Understanding And Preventing Avoidable Readmissions: Development Of A Patient Centered And Disease Specific Screening Tool
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
This study aims to develop a screenings tool to prevent unplanned re-admissions, based on specific patient centred and disease specific factors. We will include index admission data (367,782 in 2015) of five MACH hospitals. The cohort will be divided into a group for index derivation and a group for internal validation. Variables on patient and admission characteristics are based on literature. After internal validation we will validate the tool externally and implement it in clinical practice
Can Self-management Education Programs Improve Outcomes Of People With Osteoarthritis?
Funder
National Health and Medical Research Council
Funding Amount
$343,874.00
Summary
Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Tre ....Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Treatment guidelines used by doctors to treat people with arthritis regularly recommend that patients should be referred to such courses. Although the course is widely distributed, the evidence scientific evidence regarding its effectiveness is patchy, and some overviews suggest it is not useful at all. Confusion exists regarding the value of the course. While treatment guidelines advise doctors to refer patients to the program by very few GPs, Rheumatologist or Orthopaedic surgeons do refer. The proposed study is a large controlled trial which will provide essential evidence to inform patients, doctors and policy makers on the benefits of the course. It will involve people with well defined moderate to severe arthritis who have consulted a surgeon or rheumatologist. People will be randomised to receive the intervention (two hours per week, six session course including an 'arthritis self-help' book) will be compared with people in a control group (who only receive the book without instruction). People will be followed for 1 year to see if the course improves quality of life, health behaviours, and whether less health care resources (ie attendance at doctors or less medication use) are used. The results of this study will be influential in determining government policy as the number of people with chronic diseases like arthritis is rapidly growing and the acute healthcare system, including hospitals, are poorly equipped to deal with this growing problem.Read moreRead less
'Just right' job design: A new model using the Goldilocks paradigm. This proposal will generate new knowledge about designing jobs with the right amount of human movement. Prolonged sitting is now a serious work hazard that contributes to cardiovascular risk and obesity. The high incidence of these conditions in many work systems, such as rail, also presents a critical safety hazard due to threat of sudden incapacity while driving. Expected project outcomes are a ‘Just Right’ Job Design model sh ....'Just right' job design: A new model using the Goldilocks paradigm. This proposal will generate new knowledge about designing jobs with the right amount of human movement. Prolonged sitting is now a serious work hazard that contributes to cardiovascular risk and obesity. The high incidence of these conditions in many work systems, such as rail, also presents a critical safety hazard due to threat of sudden incapacity while driving. Expected project outcomes are a ‘Just Right’ Job Design model showing how tasks can be designed to enhance safety and health while maintaining productivity, and in the unlikeliest of workplaces. This will provide significant benefits for the many working Australians whose safety and health are compromised by exposure to prolonged sitting in seemingly intractable environments.Read moreRead less
Safety management system for heavy vehicle transport. Crashes involving heavy vehicles result in around 330 deaths, over 3000 serious injuries annually, and cost over $6 billion per year. Trucks deliver 72% of Australia's total freight. The quantity delivered by trucks has increased by 40% over a decade and will double over the next 20 years. Conservatively the transport industry contributes about 5.6% to GDP and employs nearly 5% of the workforce. Safe transport is crucial for Australia's heal ....Safety management system for heavy vehicle transport. Crashes involving heavy vehicles result in around 330 deaths, over 3000 serious injuries annually, and cost over $6 billion per year. Trucks deliver 72% of Australia's total freight. The quantity delivered by trucks has increased by 40% over a decade and will double over the next 20 years. Conservatively the transport industry contributes about 5.6% to GDP and employs nearly 5% of the workforce. Safe transport is crucial for Australia's health and economic recovery. If a 10% reduction in casualty truck crashes were to result from this study, the cost benefit ratio would be around 200 to 1.Read moreRead less
Enhanced Methods Of Communicating Correct Use Of Child Car Restraints: A Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$720,599.00
Summary
Working with our associate investigators from the Australian and European child restraint industry, we will conduct a controlled trial of enhanced methods of communicating correct use of child car restraints with product information supplied at the point of sale.
Mothers' Sleep In The Postpartum Period: Effects On Safety-sensitive Tasks
Funder
National Health and Medical Research Council
Funding Amount
$71,252.00
Summary
Mothers' elevated sleepiness levels in the postpartum period and their exposure to safety-sensitive tasks is a significant issue that requires investigation. Research suggests that elevated sleepiness levels are associated with reduced cognitive and motor performance, which are vital when performing tasks with safety implications. This study will determine whether mothers' risk of injury, due to sleepiness, can be significantly reduced via improved knowledge and an evidence based intervention.
