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Despite optimal medical management, up to 60% of young stroke survivors experience impairments in cognition. These impairments adversely impact activities of daily living and quality of life. A number of treatment strategies have been proposed for therapeutically addressing cognitive impairments in stroke survivors. A promising, yet experimental, treatment strategy is environmental enrichment (EE), which involves careful modulation of the environmental setting to enhance physical, cognitive, sensory and social stimulation, as well as healthy eating and sleep routines. This approach has recently been shown to improve motor function in stroke survivors, however its effects on cognition are yet to be investigated. The purpose of this study is to evaluate, for the first time, the feasibility and therapeutic utility of a 12-week telehealth-delivered EE program, compared to lifestyle guidance, on cognition in young stroke survivors.

In this study we are trying to figure out if a vaccine against COVID-19 can be administered by an intradermal delivery system (a patch that is placed onto the skin by spring delivery) and if the vaccine is effective against COVID-19. Today most vaccines are delivered by injection using a needle (typically in the upper arm or thigh), this can be cause for anxiety for some people. Vaxxas have developed an intradermal delivery system (HD-MAP) to administer vaccines by pressing a patch to the skin of the upper arm. Vaxxas has developed a potential COVID-19 vaccine (HexaPro- modified SARS-CoV-2 spike protein) to be delivered with their intradermal delivery system. HD-MAP has been used in prior clinical trials of influenza vaccines as well as the uncoated patch, while HexaPro has not yet been given to humans.

How food is promoted, priced and made available in food retail has considerable impact on consumer behaviour and subsequently population health. In partnership with government and Aboriginal health services, the remote retail sector and policy-makers, we will codesign and test the feasibility and effectiveness of an innovative benchmarking approach to support the uptake of health-enabling best-evidence practice and policy by stores in remote Aboriginal and Torres Strait Islander communities, and identify the pathway to set this benchmarking into policy. We will test feasibility of the benchmarking model through partner organisations who work with community stores in the Northern Territory (NT) and extend our research to include stakeholders from Western Australia (WA), Queensland (QLD) and South Australia (SA) to assess its scalability.

ACTMed is a new service designed to proactively find and address medicine problems before they cause harm. Participating pharmacists will use a specially designed software program (ACTionable Medication safety dashboard) that works within health IT systems to detect medicines problems. ACTMed works by bringing pharmacists, consumers and general practitioners together to deal with medicine problems. Before the service can be tested in a trial, we have to work out how pharmacists and general practitioners want to work together and how consumers will be involved. To do this we will co-design with consumers and health practitioners, including Aboriginal and Torres Strait Islander consumers and health practitioners. The result of this study is anticipated to be a fully developed ACTMed intervention and trial protocol.

We aim to develop and implement a method of displaying live internal anatomical data on head-mounted display using augmented reality technology and use this data to successfully achieve renal access during Percutaneous Nephrolithotomy. Outcomes of interest are: 1. Ability to gain entry to the patient's renal calyx. 2. Number of puncture attempts 3. Ease of access 4. Time taken to achieve entry.

The aim of this study is to investigate the feasibility, acceptability, safety, and preliminary efficacy of an online self-management program (iConquerFear) designed by our team to address fear of cancer recurrence (FCR) in individuals with ovarian cancer. Who is it for? You may be eligible for this study if you are aged 18 years or older, have been diagnosed with early (stages I-II) or locally-advanced (stage III) ovarian cancer, and have completed hospital-based surgery, radiotherapy, or chemotherapy. Study details Participants will be randomised (i.e. allocated by chance) to receive the iConquerFear program or to a waitlist control group. iConquerFear is a 5-module web-based program that gives information and guides people to develop skills to cope with FCR. iConquerFear uses written information, interaction and audio-visual aides, including videos of cancer survivors reflecting on their experience of FCR and how iConquerFear has been a useful resource. Each module will take approximately 1-2 hours to complete, and can be completed at your own pace during the 8-week study period. Those allocated to the waitlist control group will instead receive the Ovarian Cancer Australia fact-sheet on FCR, and will receive full access to the iConquerFear program upon completion of the 8-week study questionnaire. All participants will be asked to complete a number of questionnaires before commencing the study, after each module, at 8 weeks post-commencement, and at 20 weeks post-commencement, to assess the feasibility, acceptability, safety, and efficacy of the program. Participants might also undergo an interview (optional) at the completion of the study to assess participants’ experiences and views around the iConquerFear eHealth intervention. It is hoped that this study may demonstrate that the iConquerFear program is feasible, acceptable, safe, and efficacious for managing FCR in individuals with ovarian cancer. This may provide support for a larger randomised controlled trial to demonstrate the effectiveness and cost-effectiveness of the program.

