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The EverydayLife Study: Understanding eating patterns, physical activity, sleep and mood in Australian adults.
Expand descriptionWhen we eat may be just as important for health and well-being as what we eat. The overall aim of this observational study is to examine patterns of eating (i.e. frequency, timing and content of meals and snacks), physical activity, sleep and mood and how these behaviours interact in Australian adults aged 18 to 65 years. The lifestyle behaviours will be assessed using a Smartphone food diary and established questionnaires, and a detailed follow up (including objective measures of health outcomes) will be undertaken in a subgroup of participants. This project will provide us with important information that can be used to develop healthy eating messages.
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Intubation speed by experts in a simulated model of cardiac arrest with continuous cardiopulmonary resuscitation (CPR)
Expand descriptionIntubation speed by ‘experts’ in a simulated model of cardiac arrest with continuous chest compressions. This study will examine the ability of intubating specialists to follow current guidelines and intubate during continuous CPR, which is rarely seen in clinical practice. This is a manikin based study, with practicing anaesthetists as participants for an ideal model. Participants will use either a direct or videolaryngoscope to intubate, and will then use the alternate device in this crossover study.
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Clinician Intervention to Reduce Fear of Recurrence in Cancer Survivors (CIFeR Study)
Expand descriptionThe purpose of this study is to examine a new clinician administered care model addressing fear of cancer recurrence in breast cancer survivors. Who is it for? You may be eligible for this study if you are aged 18 or above and have undergone curative treatment for stage I to III breast cancer. Study details All participants in this study will partake in a 10 minute educational intervention which provides patients with advice regarding their fear of cancer recurrence. The program is delivered by their usual breast oncologist at a routine follow-up clinic. All participants will be asked to complete three questionnaires, one prior to the follow-up appointment, and again at 1 week and 3 months after the follow-up appointment. Additionally participants will be invited to participate in an interview about their experiences in participating in this program. It is hoped that this research provide some preliminary evidence that the intervention is effective in preventing the development of high fear-of-cancer-recurrence in breast cancer survivors.
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Assessing and improving coronary microvascular (small artery) function in non-ST elevation acute coronary syndromes (heart attacks)
Expand descriptionCurrent treatment of heart attacks focuses on the large arteries of the heart where the blockages can be seen with injection of Xray dye (contrast). However, the small arteries of the heart are increasingly recognised to play a key role in affecting the outcome of patients after heart attacks. The function of the small arteries of the heart may be worsened by heart attacks and by balloons and stenting procedures to unblock the main arteries. It can also be worsened by life style factors like smoking and high cholesterol. The index of microcirculatory resistance (IMR) is a new measure and has been shown to be a highly precise and reliable method of assessing the function of the small arteries of the heart. However, it is unclear if this new measure applies to patients after non-ST elevation acute coronary syndromes (NSTE-ACS), which is the most common form of heart attacks presenting to hospitals. This study aims to use IMR to examine ways to improve function of the small arteries of the heart in patients after NSTE-ACS. We plan to primarily examine the effects of 2 different blood thinners (anti-platelet agents), clopidogrel and ticagrelor, on the IMR after NSTE-ACS. Both drugs are approved treatments for NSTE-ACS. All participants will receive standard medical care as determined by their treating doctors.
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Evaluating the Fear-Less Triple P workshop with parents of anxious children who have hearing loss.
Expand descriptionAnxiety disorders are among the most common mental health problems experienced by children and adolescents. Children with hearing loss often experience greater anxiety symptoms than children without hearing loss. Cognitive behavioural therapy (CBT) has a strong evidence base for being efficacious and useful in treating anxiety in children. However, most children with anxiety do not engage in child-focused CBT or mental health treatment of any kind due to reasons such as financial cost and parental perceptions of their child being stigmatized by others. This has led to an examination of parent-focused interventions, such as Fear-Less Triple P, in reducing children’s anxiety as a way of addressing these barriers. There has, however, been no research into specifically examining parent-focused interventions in reducing anxiety in anxious children with hearing loss. Given this gap in the literature, the current research project aims to examine the efficacy of a parenting intervention (the Fear-Less Triple P workshop) with parents of anxious children and have hearing loss. A naturalistic waitlist group will be built into the study design to allow comparison of this group with the active Fear-Less workshop.
