We will conduct a survey of respiratory symptoms, lung function, smoking status, occupational exposures, and other risk factors among 3200 people aged 40 years and over living in five Australian communities: Melbourne, Sydney, Tasmania, Busselton (WA), and the Kimberley region (WA). In the Kimberley we will survey 400 Aboriginal people and 400 non-Aboriginal people. We will use a survey methodology that has been developed by an international expert panel and has been implemented in many other co ....We will conduct a survey of respiratory symptoms, lung function, smoking status, occupational exposures, and other risk factors among 3200 people aged 40 years and over living in five Australian communities: Melbourne, Sydney, Tasmania, Busselton (WA), and the Kimberley region (WA). In the Kimberley we will survey 400 Aboriginal people and 400 non-Aboriginal people. We will use a survey methodology that has been developed by an international expert panel and has been implemented in many other countries (in North and South America, Asia, and Europe). This study will provide the first nationally-representative information on the burden of chronic obstructive pulmonary disease (COPD) and the opportunities for health gain by improving the management of this illness. In Australia, COPD is a relatively silent and under-recognised disease but nevertheless is the third most important contributor to the burden of disease and the third leading cause of hospital admission as well as being the underlying cause of 4.2% of all deaths. The information we will collect is needed to form a basis for prevention and disease management interventions to reduce the burden of COPD, particularly among population sub-groups who are disproportionately affected, either due to greater exposure to risk factors (mainly tobacco smoking and occupation), greater susceptibility, under-recognition and under-diagnosis, or inadequate disease management. Importantly, the study will serve to raise awareness about the hazards of smoking for all Australians. By identifying target groups, prevalent exposures and management deficiencies, it will lead the way towards policy-relevant randomised controlled trials testing community-based interventions to prevent COPD and-or manage it more effectively. The information collected will help advance knowledge of the prevalence, burden and treatment of COPD that will be relevant to communities throughout the world.Read moreRead less
A Cognitive And Neuroimaging Study Of Exceptionally Old Individuals: Sydney Centenarian Study
Funder
National Health and Medical Research Council
Funding Amount
$857,197.00
Summary
Australia has an ageing society. Individuals over the age of 95 years are the fastest growing proportion of this population. Many of these individuals retain good cognitive function. The Sydney Centenarian Study will recruit all individuals 95 and over in 7 local government areas in Sydney to assess their brain function to determine which cognitive faculties are more or less affected, and how this relates to changes on brain scans. This will be related to neuropathology.
A Supervised Exercise Programme Following Hospitalisation For Heart Failure: Does It Add To Disease Management?
Funder
National Health and Medical Research Council
Funding Amount
$730,966.00
Summary
Congestive heart failure (CHF) is a common, disabling condition. Outcomes are improved by a post-hospital disease management programme (DMP) including education, support and followup from a team of nurses, doctors and other health professionals. This study looks at whether adding a supervised exercise programme to a DMP can reduce death rates and hospital stays, and improve physical function and depression in patients with a recent hospital stay for CHF.
Emerging from the shadows: the evaluation of intervention strategies to reduce social isolation amongst the aged. Social isolation imposes a high cost on affected individuals and the community at large. This project will determine what interventions work in addressing social isolation amongst the older population.
