability & Transferability Of An Effective Community Based Management System For Diabetes In Remote Indigenous Com
Funder
National Health and Medical Research Council
Funding Amount
$414,600.00
Summary
This project aims to improve systems for secondary prevention of CVD among Indigenous adults in remote communities in NW Queensland and ultimately to improve patient outcomes in this high risk group. The intervention is aimed at the three domains of health systems: the community and client group, clinical services and health management systems. The intervention is centred around increasing the capacity of Indigenous health Workers (IHW's) to manage recall and reminder systems for CHD in communit ....This project aims to improve systems for secondary prevention of CVD among Indigenous adults in remote communities in NW Queensland and ultimately to improve patient outcomes in this high risk group. The intervention is aimed at the three domains of health systems: the community and client group, clinical services and health management systems. The intervention is centred around increasing the capacity of Indigenous health Workers (IHW's) to manage recall and reminder systems for CHD in communities, supported by appropriate training and systems changes. The project will liaise closely with the client and community groups and aim to improve capacity for effective self-management of cardiovascular disease among clients. The study will evaluate the effectiveness of this complex intervention in 3 sites over two years, with 2 control communitiesRead moreRead less
Palliative Care Constituency, Utilisation & Impact On Health Care: A Western Australia Based Epidemiology & Sociological
Funder
National Health and Medical Research Council
Funding Amount
$150,000.00
Summary
Using the Western Australian linked database and in consultation with palliative care service providers, the study will: 1. Study patterns of palliative care delivery during the last 12 months of life, comparing utilisation between different socio-demographic groups and cause of death. 2. Study the relationships between the services provided and the terminally ill. 3. Develop a definition of those who utilise designated palliative care programs and apply it to ....Using the Western Australian linked database and in consultation with palliative care service providers, the study will: 1. Study patterns of palliative care delivery during the last 12 months of life, comparing utilisation between different socio-demographic groups and cause of death. 2. Study the relationships between the services provided and the terminally ill. 3. Develop a definition of those who utilise designated palliative care programs and apply it to the population of Western Australia in 1994-1999. 4. Develop a forecasting model to optimise the planning and delivery of palliative care service in Australia.Read moreRead less
Development Of A Palliative Care Service For Rural And Remote Communities
Funder
National Health and Medical Research Council
Funding Amount
$150,000.00
Summary
This project will develop, implement and evaluate a new model of providing palliative care to individuals in rural and remote communities that will utilise existing health and community resources to provide palliative care. As the number of patients requiring palliation in rural and remote communities is small, the service may not function at all times but come together (pop-up) as required. Evaluation of the model in three different types of rural communities will be undertaken in three states ....This project will develop, implement and evaluate a new model of providing palliative care to individuals in rural and remote communities that will utilise existing health and community resources to provide palliative care. As the number of patients requiring palliation in rural and remote communities is small, the service may not function at all times but come together (pop-up) as required. Evaluation of the model in three different types of rural communities will be undertaken in three states (New South Wales, Queensland and West Australia). Phase I will develop a framework to assist rural communities undertake a critical palliative care service review. Phase II will implement and evaluate the model, leading to recommendations for provision of best practice palliative care more generally in rural communities.Read moreRead less
Outcomes Of Best Practice Diagnosis And Management Of Dementia In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$826,744.00
Summary
The outcome of this study will be new Australian data on what happens to people with dementia under the care of their GP, followed up for two years. In addition we will test the results for patients and carers of GP adherence to best practice for diagnosis and management of dementia. This is a 3-state randomised intervention trial in general practice which aims to add an extra year to an already funded study examining the outcomes for carers and patients of training GPs with extra skills in deme ....The outcome of this study will be new Australian data on what happens to people with dementia under the care of their GP, followed up for two years. In addition we will test the results for patients and carers of GP adherence to best practice for diagnosis and management of dementia. This is a 3-state randomised intervention trial in general practice which aims to add an extra year to an already funded study examining the outcomes for carers and patients of training GPs with extra skills in dementia screening and management guidelines. Outcomes for those GPs who adhere to the guidelines will be compared to outcomes for those GPs who do not. Patient and carer outcomes – include quality of life, depression, satisfaction with care and referral indicators, and patient pathways of care over the 24 month period will be recorded. In addition the study will examine barriers and enablers to GP best practice in dementia care.Read moreRead less