Investigators: Jane Estoesta (CI), Wendy Cheng, Jodie Duggan, Kevin McGeechan, Deborah Bateson, Mary Stewart, Kristine Concepcion, Jessica Botfield

Using the 45 and Up Study, MBS and PBS data we will aim to:

  • Assess the demographic, socioeconomic characteristics and health issues of men and women aged 45 to 64 years
  • Review the MBS and PBS items being utilised by this age group
  • Determine whether people of this age group seek for medical care.

Investigators: Henry Brodaty (CI), Megan Heffernen, Perminder Sachdev, John McNeil, Anthony Maeder, Nicola Lautenschlager, Louisa Jorm, Maria Fiatarone Singh, Kaarin Anstey, Gavin Andrews

Maintain Your Brain (MYB) is a randomised controlled trial of multiple online interventions designed to target modifiable risk factors for Alzheimer’s disease and deme. Risk factors to be addressed are physical inactivity, cognitive inactivity, depression, overweight and obesity, and poor diet. Four intervention modules (physical activity and nutrition, cognitive training and depression) will be customised to individual risk profiles. Each module will be initially delivered using MYB eHealth platform over three months. In the active intervention phase participants complete all four modules is 12 months. Booster sessions and monitoring will continue for four years. Follow-up assessments measuring these risk factors and cognition will be completed annually for four years. The comparison control group will receive basic psychoeducation online about dementia risk factors and otherwise receive usual care and undertake the same set of assessments.

Investigators: Elizabeth Comino (CI), Mark Harris, Elizabeth Harris, Julie McDonald, Tish Bruce, Amanda Jones, Debra Donnelly, Judie Page

The objectives are:

  1. To establish a 45 and Up Primary and Community Health Cohort by linking the 45 and Up Study to administrative datasets held by local, state and commonwealth data collections
  2. To examine the influence of participant and system factors on integration of health services and its impact on health outcomes and health service use over time
  3. To determine the health outcomes and service needs of older residents
  4. To identify the factors associated with ‘healthy’ ageing and older residents’ trajectory towards higher care need
  5. To identify the care pathways for a cohort of older people
  6. To identify predictors of health service use and develop interventions to address them
  7. To monitor the impact of integration programs on health service use and patterns of hospitalisation
  8. To evaluate interventions and policies to improve health outcomes of older residents
  9. To enhance the effective implementation of successful strategies based on study findings by working with health service staff, management and policy makers.

Investigators: Peter Lewis (CI), Tina Navin-Cristina, Richard Broome, Louisa Jorm, Alex Stephens, Mark Bartlett, Joanna Wang

The purpose of this project is to develop predictive models of impending emergency hospital admission, emergency department attendance, residential aged care admission, significant change in health state or death. That is, to identify indicators of an individual’s declining health, with the view to pre-emptive intervention. Validated predictive models will also support evaluation of the integrated care models implemented by NSW LHDs.

Investigators: Kim Sutherland (CI), Douglas Lincoln, Julia Chessman, Jean-Frédéric Lévesque, Jason Boyd

The objective is the development of outcome and process indicators with specific adjustments and allowances for patient factors and access to primary care for a more complete measurement of the performance of the NSW public healthcare system.

The general aims for addressing specific questions of healthcare system performance are:

  • Identify a valid and appropriate patient cohort from the 45 and Up Study population
  • Develop an indicator, or suite of indicators making adjustments for patient-reported health and social factors; contacts with primary care sector; and historical and current prescription drug use
  • Develop and release a public report, with companion technical publications, that provides an accurate, fair and comprehensive picture of performance of the NSW public healthcare system in the specified area.

Investigators: Thomas Astell-Burt (CI), Andrew Page, Dafna Merom, Emma George, Freya Macmillan, Xiaoqi Feng, Amelia Cook, Andrew Bennie, Bonnie Pang, Fran Moran, Genevieve Dwyer, Gregory Kolt, Hosmaldien Kamel, Sabrina Naz, Xidan Chen, Aymen El Masri

This project will investigate specific pathways (social, biological, behavioural, psychological, environmental) to identify trajectories, transitions and tipping points in physical and mental health as people age, to advise when, where and for whom preventive health interventions can be optimally targeted.

Investigators: Mark Bartlett (CI), Beverly Lloyd, Stephen Jan

Chronic diseases and related lifestyle risk factors lead to significant morbidity and associated health service usage and cost. Health service use associated with cardiovascular diseases and diabetes is significant. The workplace is acknowledged as an important setting for health promotion interventions. This study seeks to describe health service use among NSW workers (aged 45 years and over) who have a newly acquired chronic illness or lifestyle risk.

This study aims to document health service use among NSW Workers (aged 45 years and over) who have a newly acquired chronic illness or lifestyle risk. It has the following three objectives:

  1. To describe the pattern of health service utilisation among working adults with a recent diagnosis of a lifestyle-related chronic disease or who have recently become obese
  2. To compare health service utilisation in working adults with and without a recently diagnosed chronic illness, or with and without recent obesity, by sex and age group
  3. To estimate the differential cost to the health system of health service utilisation in those with a recently diagnosed chronic illness, or recent obesity.

Investigators: Ms Carley Gemelli, Ms Jane Hayman, Dr Daniel Waller (CI).

The 45 and Up Study data provides potential new insight into the health behaviours of a population of blood donors and non-blood donors in the NSW community allowing the Australian Red Cross Blood Service to tailor and target communications based on a better understanding of donors.

This project aims to determine the importance of lifestyle factors in affecting donation behaviour, and suitability of blood for donation. The project will also explore and compare blood donor and non-blood donor characteristics and their effect on donation behaviour.

Investigators: A/Prof Peter Caputi, Jeong Kyu Lee, Dr Christopher Magee (CI).

Sleep duration has been linked with a range of health outcomes, including obesity, cardiovascular disease, and depression. The aim of this project is to examine the longitudinal effects of different sleep patterns on these outcomes.

This study will be important in clarifying the influence of sleep patterns on health outcomes such as obesity and CVD. The findings will provide an innovative insight into these associations, and the first large-scale research in an Australian context, while having the potential to inform relevant public health interventions and policy.

Investigators: Ms Sheena Arora, Dr Denzil Fiebig, A/Prof Stephen Goodall, Prof Marion Haas, Prof Jane Hall (CI), Dr Milica Kecmanovic, Ms Patricia Kenny, Dr Ian McRae.

This project will investigate the economics of primary care (PC), including the impact of financial incentives, access to PC and the relationship between PC and acute services.

This project involves multiple studies; the first two studies aim to analyse the impact of two different Australian government policies, which both use financial incentives to modifythe practices of General Practitioners (GPs). Study 1 will evaluate an incentive intended to modify the way GPs provide care for people with specified chronic health conditions. Study 2 will evaluate an incentive intended to modify the bulk billing practices of GPs and thereby improve access to GP services.