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Evaluation Of The Improving Social Connectedness Of Older Australians Project Pilot: Informing Future Policy Considerations, Cristina Thompson, Darcy Morris, Sonia Bird

Australian Health Services Research Institute

This report draws on findings and lessons learned through the Australian Government funded evaluation of the Improving Social Connectedness of Older Australians (ISCOA) pilot. It summarises what has worked in the context of the evaluation to help inform the Government’s future models of care and interventions for lonely and socially isolated older Australians.

Promoting Respite For Carers Of People With Dementia: A Case Study Of Social Marketing Effectiveness In Hard To Reach Audiences, Lyn Phillipson, Danika Hall, Keryn M. Johnson, Elizabeth Cridland, Elaine Fielding, Christine Neville, Helen Hasan

Australian Health Services Research Institute

Purpose

This study aims to describe the development and approach of a theory-informed social marketing intervention that aimed to promote respite for carers of people with dementia. Despite a high need for respite, carers of people with dementia are often low users of available respite services. The reasons for this are complex, including knowledge, attitudinal, behavioural and systemic barriers. In the context of an aging population, effective strategies to support respite use by carers of people with dementia are needed.

Design/methodology/approach

Via formative research, the authors gained an in-depth understanding of a hard-to-reach and vulnerable group (carers of people with …

Body Mass Index And Persistent Pain In New Zealand: Patient Characteristics And Treatment Outcomes, Dinberu Shebeshi, Samuel F. Allingham, Hilarie Tardif, David Holloway

Australian Health Services Research Institute

Body mass index (BMI), calculated using a person’s weight by the square of their height (kg/m2), is used to broadly categorise weight as underweight, normal weight, overweight and obese. This paper will explore the association of patient characteristics and outcomes by BMI category using data collected by the electronic Persistent Pain Outcomes Collaboration (ePPOC).

Evaluation Of Nsw Family And Carer Mental Health Program: Final Report, R Gordon, P Grootemaat, Carol Loggie, Mijanur Rahman, Peri O'Shea

Australian Health Services Research Institute

This is the final report of the evaluation of the Family and Carer Mental Health Program
(FCMHP). The evaluation was commissioned by the NSW Ministry of Health (the Ministry)
and undertaken by the Centre for Health Service Development (CHSD), Australian Health
Services Research Institute (AHSRI), University of Wollongong. It is the first evaluation of the
FCMHP since it commenced operating in 2005.

The Ministry commissioned the FCMHP evaluation with the aim of better understanding the
achievements of the program and to contribute to the evidence base for family and carers
supporting people with mental health issues.

Evaluation Of Nsw Family And Carer Mental Health Program: Summary Report, R Gordon, Carol Loggie, P Grootemaat, Mijanur Rahman, Peri O'Shea

Australian Health Services Research Institute

The purpose of this report is to provide a summary of the Family and Carer Mental Health
Program evaluation that was commissioned by the NSW Ministry of Health (the Ministry)
and undertaken by the Centre for Health Service Development (CHSD), Australian Health
Services Research Institute (AHSRI), University of Wollongong. The study was completed
between June 2020 and September 2021. Detailed information on all aspects of the
evaluation were provided to the Ministry in two associated reports: an interim report
submitted in March 2021 and a final report in December 2021.

The evaluation was conducted to better understand the achievements of …

Ahsri 2021 Annual Report, Australian Health Services Research Institute

Australian Health Services Research Institute

No abstract provided.

Development Of Version 1 Of The Australian National Aged Care Classification (An-Acc) Funding Model For Community Transport, Conrad Kobel, Carol Loggie, A Westera, R Gordon, Kathy Eagar

Australian Health Services Research Institute

This report details the development of a prototype classification and funding model for community transport providers in NSW. The research was conducted by the Centre for Health Service Development, within the Australian Health Services Research Institute at the University of Wollongong, in partnership
with and funded by Community Transport Organisation (CTO), the peak body for community transport providers in NSW. The project was commissioned by CTO in March 2022 in response to concerns from the sector around future funding stability under the payment in arrears model that has been proposed by the Australian Government in the ‘Support at Home Program’.

Body Mass Index And Persistent Pain In Australia: Patient Characteristics And Treatment Outcomes, Dinberu Shebeshi, Samuel F. Allingham, Hilarie Tardif, David Holloway

Australian Health Services Research Institute

Body mass index (BMI) is calculated using a person’s weight by the square of their height (kg/m2), and is used to broadly categorise a person as underweight, normal weight, overweight or obese. This paper will explore the association of patient characteristics and outcomes by BMI category using data collected by the electronic Persistent Pain Outcomes Collaboration (ePPOC).

