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Studies in cancer control. As life expectancy in Australia (and throughout the world) continues to rise, so will the burden of cancer escalate. Treating cancer after diagnosis is costly, and in many instances, unsuccessful. Preventive strategies promise to reduce the future cancer burden, yet our knowledge in this arena is limited by the lack of credible research as to what works and what does not. This application addresses this gap directly by conducting research into the control of two cancer ....Studies in cancer control. As life expectancy in Australia (and throughout the world) continues to rise, so will the burden of cancer escalate. Treating cancer after diagnosis is costly, and in many instances, unsuccessful. Preventive strategies promise to reduce the future cancer burden, yet our knowledge in this arena is limited by the lack of credible research as to what works and what does not. This application addresses this gap directly by conducting research into the control of two cancers which exact a growing toll in Australia and elsewhere. The work seeks to identify and understand the causal pathways to cancer, and then use this information to devise evidence-based strategies for cancer control.Read moreRead less
The construction and experience of fertility in the context of cancer: patient, partner and health professional perspectives. This project will examine the nature and consequences of fertility concerns for men and women with cancer, and their partners, across a range of cancer types, as well as the knowledge and experience of health professionals. This will increase knowledge of this important health concern, and lead to the development of programs to reduce distress.
From risk factor analysis to translation: multiple sclerosis and vitamin D deficiency. This research on multiple sclerosis will focus on its causes and lifestyle factors that affect it and will trial vitamin D supplementation as a treatment. Studies on vitamin D deficiency in healthy populations aim to develop new public health recommendations on sun exposure and vitamin D that balance risk of skin cancer against vitamin D deficiency.
Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacist ....Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacists, an approach not previously evaluated. Prevention of recurrent back pain will also be studied. Such methods of delivering care will provide enormous savings to the health system while still ensuring best practice care for the patient.Read moreRead less
Enhancing Mental Health In Aboriginal People: Reducing Violence And Developing Resilience
Funder
National Health and Medical Research Council
Funding Amount
$1,771,151.00
Summary
This project aims to determine the best ways to improve the Social Emotional Well Being (SEWB) of the Aboriginal people of Broken Hill, Menindee and Wilcannia. This project will develop a culturally appropriate and evidenced based intervention to break the cycle of ongoing grief, mental illness, alcohol and other drugs and violence. The project will proceed in a number of interrelated phases including extensive community consultations and a baseline survey. The project will then implement and ev ....This project aims to determine the best ways to improve the Social Emotional Well Being (SEWB) of the Aboriginal people of Broken Hill, Menindee and Wilcannia. This project will develop a culturally appropriate and evidenced based intervention to break the cycle of ongoing grief, mental illness, alcohol and other drugs and violence. The project will proceed in a number of interrelated phases including extensive community consultations and a baseline survey. The project will then implement and evaluate an intervention program that provides a community and individual program that adopts evidence-based approaches and modifies them to be acceptable within Aboriginal communities. These interventions aim to break the cycle of violence and mental health problems by teaching adaptive skills to reduce violent behaviours and by providing mental health interventions that reduce disorders that contribute to violence.Read moreRead less
Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related dis ....Planning female and male vaccination and cervical screening strategies to achieve optimal prevention of HPV-related disease. The findings from this research will inform the development of public health policy on the most cost-effective utilisation of resources for preventing cervical, anogenital and head/neck cancers, and genital warts, in women and men, due to human papillomavirus (HPV). We will evaluate strategies for using emerging screening and vaccine technologies to prevent HPV-related disease, and assess potential adverse outcomes of vaccination. Men are currently not covered by routine vaccination or screening programs; this research will assess the benefit to men of vaccinating women only, and will consider the impact of vaccination and other interventions targeted towards men.Read moreRead less
To implement and evaluate flexible models of palliative care service delivery for terminally ill people living alone at home. Provision of evaluated services for this growing population group will lead to better planning and implementation of care being delivered at home, improved quality of life, increased capacity to die at home, and a reduction in hospitalisations and other health care costs.
The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service. Despite the availability of services, such as telephone support lines to help people quit, only a small number of smokers seek help. One solution is to pro-actively contact and offer support with quitting to smokers in the community. This study will involve pro-actively contacting households by telephone and offering intensive, personalised telephone counselling to smokers to support them in the q ....The effectiveness of pro-active telemarketing of a smoking cessation telephone counselling service. Despite the availability of services, such as telephone support lines to help people quit, only a small number of smokers seek help. One solution is to pro-actively contact and offer support with quitting to smokers in the community. This study will involve pro-actively contacting households by telephone and offering intensive, personalised telephone counselling to smokers to support them in the quitting process. Such a service will provide treatment to smokers who might not otherwise seek assistance to quit, thereby greatly increasing the potential impact of quit smoking services at a community level.Read moreRead less
Changing Patterns Of Work: Impacts On Physical And Mental Health And The Meditating Role Of Resiliency And Social Capital
Funder
National Health and Medical Research Council
Funding Amount
$1,140,342.00
Summary
This project will provide, for the first time in Australia, a detailed understanding of the impact of the changing forms of employment and unemployment on overall health. It will provide original insights into what aspects of the employment relation help or harm health, and on what enables some people to escape the harm that others experience. This will provide vital information to underpin policies designed to gain the benefits of a flexible workplace, with minimum harm to workers.
Relationship Between Caregiver Time And Mental Health&well-being Of Mothers Caring For Children With Chronic Disability
Funder
National Health and Medical Research Council
Funding Amount
$355,127.00
Summary
The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabili ....The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabilities. These mothers have long been known to have higher rates of psychosocial problems than other mothers. However, little is known about the mechanisms by which these problems arise. This is a significant omission, as the potential benefit of home-based care for children with chronic disabilities will only be realised if caregivers remain healthy. It seems unlikely that caregivers will be able to provide effective care for children if their own health has been compromised by the demands of caring for the children's disabilities. The present study will provide new information about the relationship between the caregiving time mothers must spend caring for children with chronic disability, and maternal psychological adjustment and health-related quality of life. A better understanding of the mechanisms which give rise to maternal psychosocial problems in this population is important for two reasons. First, information in this area is an essential prerequisite for the development of effective support to reduce the problems experienced by primary caregivers and ensure they can play an effective ongoing role in the care of children with chronic disability. Second, at a theoretical level there is a great need to obtain a better understanding of the mechanisms by which environmental stressors give rise to mental health problems, particularly depression, in the general population.Read moreRead less