Ageing Well at Home: Measuring the Impact of Community Care for Older People. The level of care required to maintain people at home varies significantly. Outcomes relate to the individual consumer's needs and require monitoring to ensure actual needs based on thorough assessment are being met. This study refines, tests and applies measures of the outcomes of essential community aged care service packages in a range of settings across New South Wales. The study aims to validate, test and further ....Ageing Well at Home: Measuring the Impact of Community Care for Older People. The level of care required to maintain people at home varies significantly. Outcomes relate to the individual consumer's needs and require monitoring to ensure actual needs based on thorough assessment are being met. This study refines, tests and applies measures of the outcomes of essential community aged care service packages in a range of settings across New South Wales. The study aims to validate, test and further develop a reliable and practical measure for consistent data collection and review of outcomes in care provided to older people in their homes. The determination of consumer outcomes aim to inform and contribute to the provision of community care across Australia and internationally, and facilitate and underpin further research.Read moreRead less
Social cognitive change in late adulthood. This project aims to develop and test a model of how normal adult ageing affects the ability to perceive and interpret social cues, a critical predictor of social competency and well-being, and identify the most important determinants of any age-related changes. This project predicts that older adults who have the greatest difficulties perceiving and interpreting social cues will also have the poorest social function and well-being, so better understand ....Social cognitive change in late adulthood. This project aims to develop and test a model of how normal adult ageing affects the ability to perceive and interpret social cues, a critical predictor of social competency and well-being, and identify the most important determinants of any age-related changes. This project predicts that older adults who have the greatest difficulties perceiving and interpreting social cues will also have the poorest social function and well-being, so better understanding the mechanistic factors that drive resilience and risk for these difficulties is expected to have direct and important implications for Australia’s growing older adult community.Read moreRead less
Living together: the rise of multigenerational households in Australian cities. This project will determine the principal reasons for the significant increase in the number of Australians living in households of multiple generations of related adults, and the impact of these trends on Australian families. It will provide information to help forecast demand for services and subsidies, including housing and aged care.
Achieving a Skilled and Sustainable Aged Care Workforce for Australia. Demand for aged care services in Australia has reached record levels and is set to rise steeply due to population ageing. The Productivity Commission identified the sector’s need to provide more care services, to expand consumer-directed care and to improve the quality of care. Currently, there is little evidence as to how the workforce can expand and change to meet these challenges. This project aims to provide new evidence ....Achieving a Skilled and Sustainable Aged Care Workforce for Australia. Demand for aged care services in Australia has reached record levels and is set to rise steeply due to population ageing. The Productivity Commission identified the sector’s need to provide more care services, to expand consumer-directed care and to improve the quality of care. Currently, there is little evidence as to how the workforce can expand and change to meet these challenges. This project aims to provide new evidence on how to attract, retain and up-skill workers in a rapidly expanding demand environment, as the sector strives to achieve a sustainable and skilled workforce fit for the future needs of older Australians.Read moreRead less
Intra-household resource allocations of older couples. This project aims to analyse processes and outcomes within older households using national, large-scale representative data and mixed methods research design. In an ageing population where households are becoming responsible for provisioning retirement needs, understanding what happens in older couple households is important. The project expects to influence policy by generating evidence relevant to the design of regulations governing the al ....Intra-household resource allocations of older couples. This project aims to analyse processes and outcomes within older households using national, large-scale representative data and mixed methods research design. In an ageing population where households are becoming responsible for provisioning retirement needs, understanding what happens in older couple households is important. The project expects to influence policy by generating evidence relevant to the design of regulations governing the allocation of superannuation assets, tax incentives for alternative forms of retirement savings, asset and income tests on the Age Pension, and initiatives targeting older Australians’ financial literacy.Read moreRead less
Markets, migration and the work of care in Australia. The objective of this project is to strengthen the conceptual foundations for social policy in the critical domains of aged care and child care. Projected child care and aged care labour shortages and shifts in government policy towards consumer-directed provision, including in-home care, have intensified calls for increased care migration in Australia. Yet the links between care markets and migration, and their consequences for the provision ....Markets, migration and the work of care in Australia. The objective of this project is to strengthen the conceptual foundations for social policy in the critical domains of aged care and child care. Projected child care and aged care labour shortages and shifts in government policy towards consumer-directed provision, including in-home care, have intensified calls for increased care migration in Australia. Yet the links between care markets and migration, and their consequences for the provision of care and the care workforce are poorly understood in the Australian context. The project aims to explain the links between care policies, employment regulation and migration in cross-national perspective, generating new analytical insights and strengthening the evidence base for policy.Read moreRead less