ANZCTR search results

Our experience with cold calling patients to obtain followup data on their satisfaction with pain management is that some patients were upset by the unexpected cold call. We hypothesized, therefore, that this upset may affect the way that patients respond to the subjective question of satisfaction. We undertook a clinical trial where patients were randomized to consent to participate either in the emergency department or at the start of the cold call. The purpose of the study was to determine if the timing and context of informed consent would confound (impact upon) subjective study endpoints.

This study will evaluate the effectiveness of IMPETUS-D an online simulation training program for staff working in residential aged care facilities (RACF). As the residential aged care workforce is diverse, fragmented and involves shift work, training programs must be engaging and easily accessible. IMPETUS-D aims to reduce transfers to acute hospitals by improving staff knowledge and confidence to deliver end of life or palliative care within the facility, and to enhance consumer satisfaction with palliative care .

Aim: To deliver and evaluate a Mindfulness App (Headspace) in the student population. Study design: This study will be a pilot randomised controlled trial with a waitlist control condition. There will be three measurement occasions: pretest, 6-week post-test, and 3-month follow-up, and they will receive 3 reminder text messages to complete the questionnaires on these 3 occasions. Hypotheses: It is hypothesised that students receiving the Headspace app will have greater reductions in anxiety, depression and stress when compared to the control. App users will also show greater improvements in sleep quality, academic achievement, mindfulness, and self-efficacy.

The study aims to contribute to understanding of the relationship between stress and inflammation. It is thought that, during period of high psychological stress and inflammation, an individual's inner homeostatic system that controls mood and emotional regulation is challenged such that homeostasis is no longer functional. The study will explore whether a mindfulness intervention can aid in the restoration of homeostasis, and, if so, whether this restoration is also associated with a reduction in inflammation, perceived stress levels and symptoms of depression.

Emerging evidence suggests that children get leaner and fitter during the in-school period but become fatter and less fit over the summer holidays. This may occur because of differences in diet and use of time during the holiday period compared with the in-school period (e.g. children may be less active, eat more and have more screen time during the school holidays). However, few studies have tracked diet and use of time across the holiday period. Thus, the focus of the project is to track changes in fitness, fatness, diet and use of time of 9-11 year old children across 3 successive years, and compare rates of change between in-school and summer holiday periods. This study will also assess cross-sectional and longitudinal associations of diet and activity patterns with academic achievement. Findings from this project may inform new, potent avenues for intervention efforts aimed at addressing childhood fitness, fatness and academic achievement.

The aim of this research project is to investigate the effectiveness of the Hunter New England Local Health District (HNELHD) respectful workplace workshops upon creating respectful workplaces for nurses within regional acute care setting. The participants for this study included New graduate nurses, Registered Nurses and Nurse Unit manager in selected hospitals who attended face to face workshops.

This study will determine the efficacy of advanced negative pressure wound therapy compared to a standard dressing protocol in the prevention if surgical wound breakdown following c-section delivery. The benefit of the study is to prevent this complication and improve the health and well-being of the mother following c-section delivery.

Hypertensive disorders of pregnancy (HDP) complicate 1 in 10 Australian pregnancies, and are associated with an increased medium to long term risk of cardiovascular disease and death, including heart attacks and stroke. However, few initiatives currently target women after HDP to improve their long term health. This multicentre study will assess outcomes of 3 interventions in women being managed after an HDP pregnancy: A. Optimised usual care (CONTROL): Follow-up in primary healthcare and supplied written information B. Brief Education Intervention: One-off individualised risk assessment and education “Brief Intervention” at a specialised hospital postpartum clinic C. Extended Lifestyle Intervention: an individualised “Extended Intervention” comprising a 6 month healthy lifestyle program, commencing six months postpartum 480 women will be randomised to one of the 3 interventions 6 months after HDP, with outcome assessment at 12 months (and plan for 2 and 3 year follow-through assessment). Outcomes: 1) Lifestyle behaviour and/or blood pressure (BP) change 2) Cost-effectiveness and patient acceptability 3) Infant growth trajectory 4) Non-invasive maternal measures of vascular structure and function

In patients with large burns, skin grafts are sometimes not available. Even when they are available, they involve the creation of new wounds and provide wound repair that is not like the skin that has been lost. Fourteen years of work at the Royal Adelaide Hospital have permitted the production of two products (BTM and CCS). BTM is applied to the wounds after the burn has been removed and integrates into the wound. At the same time the CCS is being grown in the laboratory from a small sample of the patient's skin. This takes 5 weeks. When ready, the CCS is applied over the BTM and the wound is healed WITHOUT the need for skin grafts.

The Integrating Pharmacists within Aboriginal Community Controlled Health Services (ACCHSs) to improve Chronic Disease Management (IPAC) project is a large project that will see if including a pharmacist as part of the primary health care team leads to improvements in the quality of the care received by Aboriginal and Torres Strait Islander peoples. The project will be conducted in up to 22 ACCHSs in geographically diverse settings in Victoria, Queensland, and the Northern Territory. A pharmacist will work in each service for 15 months. We expect that patients who are managed in this model of care will experience either equivalent or better health outcomes.