An Investigation Into The Efficacy Of Medication Warnings About Driving
Funder
National Health and Medical Research Council
Funding Amount
$47,427.00
Summary
It is recognised that the impairing effects of psychotropic medications can have harmful effects on traffic safety, particularly in the case of sleep medications such as benzodiazepines, however the effectiveness of these labels is largely unknown. The PhD will evaluate two approaches to medication warnings used in Australia and France. Results will inform patient care and prescribing advice and labelling, and could support the adoption of the model European labelling.
A Healthy Promoting School Approach To Encourage Children To Wear Helmets
Funder
National Health and Medical Research Council
Funding Amount
$165,708.00
Summary
Each year around sixty Australians die as a result of bicycle crashes and thousands more are injured, some so severely they are permanently disabled. The largest proportion of the population affected by bicycle-related injuries are children and adolescents. These injuries are largely preventable if riders wore helmets. Some studies suggest wearing a helmet reduces the likelihood of head injury by more than 75%. Approximately 80% of Western Australian primary school students who ride to school we ....Each year around sixty Australians die as a result of bicycle crashes and thousands more are injured, some so severely they are permanently disabled. The largest proportion of the population affected by bicycle-related injuries are children and adolescents. These injuries are largely preventable if riders wore helmets. Some studies suggest wearing a helmet reduces the likelihood of head injury by more than 75%. Approximately 80% of Western Australian primary school students who ride to school wear a helmet. Students aged 10-12 years are on the cusp of a dramatic decline in helmet usage - secondary school students helmet usage rates are observed at 43%. This project aims to provide a supportive school environment for road users, and with the assistance of their peers, skill children with strategies and dialogue to resist peer pressure not to wear a helmet in order to arrest this rate of decline when they reach secondary school. This three-year study will compare the impact of a whole-school road safety intervention based on the health promoting school model to the standard road safety curriculum. For the study cohort ie: Year 5 - 6 students, the focus will be on bicycle safety, in particular, correct helmet usage. The intervention includes innovative participatory strategies to develop a supportive school environment for road users plus peer-teacher classroom activities that encourage the correct use of bicycle helmets for Year 5 - 6 students (and their parents). The intervention trial will be conducted with 30 Western Australian primary schools in 2000 and 2001. Other target groups of the intervention are teachers, Year 7 peer teachers, school administrators and the school community. Potential benefits of this project include the provision of a model health promoting school intervention to increase the frequency of correct helmet wearing by children which in time may lead to a reduction in bicycle-related morbidity and mortality in Western Australia.Read moreRead less
Improving child safety in cars. This study aims to reduce the number of children killed and injured as passengers in car crashes. These deaths and injuries currently impose huge social and emotional costs on the community and the families involved. Any injury will compromise child health and development, and many result in temporary or long-term disability and care needs. From an economic viewpoint alone, child passenger fatalities and injuries have been conservatively estimated to cost in ex ....Improving child safety in cars. This study aims to reduce the number of children killed and injured as passengers in car crashes. These deaths and injuries currently impose huge social and emotional costs on the community and the families involved. Any injury will compromise child health and development, and many result in temporary or long-term disability and care needs. From an economic viewpoint alone, child passenger fatalities and injuries have been conservatively estimated to cost in excess of $400 million per year. Thus, this research will contribute to both social and economic savings and contribute to better health outcomes for the nation's childrenRead moreRead less
iMATCH: Independent mobility, active travel and children's health. Policy interventions are used across Australia to improve children's independent mobility, to increase children's physical activity levels and social interaction, and to generate more sustainable travel behaviour, particularly for the journey to school. iMATCH provides a holistic and inter-disciplinary evaluation of policy interventions than is undertaken for most evaluations of school travel and children's travel behaviour polic ....iMATCH: Independent mobility, active travel and children's health. Policy interventions are used across Australia to improve children's independent mobility, to increase children's physical activity levels and social interaction, and to generate more sustainable travel behaviour, particularly for the journey to school. iMATCH provides a holistic and inter-disciplinary evaluation of policy interventions than is undertaken for most evaluations of school travel and children's travel behaviour policies and programs. By controlling for the influence of the built and social environment, the project will provide the necessary support to justify these policy interventions and to identify key improvements for their delivery, supporting more sustainable and healthy lifestyles for Australia's children.Read moreRead less