The purpose of this study is to look at the feasibility of acupuncture for treating 'symptom cluster' (such as pain, sleep disturbance, and fatigue) in patients who have had breast cancer treatment. Who is it for? You may be eligible for this study if you are a female aged 18 years or above, and have completed your treatment for breast cancer. Study details All participants will be treated with 8 sessions of acupncture over 6 weeks at the Chris O'Brien Lifehouse. Participants will be asked to attend all treatment sessions and complete a set of questionnaires at the start, the completion and 2 weeks after the completion of the trial. It is hoped that this research will reveal if acupuncture is appropriate for improving the symptoms experienced after breast cancer treatment, thus improving the quality of life of patients.

Mild Traumatic Brain Injury (mTBI) is a significant burden to Queensland emergency departments (EDs) in adults and children. Between 2019-2020, there were over 1800 presentations of isolated mTBI to Gold Coast Hospital Health Service (GCHHS) EDs, presenting outside of usual business hours with 26% re-presented within the first 6 weeks of their initial presentation, many of which were related to the initial injury. Management pathways to support this population and reduce the high rate of re-presentations must therefore be prioritized. With this in mind, the Occupational Therapy (OT) Outpatient Service are implementing an innovative practice model involving specialist OT follow up for these patients to facilitate recovery and linking into appropriate specialty referrals where indicated to prevent ED representations. The primary aim of this research is to evaluate the impact of this Occupational Therapy (OT) intervention pathway for patients presenting to ED with a mTBI outside of business hours compared to pre-implementation care. The study secondly aims to evaluate the process of implementing the pathway in relation to adherence, patient satisfaction, and staff experience. It is anticipated that the implementation of the OT pathway will lead to decreased ED readmission, enhanced clinical outcomes (including reduced functional burden and disability and days missed of work/school) and decreased ED length of stay for monitoring of symptoms.

Human amnion epithelial cells (hAECs) therapy attenuated infarct growth even when administered 3 days after the onset of stroke. The mechanisms of action involved modulation of the immune response to minimise further injury in the peri-infarct region. Our recent Phase 1 trial has now shown that amniotic stem cells can be given safely at up to 8 million cells/kg i.v.. We thus now propose a Phase 2 dose escalation trial providing a platform for a Phase 3 trial at a later stage. The design is based on the 1:1:1 randomisation (placebo versus 230 million cells or 460 million cells). Based on our published experimental findings and Phase I dose-escalation human safety trial, we hypothesise that hAECs therapy will reduce stroke disability.

The pilot study was to determine the safety and efficacy of a device which aimed to modify the repair of the extracellular matrix in skin. The hypothesis was that the structured magnetic field of the active device would enable a more efficient repair through enabling the alignment of molecules flowing into the wound thus decreasing the healing time and improving the strength of the repair. Although the intervention was intending to nanoengineer the repair, the outcomes were measured at a macroscopic level by taking photos of the wounds, removing sutures early to test wound strength and including the subject's experience of wearing the device. The control device was a weak active control, which permitted the discernment of a difference between each end to the wound corresponding to the active vs control devices yet enabled the clinical assessment of a weak dosage effect on the repair where the control end was found to have a significant clinical effect on wound strength.