Determining The Affect And Cost Effectiveness Of Nutrition In Critically Ill Patients From Intensive Care Unit Admission To Hospital Discharge.
Funder
National Health and Medical Research Council
Funding Amount
$138,964.00
Summary
Nutrition when you are severely unwell is very important to support recovery. Research is required to determine exactly how much nutrition is needed in severely ill patients to ensure their best recovery. This project aims to determine what effect nutrition has on clinical and functional outcomes of patients who are severely ill during their whole hospital stay. It will also aim to determine the cost effectiveness of nutrition for these patients.
Management Of Refeeding Syndrome In Critical Illness: An AuSPEN Endorsed Multi-centre Clinical Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,366,987.00
Summary
Critically ill hospitalised patients are frequently malnourished. When feeding is reestablished in malnourished patients, they often exhibit severe electrolyte imbalances and metabolic disturbances that can lead to slower recovery times, increased complications and even death. The purpose of this clinical trial is to investigate the benefits of a conservative approach of managing critically ill patients with refeeding syndrome.
Refining Methods For Obtaining, Synthesising And Interpreting Research Evidence In Surgery
Funder
National Health and Medical Research Council
Funding Amount
$314,312.00
Summary
Research evidence plays a crucial role in improving clinical care. However the main forms of evidence and the tools that facilitate evidence use - namely randomised controlled trials (RCT) and structured systematic reviews of existing research - have had limited application in surgery for a variety of reasons. This project aims to promote the use of research evidence in surgical decision making by developing tools tailored to the predominance of non-RCTs in surgery and surgeons' information need ....Research evidence plays a crucial role in improving clinical care. However the main forms of evidence and the tools that facilitate evidence use - namely randomised controlled trials (RCT) and structured systematic reviews of existing research - have had limited application in surgery for a variety of reasons. This project aims to promote the use of research evidence in surgical decision making by developing tools tailored to the predominance of non-RCTs in surgery and surgeons' information needs.Read moreRead less
ASTROID: Active Surveillance And Other TReatment OptIons For Prostate Cancer. A Randomised Controlled Trial Of Decision Aid And DVD Information Support For Men Diagnosed With Low-risk Prostate Cancer And Their Partners
Funder
National Health and Medical Research Council
Funding Amount
$782,369.00
Summary
This summary was provided in the grant application.
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
A Partnership For Evidence-Based Resource Allocation And Enhanced Research Translation In Allied Health
Funder
National Health and Medical Research Council
Funding Amount
$616,780.00
Summary
This partnership will develop an online resource allocation decision making tool for allied health managers, investigate the effectiveness and cost-effectiveness of two strategies to assist allied health managers to incorporate research evidence into their decision making, and develop a system whereby expert committees of researchers, managers and policy makers work to develop "Evidence-Based Policy Recommendations" for improving how allied health managers allocate their resources.
Consumer Information Materials And A Communication Aid For Diagnostic Tests For Breast Disease
Funder
National Health and Medical Research Council
Funding Amount
$105,863.00
Summary
Many studies have now shown that the majority of patients want to participate in clinical decisions about medical treatments they might receive. As a result, information materials are being developed to help consumers and doctors work together to reach satisfying treatment decisions which are based on the best available evidence and also reflect the individual patient's needs and preferences about the treatment options. Very little is known, however, about whether consumers also want to particip ....Many studies have now shown that the majority of patients want to participate in clinical decisions about medical treatments they might receive. As a result, information materials are being developed to help consumers and doctors work together to reach satisfying treatment decisions which are based on the best available evidence and also reflect the individual patient's needs and preferences about the treatment options. Very little is known, however, about whether consumers also want to participate in decisions about whether to have a medical test. Tests can be trivial, such as a blood or urine test, or quite major and invasive, such as a biopsy or a colonoscopy. People considering a medical test might want to know the answers to the following questions: What is my chance of having the disease being tested for? If the test result is positive what is the chance I have the disease? If the test result is negative what is the chance I have the disease anyway? How will the test result influence treatment of my condition? What are possible side-effects of the test? Generally information materials about medical tests only describe the test itself, and do not contain the information people need to answer these questions. Even doctors may not have to hand the data needed to answer these questions. Yet without this information, consumers cannot make truly informed and rational choices about whether to have the test. This project aims to find out whether consumers want to participate in decisions about medical tests, what information they would want to do this, and to develop and trial information materials and a communication aid for a small number of breast cancer tests. We will use tests for diagnosing breast cancer as our model but we anticipate the work will be applicable across a wide range of medical tests.Read moreRead less
Developing And Measuring Palliative Care Decision Making Skill
Funder
National Health and Medical Research Council
Funding Amount
$137,000.00
Summary
Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested ....Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested.Read moreRead less
Centre For Research Excellence In Reducing Healthcare Associated Infection
Funder
National Health and Medical Research Council
Funding Amount
$2,495,795.00
Summary
Each year in Australia 180,000 patients suffer a healthcare associated infection. Risk can be reduced with relatively simple technology but substantial costs arise with system wide adoption and monitoring. The economic paradigm is that funds can be invested for infection reduction to save costs and lives. The CRE will reveal the cost-effectiveness of infection control programmes and show health services decision-makers how to improve patient outcomes, save resources and save lives.