Supporting clinical decision making

View the following current projects:

Building capacity to reduce cervical cancer mortality in rural women of Tamil Nadu

We have established a network of cervical cancer screening program developers and implementers across India. The project includes provider training and evidence-based tools to facilitate communication - aiming to improve cervical cancer literacy amongst the women in local rural communities. A voice site for women is under feasibility testing.

Members involved: Lyndal Trevena

Funded by: AusAid Public Sector Linkage Program, Christian Medical College, Vellore Rural Unit of Health and Social Affairs, Weill Cornell Medical College and Cancer Council Australia

CVD risk communication

This project is investigating how GPs and patients make decisions about cardiovascular disease (CVD) prevention, through either lifestyle change or the use of preventive medication. Current guidelines advocate decision making based on absolute risk thresholds - the probability of a cardiovascular event over a period of time, based on multiple risk factors. However, the use of absolute risk assessment in practice is limited, GPs find it difficult to explain to patients, and patients may prefer a different approach to what is recommended in the guidelines. This research aims to determine the factors that are important to GPs and patients when deciding about CVD risk management, in order to identify ways in which CVD prevention might be improved. This research will examine role of risk communication in SDM, and the cognitive mechanisms underlying the effect of SDM interventions, such as decision aids.

Members involved: Kirsten McCaffery, Carissa Bonner, Jesse Jansen, Shannon McKinn, Jenny Doust, Paul Glasziou, Armando Teixeira-Pinto, Les Irwig

Developing a risk communication tool for women regarding their breast cancer risk

In this study, an internet based tool is being developed that will allow women to enter requested information, and be provided with an estimate of their risk of developing breast cancer, accompanied by advice about managing that risk. In preparation, we conducted a patient preference study to establish degree of interest in selective oestrogen receptor modulators (SERMS) as a management strategy for breast cancer risk, and the factors influencing their attitudes.

Members involved: Principal Investigator, Kelly Phillips, Research Co-ordinator, Ian Collins

Evaluating a vaccine communication framework

Post-doctoral research fellow Julie Leask and international collaborators are refining and evaluating a framework for communication about vaccination tailored to parental attitudes.

Members involved: Lyndal Trevena and Julie Leask

Interventions to overcome psychosocial barriers to voluntary vaccine uptake

This research project is based at NCIRS in the social research unit, and seeks to understand - and design interventions to overcome - the psychosocial barriers to voluntary vaccine uptake. As part of that work, the relationship and conversations between health practitioners and patients/parents is considered to be a critical intervention point. Parents' hesitations about vaccines should be heard and not judged by HCPs, but at the same time HCPs should feel empowered to influence parents toward vaccination so that Australia experiences higher vaccine uptake.

Members involved: Hal Willaby

Review of Sexual and Reproductive Health Partnership, Marie Stopes International Timor-Leste

This 12 month project examines the impact of sexual and reproductive health programs delivered by Marie Stopes International through the SISCa program in Timor-Leste.

Members involved: Lyndal Trevena