Translating The Evidence To Practice: Getting The Vaccine Hesitant To Vaccinate
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
One of the key examples of this poor research translation is the rise of vaccine hesitancy, where the unequivocal evidence base for public health benefit of childhood immunisations has not been translated into vaccination uptake in many areas.This project will partner with primary health care organisations and develop strategies based on pilot research to improve vaccination information to vaccine hesitant parents, to assist with the uptake of this important public health intervention.
Closing The Evidence-practice Gap For Non-pharmacologic And Non-surgical Osteoarthritis Care With An E-health Knowledge Translation Strategy
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
Painful conditions like osteoarthritis (OA) have an enormous impact on people’s lives and our health system. Despite effective treatments that do not rely on medications or surgical interventions, these treatments are not routinely or effectively provided to consumers. This Fellowship will address this problem by developing an online resource to build capacity among physiotherapists, nurses and trainee physiotherapists and doctors to deliver effective care for OA.
The Effectiveness Of Systems-based Intervention In Increasing Health Assessments In Aboriginal Community Controlled Health Services
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
Access to health checks is an important part of Closing the Gap in health between Aboriginal and Torres Strait Islander people and non-Indigenous Australians. Health checks benefits patients by increasing preventive health opportunities and detecting chronic disease. Despite these benefits, few Aborignal people undergo health checks. This research will examine the effect of an intervention in increasing the prevalence of Aboriginal people receving health checks in Aboriginal Medical Services.
Bridging The Gap For Women With Gestational Diabetes: Supporting Prevention Of Type 2 Diabetes Through Improved Care Of A High Risk Group.
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
The strongest risk factor for women developing diabetes is having diabetes in pregnancy or Gestational Diabetes Mellitus (GDM). Roughly half of women with GDM develop diabetes so regular GDM screening is critical alongside healthy lifestyle support, which can prevent diabetes developing. General Practice (GP) is where these activities should occur but the extent of GP delivery varies. This project will support GP delivery of these activities to improve the health of these high-risk women.
Facilitating Venous Leg Ulcer Guideline Implementation: Closing The Gap
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
Venous leg ulcers are a continuing challenge to patients, health care professionals and healthcare systems. Healing is protracted and ulcer recurrence common. Early identification and treatment is paramount to optimise health. Best practice treatment is compression, however more than 50% of ulcers remain unhealed after two years due to variability in clinical practice. I will conduct a scoping systematic review to identify reasons for gaps between evidence-based care and clinical practice.
Improving Implementation Of Guideline Recommendations For Early Detection And Prevention Of Cancer In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$277,205.00
Summary
An intervention targeting key barriers to preventive care will be implemented in 3 general practices. A multiple baseline design will be used to evaluate the success of the intervention. Key outcomes will include the proportion of eligible patients within each practice for whom 3 or more health risk behaviours have been assessed in accordance with guidelines recommendations; and the proportion of eligible patients who have been screened appropriately for breast, cervical and bowel cancer.
Improving The Role Of Community Pharmacists In Respiratory Health
Funder
National Health and Medical Research Council
Funding Amount
$177,197.00
Summary
Given that treatments are effective in addressing symptoms in Chronic Obstructive Pulmonary Disease (COPD), but there is no cure, it is important to focus on strategic ways to use current treatments effectively for optimal management and thus the maximum benefit for the patient. This project proposes an innovative reconfiguration of health systems pathways in COPD patient care by using specialised trained pharmacists working closely with GPs in providing evidence based care.
Overcoming Barriers To Protected Mealtimes Implementation To Prevent And Treat Malnutrition
Funder
National Health and Medical Research Council
Funding Amount
$176,250.00
Summary
Protected mealtimes, where patient meals are protected from negative interruptions, is a systems approach to address the vast problem of in-hospital malnutrition. It aims to positively improve food intake at mealtimes, treating and preventing malnutrition. Observational studies have previously shown promising clinical outcomes, limited due to reports of barriers to implementation of the strategy. This is the first study internationally to implement protected mealtimes in subacute care.
Sustaining Oral And Systemic Health In Residential Aged Care Facilities
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Poor oral health is associated with many health problems. Community of Practice members will educate nurse-carer champions who then train direct care staff. The care staff will oversee 2-minutes of teeth cleaning after meals using regular or timed electric toothbrushes, or daily denture care. There will be audits of daily oral care by nurse-carer champions assisted by students, examination of used toothbrushes, regular analyses of gum-based oral bacteria.
Catch Them When They Fall: Providing Best Evidence Care After A Suicide Attempt
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
A previous suicide attempt is the strongest predictor of death by suicide. There is a strong evidence base for the key changes required to care after a suicide attempt: implementing evidence-based care is estimated to reduce suicide attempts at the population level by approximately 12%. Yet this is an area of health services that has been difficult to reform. This project is aimed at implementing best-evidence practice in four regions of NSW, where I have established partnerships.