Intervention Strategies For The Prevention Of Early Childhood Caries
Funder
National Health and Medical Research Council
Funding Amount
$125,000.00
Summary
Rampant dental decay in young children remains an important challenge for preventive dentistry. Although it is a preventable disease, the prevalence is high in many disadvantaged communities. The study will examine a few intervention programs to determine their effectiveness in preventing early childhood decay. These include brushing the teeth with a safe, dental antibacterial gel compared to traditional oral hygiene methods. Brushing with antibacterial gels at crucial times during the establish ....Rampant dental decay in young children remains an important challenge for preventive dentistry. Although it is a preventable disease, the prevalence is high in many disadvantaged communities. The study will examine a few intervention programs to determine their effectiveness in preventing early childhood decay. These include brushing the teeth with a safe, dental antibacterial gel compared to traditional oral hygiene methods. Brushing with antibacterial gels at crucial times during the establishment of the oral flora is likely to prevent decay-causing bacteria from colonising a child’s mouth, so that the risk of dental decay is reduced, not only during childhood, but possibly extending to adulthood as well.Read moreRead less
The Mechanism, Predictive Value And Impact Of Apathy In Patients With Alzheimers Disease And Their Caregivers
Funder
National Health and Medical Research Council
Funding Amount
$542,370.00
Summary
Behavioural and psychological symptoms of dementia have been consistently associated with increased patients’ distress, and are considered by caregivers as the most difficult symptoms to manage. Apathy is the state of loss of motivation and emotional withdrawal that occurs in a high proportion of patients with Alzheimer’s disease. These patients require more management and support, given their reliance on others to schedule their activities and initiate behaviours even when they are still capabl ....Behavioural and psychological symptoms of dementia have been consistently associated with increased patients’ distress, and are considered by caregivers as the most difficult symptoms to manage. Apathy is the state of loss of motivation and emotional withdrawal that occurs in a high proportion of patients with Alzheimer’s disease. These patients require more management and support, given their reliance on others to schedule their activities and initiate behaviours even when they are still capable of performing the activities. In spite of the high frequency of apathy in dementia and the high potential of negative effects on patients and caregivers, little is known about the cause of this phenomenon, its potential influence upon the long-term progression of Alzheimer’s disease, and on its impact upon caregivers’ emotional well-being. The main aim of our proposal is to examine the mechanism, clinical relevance and impact of apathy in Alzheimer’s disease. More specifically, we will determine whether apathy predicts more severe depression, increasing motor problems, and a faster progression of cognitive and functional problems. Using state-of-the-art neuroimaging techniques we will examine the association between apathy and abnormalities in specific brain regions. Finally, we will examine whether caregivers of patients with apathy have relatively more severe emotional problems, a higher care giving burden and poor quality of life.Read moreRead less
The Effect Of Music On Agitated Behaviours In Older People With Dementia: A Randomised Control Trial
Funder
National Health and Medical Research Council
Funding Amount
$153,634.00
Summary
This study uses a cost effective non-pharmacological intervention, that being music therapy to improve quality of life (QOL) in people with dementia. Dementia results in a decline in mood and cognitive functioning and the emergence of behaviour problems that include aggressive acts, agitation, and sleep-wake and rest-activity pattern disturbance. Aggressive behaviour is a common burden for caregivers in residential and family care. The subsequent stress that aggression places on caregivers can l ....This study uses a cost effective non-pharmacological intervention, that being music therapy to improve quality of life (QOL) in people with dementia. Dementia results in a decline in mood and cognitive functioning and the emergence of behaviour problems that include aggressive acts, agitation, and sleep-wake and rest-activity pattern disturbance. Aggressive behaviour is a common burden for caregivers in residential and family care. The subsequent stress that aggression places on caregivers can lead to staff and family burn out, an increase in restraint use, and decreased quality of care. Research suggests that disruptive behaviours are recognised as a predictor in staff resignation and carer stress, both of which add significantly to the current costs of aged care. This project therefore has the potential to benefit both people living with dementia and their carers. The positive outcomes of music on people of all ages and health status have been established in various clinical settings. Recent research suggests that music therapy may be useful in the management of disruptive behaviours in people with dementia. Music therapy for people with dementia has the potential to improve their quality of life (QOL) through an improvement in depression, and a reduction in aggression and agitation. This study will investigate the effect of a live music program (where participants use their voices and instruments to perform and create music) on agitated behaviours in older people with dementia. It will provide evidence contributing to better understandings about music therapy and its contribution to QOL and disruptive behaviours in people with dementia that can be transferred to other settings such as the community and home based care of people with dementia.Read moreRead less
Deficits Of Insight And Judgment In Alzheimers Disease: Diagnostic Strategy And Clinical Significance
Funder
National Health and Medical Research Council
Funding Amount
$459,983.00