Profile Of Adult Patients Referred For Specialist Pain Management In New Zealand, Eppoc Information Series No. 1, Dinberu Shebeshi, Samuel F. Allingham, Hilarie Tardif, Janelle M. White

Australian Health Services Research Institute

The present paper aims to provide a profile of a large cohort of adult patients referred for specialist pain management in New Zealand using the measures in the ePPOC minimum dataset.

This information will provide a description of the people seeking specialist pain management in New Zealand during the period 2015-2020, and can allow pain management services to compare scores for individuals seen at their service to these group values.

Evaluation Of The Nsw Family And Carer Mental Health Program: Interim Report, R. Gordon, P. Grootemaat, Mijanur Rahman, Carol Loggie, Peri O'Shea

Australian Health Services Research Institute

This is the interim report of the Family and Carer Mental Health Program (FCMHP) evaluation prepared by the Centre for Health Service Development at the Australian Health Services Research Institute (University of Wollongong). The Centre for Health Service Development has been commissioned to undertake this evaluation by the NSW Ministry of Health (the Ministry) between June 2020 and September 2021.

Ahsri 2020 Annual Report, Australian Health Services Research Institute

Australian Health Services Research Institute

No abstract provided.

Characteristics And Outcomes Of Individuals Reporting Low Back Pain, Eppoc Information Series No. 2, Hilarie Tardif, Samuel F. Allingham, Janelle M. White

Australian Health Services Research Institute

The International Association for the Study of Pain (IASP) named 2021 the ‘Global Year About Back Pain’. Therefore, this study examines back pain, specifically, low back pain (LBP). The aims are to determine the prevalence of LBP amongst individuals seeking specialist pain management in Australia and New Zealand, and to compare their clinical characteristics and treatment outcomes to those who do not experience primary LBP.

Quality Improvement: A Guide For Services, Sabina Clapham, Fiorina Mastroianni, Le-Tisha T. Kable, N Joseph, J Connolly, Martin Kaltner, A Mcpherson, T Pidgeon, E Berić, M Banfield

Australian Health Services Research Institute

This guide provides information for clinicians from organisations and services participating in PCOC to use their reports and the suite of PCOC quality improvement tools for continuous improvement, and to demonstrate improvement in patient and family/carer outcomes.

Pathways To Community Living Initiative – Final Evaluation Report, Kathryn E. Williams, Conrad Kobel, Anita Westera, Peri O'Shea, Mijanur Rahman, Darcy Morris, Cristina J. Thompson

Australian Health Services Research Institute

The Pathways to Community Living Initiative (PCLI) is a major mental health reform program led by the NSW Ministry of Health (‘the Ministry’) in collaboration with NSW Local Health Districts (LHDs). It is a key component of the whole- of-government enhancement of mental health care under the NSW Mental Health Reform 2014-2024. The PCLI represents a transformational change in the care of people with severe and persistent mental illness (SPMI) and complex needs who are, or are at risk of becoming, long-stay inpatients in NSW hospitals.

This is PCLI Evaluation Report 7, the final report of the independent evaluation …

Pragmatic Randomised Controlled Trial Of A Personalised Intervention For Carers Of People Requiring Home Oxygen Therapy, Peter Frith, Ruth Sladek, Richard Woodman, Tanja Effing, Sandra Bradley, Suzanne Van Asten, Tina Jones, Khin Hnin, Mary Luszcz, Paul Cafarella, Simon Eckermann, Debra Rowett, Paddy Phillips

Australian Health Services Research Institute

© The Author(s) 2020. We used a pragmatic randomised controlled trial to evaluate a behavioural change strategy targeting carers of chronically hypoxaemic patients using long-term home oxygen therapy. Intervention group carers participated in personalised educational sessions focusing on motivating carers to take actions to assist patients. All patients received usual care. Effectiveness was measured through a composite event of patient survival to hospitalisation, residential care admission or death to 12 months. Secondary outcomes at baseline, 3, 6 and 12 months included carer and patient emotional and physical well-being. No difference between intervention (n = 100) and control (n = 97) …

Efficacy And Cultural Appropriateness Of Psychosocial Interventions For Paediatric Burn Patients And Caregivers: A Systematic Review, H Williams, K Hunter, Kathleen F. Clapham, C Ryder, R Kimble, B Griffin

