Traumatic Brain Injury Review: A systematic review of the evidence for paediatric traumatic brain injury, and for adults with mild traumatic brain injury. A technical report prepared for New Zealand’s ACC Traumatic Brain Injury Strategy.
This report provides a comprehensive review of the currently available secondary evidence (guidelines and systematic reviews) to inform the ACC Traumatic Brain Injury (TBI) Strategy. This review focuses on two areas identified as gaps in current understanding:
- Paediatric TBI (0-15 years)
- Adults with mild TBI
ACC research had provided subsection questions for each of these focus areas, making a total of 20 search questions to be addressed by this evidentiary review.
1. Paediatric TBI (0-15 years): Consider the issues specific to paediatric TBI throughout their developmental milestones and the continuum of care.
- 1.1 Initial acute care
- 1.2 In-patient and out-patient rehabilitation
- 1.3 Transitions of care
- 1.4 Cognitive, Educational and training issues
- 1.5 Community integration
- 1.6 Challenging behaviour
- 1.7 Growth and developmental issues
- 1.8 Ongoing follow-up care and monitoring
- 1.9 Needs of carers
2. Mild TBI: Consider the specific issues relevant to mild TBI in adults
- 2.1 Screening for and early identification of mild TBI
- 2.2 Initial acute care of those with a mild TBI
- 2.3 Initial advice and outpatient rehabilitation
- 2.4 Employment participation
- 2.5 Community reintegration
- 2.6 Substance abuse
- 2.7 Depression
- 2.8 Challenging behaviour
- 2.9 Long-term impact and needs of mild TBI person
- 2.10 Persistent symptoms and Issues specific to mild TBI: fatigue, headaches, pain
- 2.11 Aging with mild TBI
Reproductive and sexual health issues amongst servicewomen and veterans of the armed forces – A Systematic Review. A technical report prepared for the Adelaide Plastic Surgery Associates
In order to underpin health care policies and practices with research evidence, the first step involves mapping the current research evidence base around a topic of interest. An important component of evidence mapping involves a systematic approach to accessing and collating research evidence. A systematic approach is integral in this process as it eliminates bias, promotes transparency and ensures replicability of the review processes. Evidence-mapping is therefore an efficient, rigorous and timely approach in understanding the current research evidence base around a topic of interest. This evidence-mapping report centres on reproductive and sexual health issues amongst servicewomen and veterans of the armed forces
This evidence-mapping review sought to answer the following questions:
- What are the reproductive and sexual health issues faced by servicewomen and female veterans of the armed forces?
- What are the current evidence gaps on the impact of participation in the armed forces on female reproductive and sexual health?
Functional decline in community-dwelling older people and the Medicare 75+ Health Assessment. Technical Report 1: A Systematic Review. Prepared for the Australian Primary Health Care Research Institute, Australian National University.
This is the Final Report prepared for an Australian Primary Health Care Research Institute (APHCRI) 2014 funded project: Functional decline in community-dwelling older people and the Medicare 75+ Health Assessment. The overall aim of this research was to improve the sensitivity and timing of identification of FD in community-dwelling older people, focusing on primary care settings, so that older people’s entry onto the trajectory of FD could be prevented or slowed sufficiently early, to be effective in supporting them to live independently for as long as they desired in the community home of their choice. This Final Report brings together salient methods and findings of Project Stages 1, 2 and 3 (provided for reference in Appendices 1-3). The final Report makes recommendations for policy and practice in relation to the 75+ Health Assessment (HA) and the context in which it is most effectively delivered.
Strengthening the Orthoptic Workforce, ACT Health Directorate: A Systematic Review of the Role, Effectiveness & Training of Orthoptists. A technical report prepared for the ACT Health Directorate
This review of Australian and international literature identified that orthoptists working in the ACT could expand their current practice to include a broader range of conditions and undertake a broader range of tasks, without the need to expand scope of practice. This review sought to answer the following questions:
- What is the role of orthoptists in managing patients with eye disease?
- Are there advanced practice, extended practice or assistant/ support roles for orthoptists?
- What is the evidence regarding the effectiveness of orthoptic roles in terms of process, cost and health outcomes?
- How is orthoptic practice described and organized?
- What training and supervision is reported for orthoptists?
The Role of Advanced Allied Health Assistants: A Systematic Review. A technical report prepared for the ACT Health Directorate
This systematic review aimed to better understand the role of A/AHA, the training they receive, and their effectiveness, as well as any workforce issues regarding the implementation of these roles. This systematic review aimed to answer the following questions:
- What is the scope of practice of advanced allied health assistants (A/AHA)?
- What client groups do A/AHA work with?
- What settings do A/AHA work in?
- What training is available for A/AHA?
- How effective are A/AHA roles in terms of health, cost and process outcomes?
- What are the workforce issues for A/AHA?
Building a complexity competent workforce project: Evidence informed development of a tool to screen for decline. A technical report prepared for the Southern Adelaide Local Health Network
Early identification and subsequent timely intervention older people has been reported as effective in improving health outcomes, as appropriate and timely community services can be put in place to Facilitate ongoing independent community living. Many risk factors for decline are potentially modifiable with community support interventions, or comprehensive geriatric assessment and management which target those most likely to benefit. It is in this context, support workers and allied health assistants can play a vital role in early detection of decline in elderly people. While support workers and allied health assistants could play an important role the early detection and timely intervention for decline, they need to be supported with adequate training, establishing competencies, support mechanisms (such are supervision and mentoring) and tools to detect decline. Provision of tools to detect decline may enable support workers and allied health assistants to accurately detect those elderly people who may be at risk of decline.
iCAHE performed a two stage investigation: a rapid review followed by tool development. The aim of this rapid review was to identify currently available tools from the literature which can be used by assist support workers and allied health assistants to accurately detect decline in older people.