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Recommendations on Hospital Falls Prevention and Management
Expand descriptionThe primary purpose of the study is to seek expert advice on the best methods to prevent and manage hospital falls. Using the Delphi technique, We will conduct a series of questionnaires and an online meeting with health professionals until consensus is reached on how best to mitigate and manage falls and associated injuries in hospital settings.
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The Lumir Mission Medicinal Cannabis for Primary Dysmenorrhoea Study
Expand descriptionThis study will determine if there are any changes in period pain, and other symptoms of primary dysmenorrhea as well as looking at the rate of adverse events after using medicinal cannabis. Changes in inflammatory markers in menstrual blood will also be tracked. This study will provide data for future clinical trials if potential benefits are found.
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Do artificially intelligent chatbots work to increase physical activity?
Expand descriptionPhysical inactivity is a leading modifiable cause of death and disease, but less than half of Australian adults are meeting the National Physical Activity Guidelines. Therefore, developing and evaluating new strategies to support people in becoming more active is important. The use of digital assistants is becoming increasingly common and a digital assistant powered by artificial intelligence could potentially offer a cost-effective, scalable solution physical activity program. Therefore, the aim of this study is to conduct a randomised controlled trial to examine the effectiveness of a machine learning and app-based digital assistant to increase physical activity. We hypothesise that participants receiving the intervention will significantly increase their moderate to vigorous physical activity at 3- and 6-month follow-up time-points compared to participants allocated to a no intervention control group.
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Evaluating the role of Immersive Virtual Reality mindfulness in mitigating acute exercise-induced pain following exercise in chronic low back pain: a feasibility randomized controlled trial
Expand descriptionManagement of chronic low back pain is challenging, and current best evidence recommends incorporating physiotherapeutic exercise training. Despite this, physical exercise can lead to flare up in pain immediately following exercise and over the subsequent days in individuals with chronic pain. Virtual reality (VR) is a novel emerging technology that is increasingly being used in pain rehabilitation with demonstrated effectiveness in decreasing pain. One application of VR that has received relatively little attention to date in the management of chronic pain is virtual reality mindfulness/meditation (VRM). VRM offers a novel approach to addressing chronic pain as it can create a calming and relaxing setting that facilitates practicing mindfulness skills, with demonstrated effects. This study investigates if VRM has a positive effect on reducing exacerbation of pain following exercise among individuals with chronic low back pain. We hypothesise that the VRM intervention will reduce immediate and laten pain levels compared to controls undertaking usual post-exercise management as well as the VRM is tolerated with minimal side effects and is feasible and acceptable.
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Pain Smart: Integrating pain education and clinical care for adolescents with pain at schools.
Expand descriptionThis study is a multi-site parallel group cluster randomized trial delivering pain education and biopsychosocial care to students attending secondary schools. This school-based intervention aims to provide the opportunity for all adolescents to access accurate and evidence-based information about pain and pain management. This study is a three-arm parallel group cluster randomized trial, with economic evaluation. Participating schools will be randomly allocated to 1) pain education module and parent resources, 2) pain education module and parent resources, plus biopsychosocial care for students reporting problems with pain, or 3) no intervention.
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Does melatonin after tonsillectomy enhance sleep and recovery in children (MATES)?
Expand descriptionTonsillectomy is one of the most common childhood surgical procedures, however the postoperative recovery is often long and challenging for children and their families. This study aims to investigate if seven days of oral melatonin is able to improve sleep and pain management in children post-tonsillectomy, without increasing the risk of postoperative complications compared to placebo. We hypothesise that: (1) Melatonin will improve sleep following tonsillectomy; (2) melatonin will decrease post-operative pain and reduce breakthrough opioid requirement; and (3) melatonin will not increase the risk of post-operative complications.
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The effectiveness of a water intake challenge on beverage intake in Australian adults.
Expand descriptionThere is an increasing focus on, and acknowledgement of, the role of behaviour change science, in modifying health and other behaviours. The current project involves developing a behaviour change readiness index for predicting health behaviour change in the domain of dietary interventions. The study focuses on understanding behavioural outcomes rather than improving health behaviours. Therefore, a simple health behaviour (improving water intake) will be used as a behaviour change target. The aim of this study is to refine and validate the CSIRO behaviour change readiness index by assessing its utility to predict successful short-term behaviour change in the dietary domain (i.e., water drinking) but also to better understand the associations and strengths of relevant psychological factors to refine this tool into a succinct survey.
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A Study Investigating the Safety and Tolerability of the Coolio System for Pain Management in Patients with Osteoarthritis of the Knee
Expand descriptionThe primary objective of the proposed study is to evaluate the safety and tolerability of the Coolio System when administered as a genicular nerve block for pain management in subjects with osteoarthritis of the knee. The secondary objective of the study is to observe analgesic performance of the device. The Coolio System intends to utilize cold temperatures to temporarily inhibit nerve signaling through the injection of Neural Ice into the extra-neural space of target sensory nerves. Brixton Biosciences hypothesizes that the injection of Neural Ice around three genicular nerves in the knee can reduce knee pain associated with osteoarthritis. The anesthesiologist-investigator will inject Neural Ice around these three nerves and evaluate pain scores and other assessments throughout a 6-month follow-up period.
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'First Bite: A research program to help 3-5-year-old children eat more veggies.
Expand descriptionWe aim to improve vegetable intake of 3-5 year old children in Early Child Education and Care (ECEC) services and at home through targeted strategies. These include a children's daily mid-morning vegetable break and experiential learning activities while in ECEC, parental resources and ECEC educator professional development support to support children's behavioural intentions and increase opportunities to eat vegetables. Efficacy will be primarily measured by change in skin carotenoid levels. Secondary outcomes include changes in child preferences for vegetables and vegetable provision by parents in lunchboxes. A process evaluation to assess the implementation fidelity of the program strategies will also be undertaken.
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Azithromycin at birth: Single dose azithromycin shortly before birth - what is the impact on infection rates in high-risk mothers and babies? A randomised controlled trial
Expand descriptionThis trial will assess whether a single dose of azithromycin (or placebo) given shortly before birth will reduce maternal and infant infections requiring antibiotic intervention in the 6 weeks following the birth, Pregnant women will be randomised close to time of delivery, and followed up for 6 weeks. Nasopharyngeal and vaginal swabs will be collected to monitor the impact of azithromycin on colonisation and resistance. Primary outcome assessment of new infections will be done by review of clinical presentations at primary health care and hospital.