Australian Health Services Research Institute

Background: Paediatric burns are highly painful and traumatising injuries that are overrepresented among Aboriginal and Torres Strait Islander people. Paediatric burn patients' pain remains poorly managed by pharmacological interventions, leading to increased anxiety, distress, and trauma in patients and their caregivers. Non-pharmacological psychosocial interventions have been suggested as effective in reducing pain and psychological morbidities among paediatric burn patients and their caregivers; however, their degree of effectiveness and appropriateness for Aboriginal and Torres Strait Islander people is unclear. Methods: A non-date restricted systematic review was conducted through four databases. Studies published in English assessing psychosocial interventions on paediatric burn patients' …

Active Lives South Australia Health Economic Analysis - An Evidence Base For Potential Of Health Promotion Strategies To Reduced Public Health Costs With Meeting Of Adult Physical Activity Guidelines. A Report Prepared For Sa Office Of Recreation, Sport And Racing And Sa Health., Simon Eckermann, Michelle Crisp, Andy Willan

Australian Health Services Research Institute

No abstract provided.

Towards An Understanding Of The Burdens Of Medication Management Affecting Older People: The Memorable Realist Synthesis, Ian Maidment, Sally Lawson, Geoff Wong, Andrew Booth, Anne Watson, Hadar Zaman, Judy Mullan, Jane Mckeown, Sylvia Bailey

Australian Health Services Research Institute

BACKGROUND: More older people are living in the community with multiple diagnoses and medications. Managing multiple medications produces issues of unrivalled complexity for those involved. Despite increasing literature on the subject, gaps remain in understanding how, why and for whom complex medication management works, and therefore how best to improve practice and outcomes. MEMORABLE, MEdication Management in Older people: Realist Approaches Based on Literature and Evaluation, aimed to address these gaps. METHODS: MEMORABLE used realism to understand causal paths within medication management. Informed by RAMESES (Realist And Meta-narrative Evidence Synthesis: and Evolving Standards) guidelines, MEMORABLE involved three overlapping work packages: …

A Profile Of Patients Receiving Palliative Care In Nsw And Act For July – December 2019, Samuel F. Allingham, Samuel J. Burns, Le-Tisha T. Kable, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson, Kathy Eagar, Palliative Care Outcomes Collaboration

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 6,150 patients who received palliative care in NSW and ACT during July to December 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

A Profile Of Patients Receiving Palliative Care In Western Australia For July – December 2019, Samuel F. Allingham, Samuel J. Burns, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson, Kathy Eagar, Palliative Care Outcomes Collaboration

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 4,631 patients who received palliative care in Western Australia during July to December 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

Rights Of Nature: Perspectives For Global Ocean Stewardship, Harriet R. Harden- Davies, Fran Humphries, Michelle Maloney, Glen Wright, Kristina Gjerde, Marjo Vierros

Australian Health Services Research Institute

© 2020 The development of a new international legally binding instrument for the conservation and sustainable use of marine biodiversity beyond national jurisdiction (BBNJ agreement) is in the final negotiation phase. Legal recognition of rights of nature is emerging worldwide as a fresh imperative to preserve ecological integrity, safeguard human wellbeing, broaden participation in decision-making, and give a voice to nature – but so far exclusively within national jurisdiction. In this paper, we consider how a Rights of Nature perspective might inform the BBNJ agreement. We examine Rights of Nature laws and identify four characteristics relating to: i) rights; ii) …

How Rates Of Perinatal Mental Health Screening In Australia Have Changed Over Time And Which Women Are Missing Out, Katrina Moss, Nicole M. Reilly, Annette Dobson, Deborah J. Loxton, Leigh Tooth, Gita D. Mishra

Australian Health Services Research Institute

Objectives: To report rates of perinatal mental health screening from 2000 to 2017 and investigate factors associated with not being screened both antenatally and postnatally more recently (2013–2017). Methods: A longitudinal community-based study of self-reported perinatal mental health screening with a national sample of 7,566 mothers from the Australian Longitudinal Study on Women's Health reporting on 9,384 children. The main outcome measure was whether mothers were asked about their emotional wellbeing by a health professional, including completing a questionnaire. Results: From 2000 to 2017, the percentage of women not screened decreased from 40.6% to 1.7%. The percentage of women screened …

Patient Outcomes In Pain Management: Enterprise One Paediatric Pain Management Service, 2020 Mid Year Report For 1 July 2019 To 30 June 2020, Samuel F. Allingham, Karen Quinsey, Meredith P. Bryce, Kate V. Cameron, Hilarie Tardif

Australian Health Services Research Institute

No abstract provided.

