ANZCTR search results

Previous research has shown that pre-sleep cognitive and emotional arousal increases adolescents' bedtime and sleep onset latency and decreases their total sleep time. We will test whether brief intervention can decrease pre-sleep cognitive and emotional arousal, therefore improving sleep. We hypothesis that the constructive worry and mindfulness body scan groups will lower pre-sleep arousal, and therefore improve sleep, over the no treatment group. Perfectionism may also play a role in how effective treatment is, with treatment being less effective at decreasing arousal for adolescents who score higher on a perfectionism scale, and more effective for those who score lower. Perfectionism will therefore be explored as a moderator (not an outcome measure).

Radiographic evaluation using RSA method to measure migration and stability of the Paragon femoral stem over 2 years post-surgery. Functional evaluation using the Oxford Hip Score. Health related quality of life evaluation using the EQ-5D questionnaire.

Otitis externa (swimmers ear) is a frequent problem worldwide, especially in the tropics. The pain and swelling often makes proper topical treatment difficult. This study aims to evaluate the effect of oral corticosteroids (an anti-inflammatory drug) on swimmers ear.

TaylorActive is a physical activity project for Australian adults. This project is investigating the effectiveness of tailored videos in promoting physical activity using the Internet.

The primary purpose of this study on healthy volunteers is to determine the safety and tolerability of oral AD-6626 without and without alcohol administration in normal healthy volunteers and subjects heterozygous (HeZ) for the aldehyde dehydrogenase 2 (ALDH2)*1/*2 genetic variant

Allocation of an analgesia information sheet following tonsillectomy in children. The primary purpose of the study was to find that if allocation of an information sheet improved post operative analgesia in children and to assess if parents were more knowledgeable regarding analgesia

The aim of this project is to decrease the number of infantry trainees being removed from training and placed into SSW due to preventable injuries. These injuries can be partially attributed to intrinsic risk factors such as poor biomechanics, poor footwear/fitness/body awareness, over training, history of prior injury and BMI <20 or >27. Data collection from six training platoons between 7th February 2011 and 12th August 2011 revealed a mean of 26% of trainees per platoon being injured during the course of training. Of these 53% were classified as preventable injuries and 46% of those trainees were removed from training. This represents a significant number of members incurring injuries that may otherwise have been avoided. From this the concept for implementing some injury prevention training and education evolved and a collective decision was made to examine the implementation and effectiveness of such a program. This will be a randomly controlled trial conducted at the Physiotherapy Department, School Of Infantry, Singleton. It will consist of several components: 1. All members in both the control and intervention groups will be given a questionnaire to fill in regarding intrinsic risk factors to injury. BMI will be assessed. 2. The intervention group will receive a one hour theoretical session on intrinsic risk factors for injuries and how to take active steps to avoid injury (ten tips for injury prevention). 3. The intervention group will then receive a one hour small group practical session looking at biomechanics, posture and body awareness. 4. Trainees identified as having significant risk factor (for example pronating feet) will be given an individual assessment and intervention if required. Potential outcomes of the trial include: - Decrease the number of trainees removed from training and placed in SSW due to preventable injuries - Provide the SOI with an injury prevention strategy that is simple and cost effective - Increase throughput of Infantry members - Reduce number of staff required to manage soldier support wing - Decrease costs associated with trainees moved into soldier support wing (medical, physiotherapy, psychology support, staffing for SSW) - If the program is successful it could be utilised within other areas of the ADF - Increasing retention rates - Decreasing rehabilitation costs and TRW burden - Improve morale amongst trainees by improving health outcomes - Data collection may reveal secondary trends.

The aim of this study was to determine whether prophylactic antibiotic therapy reduced the number and seriousness of respiratory illnesses of these patients suffer due to their chronic obstructive pulmonary disease.

This study will evaluate the usability, acceptability and impact of the Music eScape application and it’s capacity to promote wellbeing in young people. The eScape app is designed for users to identify their current and desired mood states and produce a playlist of mood-tagged music from their own music library that will help them achieve this. Prototype testing will be conducted to inform the development of the Music eScape app. Two groups of five participants will each be asked to complete a 30 minute survey, then attend a focus group to explore the mobile application and test it’s functionality. We are then seeking young people who experience at least mild levels of stress/distress to test the music-based mobile phone application. Young people will complete a brief 10-item screen questionnaire to determine their eligibility for participating in the study. 180 participants who report at least mild levels of stress/distress in the past month will be recruited for the outcome evaluation. Participants will be asked to complete an online survey, which will include questionnaires addressing emotion identification and regulation, wellbeing and involvement in music. Half of the participants will be asked to download the free eScape app on their mobile devices and trial it for one month (referred to as the immediate access group), while logging in their current and target moods, along with the success rate of the application in assisting them to reach their target mood. During their use of the application, details of app usage (e.g., number of times used, duration of use, features used) will be recorded and automatically downloaded. Participants will be followed up at the end of their one month of app use, and again two, three and six months later to complete online surveys addressing emotion regulation, wellbeing and their experience of using the mobile application. Participants will receive 4 SMS’s over their initial first month of app use to remind them to use the app. The remaining half will comprise a waitlist control, whose access to the application will be delayed by one month. Delayed app access provides a control group for comparison of mood regulation in absence of any intervention. Waitlisted participants will receive up to 4 SMS’s to minimise participant attrition. After this month, their involvement will replicate that of the immediate access group, outlined above.

Physiotherapy treatment for patients undergoing Coronary artery bypass graft (CABG) surgery involves pre operative education, and post-operative breathing exercises and coughing, early mobilisation and musculoskeletal exercises to prevent pulmonary complication and to aid in discharge from the hospital and return to activity in timely manner. Pain post CABG may be from surgical trauma, multiple cannulas including chest drains, and harvesting of internal mammary arteries (IMAs). Ferguson et al reported that health professionals often underestimate pain the post CABG patients experience. The most common area the patients experience pain post CABG is the chest, where there is surgical wound, and also where chest drains have been. Studies have shown that CABG patients have limited ability to cough and perform breathing exercises, general activity and ambulation due to severe pain post surgery. There have been six surveys studying physiotherapy practice in Australia and New Zealand, Sweden, the UK and Canada, however, none of these surveys provided information on physiotherapists’ perception of patients’ pain post CABG, or whether physiotherapists believed pain was a limiting factor for patients to reach walking milestone and what guidelines were used to establish milestones for distance to mobilise patients This study will enable the investigators to collect data on physiotherapists’ perception of CABG patients’ pain post surgery in Australian and New Zealand hospitals. The survey will also identify whether physiotherapists believe pain limits patients walking distance and whether they believe pain management post CABG is adequate. Hypothesis: Physiotherapists perceive that patients undergoing CABG surgery experience significant pain, therefore it impacts on their walking distance in Australia and New Zealand hospitals.