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Mild Matters – Randomised Controlled Trial of Amplification for Infants with Bilateral Mild Hearing Loss
Expand description1. What is the research project about? Babies can be born with different degrees of hearing loss. Hearing aids are generally provided to them to help them hear well. Whilst we know that hearing aids help babies with moderate or greater degrees of hearing loss, we do not know whether hearing aids are helpful for babies with mild hearing loss, even though they are often offered to these babies. This is a pilot study that will help us plan for a bigger study in the future to increase knowledge about whether hearing aids help babies with mild hearing loss.Hearing aids can help babies with moderate or greater degrees of hearing loss to hear. However,, but we do not know whether they help babies with mild hearing loss even though they are commonly offered hearing aids. . This study is a first step to collect information that we hope will lead to a larger study to helps us answer this important question. 2. Who is running the project? The study is run by a team based at the Murdoch Children’s Research Institute (MCRI) in Melbourne and the National Acoustic Laboratories (NAL) in Victoria, New South Wales and Queensland. MCRI is the research institute affiliated with the Royal Children’s Hospital in Melbourne and is the largest child health research institute in Australia. NAL is the research arm of Australian Hearing, which is responsible for looking after the hearing health of all children with hearing loss in Australia. The study is funded by a philanthropic grant from the Garnett Passe and Rodney Williams Memorial Foundation.
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Survival of probiotic bacteria in the gut of Australian adults
Expand descriptionProbiotics are defined as live microorganisms which when administered in adequate amount confer a health benefit on the host. The probiotic efficacy relies on their ability to survive in the digestive system and proliferate in the gut. The aim of this study is to investigate the survival of LcS in the intestine of healthy Australian adults after intake of fermented milk (Yakult). A single-arm, open-label study involving 25 otherwise healthy adults will examine the recovery of live culturable bacteria from faecal samples following 7 and 14 days of Yakult ingestion.
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A preliminary investigation of mechanisms responsible for training-induced increases in strength of partially paralysed muscles of people with spinal cord injury.
Expand descriptionThe study will have a pretest-posttest design and will be conducted on community-dwelling people with SCI. Participants will train a partially paralysed muscle group for six weeks. The purpose of this study is to determine changes in muscle architecture of partially paralysed muscles in response to strength training. An understanding of the underlying causes of strength increases in people with spinal cord injury will help inform the development and provision of rehabilitation programs. Muscle architecture will be measured before and after training using magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI). The participants will receive a strength-training program for the target muscle group three times a week for 6 weeks which will consist of both isometric and concentric contractions. We hypothesise that strength training of partially paralysed muscles will increase muscle physiological cross-sectional area
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Improving patient's recall of past events through the use of technology
Expand descriptionPatient reported outcomes (PRO) are increasingly used to measure the effectiveness of interventions for management of chronic conditions. Many of these instruments require respondents to describe the change in their health status from baseline to a follow-up assessment. This is often problematic for patients with chronic disease and poor recall of previous health status limits the usefulness and validity of these PRO measures. The aim of the study proposed here is to evaluate the utility of tablet computers as a technological tool to aid patients’ recall of previous responses when completing PRO measures. Our hypothesis is that the magnitude of the difference (responsiveness) will be greatest in those who saw the audio-visual recording. The feasibility assessment will be reported using descriptive statistics based on the NIHR (UK) feasibility and pilot studies criteria..
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A randomised control trial of the Uprise online program for university students
Expand descriptionThe aim of this research project is to test an online program, Uprise, in Australian tertiary students. The program is designed to improve the wellbeing of university students through a series of interactive modules informed by cognitive behavioural therapy and mindfulness. Participation involves completing four modules of the program over a 4-week period. The study also involves at least three 2-4 hour assessments, one before starting the program, one after completion of the program, and another 3 months later. All assessment sessions will be held at the Swinburne Hawthorn campus, or via telephone or video conference. Half of the participants will be randomly selected to wait a month after the first assessment and complete an additional 1-2 hour assessment before starting the program.