Summary
During the next three decades the number of persons older than 85 years will more than double, and the health care need of this burgeoning population are assuming greater importance. Recent studies suggest that the prevalence of dementia in Australia will increase from 172 000 cases in 2000 to 588 000 in 2050. This rapid increase in number of dementia cases will result in an increasing burden for caregivers, and in financial terms, for the working-age population. One of the main clinical problem ....During the next three decades the number of persons older than 85 years will more than double, and the health care need of this burgeoning population are assuming greater importance. Recent studies suggest that the prevalence of dementia in Australia will increase from 172 000 cases in 2000 to 588 000 in 2050. This rapid increase in number of dementia cases will result in an increasing burden for caregivers, and in financial terms, for the working-age population. One of the main clinical problems suffered by individuals of dementia is psychological and behavioural changes such as poor insight, irritability and apathy. These problems account for a large proportion of medical expenses, predict early institutionalization, and are associated with poor quality of life of caregivers. Unfortunately, little is known about the true frequency of problems of insight in dementia, about their impact upon caregivers, and about how to best diagnose the problems of loss of insight and judgment in this condition. Our study will examine the frequency and clinical correlates of poor insight and judgment in dementia, it will establish whether these problems predict other common behavioural problems of Alzheimer’s disease such as apathy and dangerous behaviours, and will demonstrate the reliability and validity of a specific instrument to measure insight and judgment in dementia. This will facilitate the early recognition and adequate treatment of behavioural problems in patients with dementia; it will improve patients’ quality of life, and will have a positive impact on both caregivers’ psychological well-being and on clinical practice.Read moreRead less
The aim of this project is to design and implement a broad-ranging research program that produces in-depth knowledge of motorcycle rider behaviour, performance, and safety that can be used to inform and develop a broad, and integrated package of countermeasures and-or public policies to improve the safety of motorcycle riders. A key focus of the research program will be on the identification and characterisation of errors that give rise to incidents and crashes involving motorcycle riders. Austr ....The aim of this project is to design and implement a broad-ranging research program that produces in-depth knowledge of motorcycle rider behaviour, performance, and safety that can be used to inform and develop a broad, and integrated package of countermeasures and-or public policies to improve the safety of motorcycle riders. A key focus of the research program will be on the identification and characterisation of errors that give rise to incidents and crashes involving motorcycle riders. Australian motorcycle riders are three times more likely to be involved in a casualty crash than car drivers, and comprised 14% of the national road toll in 2005. The proposed research program aims to improve motorcycle safety by developing appropriate countermeasures that will be derived from the findings of simulator experiments, on-road studies, focus groups, and surveys. The results of these studies will be used to develop guidelines and recommendations for improving motorcycle safety.Read moreRead less
Potential Avian Influenza-induced Pandemic: Minimising Public Panic
Funder
National Health and Medical Research Council
Funding Amount
$249,854.00
Summary
Communication appearing in the Australian media regarding a potential bird flu epidemic can serve to accurately and effectively inform the public OR misinform and contribute to panic and undesirable behavioural responses. The Australian Government has time to develop communication strategies and specific messages that can effectively convey desired information at different stages of the anticipated pandemic. This research team proposes to develop communication strategies (including specific mess ....Communication appearing in the Australian media regarding a potential bird flu epidemic can serve to accurately and effectively inform the public OR misinform and contribute to panic and undesirable behavioural responses. The Australian Government has time to develop communication strategies and specific messages that can effectively convey desired information at different stages of the anticipated pandemic. This research team proposes to develop communication strategies (including specific messages, media vehicles, spokespeople, images etc for the different target audiences) that government, medical authorities, NGOs and other relevant organisations can use to increase the public's understanding of the risk. Such strategies will ensure that we can minimise fear, refute misinformation the public may encounter from individuals (e.g., co-workers) or media sources, and enhance the likelihood of the public taking the recommended preventive and remedial actions should an Avian Influenza pandemic occur. Additionally, the research team will then utilise these communication strategies to develop evidence-based guidelines for communication strategies to be used in cases of similar serious health threats in Australia. Based at the University of Wollongong, the project team is a sophisticated and synergistically qualified team of experts. The team includes: a main media health promotions expert (Associate Professor Sandra Jones); two marketing communications experts, one of whom has an academic focus and the other a practitioner focus (Professor John Rossiter and Dr Max Sutherland respectively); a public health and medical expert in health behaviour change (Professor Don Iverson); a senior public health campaigns expert (Professor Chris Puplick), and an expert in communicable diseases and infection control education and programs (Professor Julian Gold).Read moreRead less