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Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Reducing Disparities In Heart Disease-Related Morbidity And Mortality: Optimising Prevention And Management
Funder
National Health and Medical Research Council
Funding Amount
$826,854.00
Summary
Heart disease contributes to a large but potentially preventable burden of death and disability. This burden is uneven with particularly vulnerable/at risk groups - including those living in regional areas and developing countries, Indigenous Australians and older patients with chronic heart disease. Prof. Simon Stewart will lead national/international collaborations to undertake innovative, multidisciplinary, prevention and disease management programs to reduce the impact and burden of heart di ....Heart disease contributes to a large but potentially preventable burden of death and disability. This burden is uneven with particularly vulnerable/at risk groups - including those living in regional areas and developing countries, Indigenous Australians and older patients with chronic heart disease. Prof. Simon Stewart will lead national/international collaborations to undertake innovative, multidisciplinary, prevention and disease management programs to reduce the impact and burden of heart disease in these vulnerable groups.Read moreRead less
A Randomised Controlled Trial Of A Nurse-led Intervention For Less Chronic Heart Failure: The NIL-CHF Study
Funder
National Health and Medical Research Council
Funding Amount
$1,166,160.00
Summary
The overall aim of the unique NIL-CHF Study is to examine the benefits of applying a specialist nurse-led, home and clinic-based intervention to optimise the care of recently discharged hospital patients with heart disease. Involving 950 patients, it will explore whether more flexible and individualised care to apply the best possible medical treatments is able to PREVENT the most deadly and disabling form of heart disease (chronic heart failure - CHF) and save money in the process.
CENTRE OF RESEARCH EXCELLENCE TO REDUCE INEQUALITY IN HEART DISEASE
Funder
National Health and Medical Research Council
Funding Amount
$2,607,253.00
Summary
There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health ....There is increasing recognition of a societal responsibility to provide effective and sustainable health care to the entire population and not just to selected parts. Indigenous and regional Australians are most affected by Australia's biggest killer - heart disease. In response, the CRE to Reduce Inequality in Heart Disease, is a national collaboration of researchers from a range of health disciplines. Together they aim to address this problem by developing sustainable and cost-effective health care services.Read moreRead less
Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australia ....Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australian studies that systematically listen to & understand the pivotal voices of children themselves. Failure to develop such theoretically sound, practice-based understandings may mean ineffective interventions that misunderstand children's worlds. This collaborative study unites highly experienced researchers, practitioners & policy makers who will actively involve children in creating & using new knowledge.Read moreRead less
The Central Australian Heart Protection Study: A Randomised Trial Of Nurse-Led, Family Based Secondary Prevention Of Acute Coronary Syndromes
Funder
National Health and Medical Research Council
Funding Amount
$1,923,630.00
Summary
Despite the high burden of cardiovascular diseases among Indigenous Australians, few intervention trials have sought to evaluate novel approaches to reducing differential outcomes in this vulnerable group. The Central Australian Heart Protection Study seeks to test the effectiveness of a nurse-led, family based education and assessment program in reducing the incidence of poor outcomes in indigenous and non-indigenous patient’s following an Acute Coronary Syndrome (ACS).
New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social p ....New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social policy agenda, articulation between these policy domains is limited and little researched. This important study will provide robust evidence on the ways that housing and employment interact to both cause and prevent health inequities. This will directly benefit agencies delivering services to vulnerable people and contribute to an evidence base of benefit to policy makers.Read moreRead less
The impact of haemoglobin deferral on blood donors: perceptions, health and non-return. Blood donors are an vital in ensuring the health of the Australian community. However, they are few in number and difficult to recruit. It is crucial to keep existing donors in the system so that Australia has an assured blood supply, not only for the traditional reasons (road trauma, replacement in surgery, treatment of diseases such as cancer), but also to cope with natural disasters, emergent diseases and ....The impact of haemoglobin deferral on blood donors: perceptions, health and non-return. Blood donors are an vital in ensuring the health of the Australian community. However, they are few in number and difficult to recruit. It is crucial to keep existing donors in the system so that Australia has an assured blood supply, not only for the traditional reasons (road trauma, replacement in surgery, treatment of diseases such as cancer), but also to cope with natural disasters, emergent diseases and the potential results of terrorist activities. Apart from providing new information on blood donor behaviour, the project will also contribute to more general knowledge about volunteers in the community and their role in the maintenance and development of health services.Read moreRead less
Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerabili ....Involving children in social research: balancing the risks and benefits. There is a growing consensus that children's involvement in social research is important, but considerable uncertainty remains around children's inclusion in research on 'sensitive' issues, reflecting concerns about how to balance children's protection with their participation. Key to this are deeply embedded assumptions and beliefs about children and childhood, especially concerning notions of capacity, agency, vulnerability, dependency and the like. This project aims to better understand and address the tensions between the protection of children and their participation in research, and to explore how ethics committees, parents, other gatekeepers and children themselves manage and navigate these tensions.Read moreRead less
Recruitment and Retention of the Australian Medical Practitioner Workforce - a Longitudinal Electronic Cohort Study. Identifying and acknowledging the significant personal and professional influences on the career decisions of doctors, including the choice to leave the profession for several years and factors driving the decision to return or not return, will provide not only the major public employers of doctors, but also government, community and private practice groups with reliable current e ....Recruitment and Retention of the Australian Medical Practitioner Workforce - a Longitudinal Electronic Cohort Study. Identifying and acknowledging the significant personal and professional influences on the career decisions of doctors, including the choice to leave the profession for several years and factors driving the decision to return or not return, will provide not only the major public employers of doctors, but also government, community and private practice groups with reliable current evidence to inform medical workforce planning and design, and ensure quality health care. Read moreRead less