Patients' Perceptions With Musculoskeletal Disorders Regarding Their Experience With Healthcare Providers And Health Services: An Overview Of Reviews, Alan Chi-Lun-Chiao, Mohammed Chehata, Kenneth Broeker, Brendan Gates, Leila Ledbetter, Chad Cook, Malene Ahern, Daniel I. Rhon, Alessandra Garcia

Australian Health Services Research Institute

Objectives: This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience. Data sources: Four databases were searched from inception to December 20th, 2019. Review methods: Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from …

The Nsw Emergency Drought Relief: Mental Health Supports Package Final Evaluation Report, R. Gordon, D. Fildes, Sonia Bird, Rodney Clarke

Australian Health Services Research Institute

In July 2018, the NSW Government announced a new $500 million NSW Emergency Drought Relief Package to provide immediate support measures to primary producers to address the compounding impacts of the drought on regional communities. This included a commitment of $6.3 million over two years for a Mental Health Support package known as the Emergency Drought Relief Mental Health (EDR-MH) support package.

The aim of the EDR-MH was to better support the mental well-being of people living and/or working in drought-affected communities. The target group includes farmers and their families, farm workers and farming-related businesses, broader communities (including businesses, services …

Implementing Pcoc: A Guide For Services, Sabina Clapham, Fiorina Mastroianni, Le-Tisha T. Kable, N Joseph, J Connolly

Australian Health Services Research Institute

The purpose of this guide is to assist services in the implementation of the Palliative Care Outcomes Collaboration (PCOC) program. Implementing the PCOC program is a three stage process requiring action in the following areas: leadership and governance, routine assessment, orientation and ongoing education, data management and quality improvement.

Assessment And Response Protocol, Sabina Clapham, J Connolly, Carol Hope

Australian Health Services Research Institute

The purpose of this protocol is to support clinicians to use PCOC’s assessment and response framework to identify, respond to and communicate patient, and family/carer’s needs. The resource contains strategies for embedding the assessment tools into routine practice.

A Profile Of Patients Receiving Palliative Care In South Australia For July – December 2019, Samuel F. Allingham, Samuel J. Burns, Tanya Pidgeon, Natalie Joseph, Linda M. Foskett, Sabina P. Clapham, Barbara A. Daveson, Kathy Eagar, Palliative Care Outcomes Collaboration

Australian Health Services Research Institute

The Palliative Care Outcomes Collaboration (PCOC) is a national program that aims to improve the quality and outcomes of palliative care in Australia. This is achieved via a standardised clinical language that supports a national data collection. This report provides a high level profile of 2,204 patients who received palliative care in South Australia during July to December 2019 and had their pain, symptom, family / carer and psychological / spiritual issues assessed as part of routine clinical care.

Comparison Of Health Literacy Profile Of Patients With End-Stage Kidney Disease On Dialysis Versus Non-Dialysis Chronic Kidney Disease And The Influencing Factors: A Cross-Sectional Study, Karumathil Murali, Judy Mullan, Steven J. Roodenrys, Maureen A. Lonergan

Australian Health Services Research Institute

Objectives: Lower health literacy (HL) is associated with poor outcomes in patients with kidney disease. Since HL matches the patient's competencies with the complexities of the care package, the level of HL sufficient in earlier stages of chronic kidney disease (CKD) may be inadequate for patients with end-stage kidney disease (ESKD) on dialysis. We aimed to analyse the HL profile of patients with ESKD and non-dialysis CKD and examine if there were significant associations with covariates which could be targeted to address HL deficits, thereby improving patient outcomes. Design and setting: Cross-sectional study of patients with CKD and ESKD from …

The Relationship Between Emotion Dysregulation And Postnatal Attachment In Women Admitted To A Mother Baby Unit, Elloise Brake, David Berle, Nicole M. Reilly, Marie-Paule Austin

Australian Health Services Research Institute

Objective: Mothers with insecure attachment styles may have increased difficulty establishing secure attachment with their infant and may experience emotion regulation difficulties in the postpartum period. This study aimed to examine the mediating effect of emotion dysregulation (ED) on the relationship between maternal insecure attachment style and self-reported attachment to infant in women admitted to a mother-baby unit. Methods: At admission, women completed self-report questionnaires measuring attachment style, ED, postnatal attachment and postnatal depression (PND) symptoms. Descriptive statistics, correlations, and mediation analyses (PROCESS macro) were conducted. Results: Insecure maternal attachment style was found to predict postnatal attachment through ED. When …