The Ecstasy Check-Up: A Multi-site Trial Of A Brief Intervention For Ecstasy Use Among Regular Ecstasy Users
Funder
National Health and Medical Research Council
Funding Amount
$458,432.00
Summary
Rates of ecstasy use have continued to rise rapidly over the past 10-15 years, particularly among young people. This is of concern, as several studies indicate that ecstasy is associated with a range of short- and long-term harms. Although many users acknowledge risks associated with ecstasy use, few users seek treatment. Therefore, the current project will aim to reduce ecstasy use and harm by providing non-treatment seeking ecstasy users with a brief motivational intervention.
Behavioural Management Of The Triggers Of Recurrent Headache: Avoidance Versus Coping
Funder
National Health and Medical Research Council
Funding Amount
$503,233.00
Summary
The traditional approach to headache management is to advise that the best way to prevent headaches is to avoid the trigger factors. This approach has never been systematically evaluated, however, and it may lead to headache sufferers losing tolerance for the factors that could precipitate a headache. This study will be the first to evaluate the traditional approach, and will also evaluate an innovative approach that includes techniques designed to desensitise people to headache triggers.
Development And Psychometric Evaluation Of 2 Measures Of Perceived Needs: 1 For Young Persons With Cancer; 1 For Parents
Funder
National Health and Medical Research Council
Funding Amount
$253,500.00
Summary
It is increasingly acknowledged that there is a need to develop measures which allow patients to reflect their needs, so that the health-care system can respond effectively. Cancer patients represent some of the more poignant and in need groups. Of this patient cohort, young persons with cancer represent a group with potentially, and understandably, a wide range of high unmet needs. The stress and demands imposed upon parents who have children with cancer is acknowledged as being considerable. D ....It is increasingly acknowledged that there is a need to develop measures which allow patients to reflect their needs, so that the health-care system can respond effectively. Cancer patients represent some of the more poignant and in need groups. Of this patient cohort, young persons with cancer represent a group with potentially, and understandably, a wide range of high unmet needs. The stress and demands imposed upon parents who have children with cancer is acknowledged as being considerable. Despite the development of measures to identify unmet needs of various cancer patients including advanced, incurable cancer, breast cancer and cervical cancer, there has been no work to date on developing an accurate measure of unmet needs among parents of young persons who have cancer, as well as the unmet needs of young persons themselves who have cancer. This study will develop such a measure, as a first step in identifying the most cost-effective ways to address the unmet needs of children with cancer and their families. These measures will have a clinical application, in enabling accurate estimates of the prevalence of unmet needs, and a research application, in providing reliable and valid outcome measures for evaluating the effectiveness of interventions.Read moreRead less
The Effect Of Foot Massage On Agitation In People Living With Dementia In Residential Care Settings: An RCT
Funder
National Health and Medical Research Council
Funding Amount
$286,301.00
Summary
This study investigates the effect of a 10-minute foot massage on agitated behaviours of older people living with dementia in residential care settings. The study builds on previous complementary research and provides further evidence to help assess whether foot massage is, indeed, a low cost, low risk, non-pharmacological and easily applied procedure that produces tangible positive psychological and physiological effects.
RCT Of A Client-centred, Caseworker-delivered Smoking Cessation Intervention For A Socially Disadvantated Population
Funder
National Health and Medical Research Council
Funding Amount
$440,217.00
Summary
Smoking among the socially disadvantaged is unacceptably high. Little is known about the best way to reduce smoking among the disadvantaged. This study aims to lower smoking rates among clients attending community social services. Given smoking is the leading preventable cause of death and illness, the study has the potential to impact on the health and well-being of a particularly vulnerable sector of the community.
Design And Analysis Of Interrupted Time Series Studies In Health Care Research: Resolution Of Methodological Issues
Funder
National Health and Medical Research Council
Funding Amount
$307,125.00
Summary
An interrupted time series (ITS) study involves a population observed on multiple occasions before and after the implementation of an intervention program. However, methods for statistical analysis and designing such studies have not been well developed and many statistical analyses of such studies are flawed. This proposal will investigate appropriate methods for design and analysis, and develop guidelines and software for its implementation by health researchers.
TELEPHONE COUNSELLING FOR MAINTENANCE OF PHYSICAL ACTIVITY, WEIGHT LOSS And GLYCAEMIC CONTROL IN TYPE 2 DIABETES
Funder
National Health and Medical Research Council
Funding Amount
$1,285,894.00
Summary
Regular exercise, a healthy diet and weight loss are key to managing type 2 diabetes, yet these are major challenges for most people with diabetes. This study will evaluate the impact of a telephone counselling program to assist people with type 2 diabetes to exercise, eat a healthy diet and lose weight, with the goal of helping them to sustain these changes over the long-term. It is expected that these lifestyle changes will also result in improved blood glucose control and quality of life.
A Randomised Controlled Trial Of Internet-based Therapy For Panic Disorder.
Funder
National Health and Medical Research Council
Funding Amount
$202,575.00
Summary
Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increase ....Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increased risk of suicide. Over time people with PD appear to have an increased risk of heart problems. They also have substantial financial burdens through multiple attendances at doctors' rooms and through restricted employment opportunities. Only just over one in four people with an anxiety disorder consults a health professional for their problems, with most going to their GP. It has been estimated that less than 10% of these people seek the services of a mental health specialist such as a clinical psychologist or psychiatrist. Therefore because of blocks to do with access, cost or embarrassment, many people with mental health problems do not seek face-to-face specialised mental health treatment. People in rural and regional Australia are particularly disadvantaged by limited access to these specialists. We have developed an internet-based treatment program on panic and anxiety for people in the community, and particularly in regional Australia. Early evaluation of this program has found it is more effective than other types of therapist-assisted self-help treatment. The aim of this research project is to compare it to best-practice face-to-face psychological and pharmacological treatment for PD. If the effectiveness of our internet-based treatment is comparable to best-practice face-to-face treatment, its availability will assist the many Australians who suffer from debilitating panic but who are unable to access specialised mental health assistance.Read moreRead less
A Behavioural Intervention For The Adoption & Maintenance Of Physical Activity In Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$334,955.00
Summary
For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on ....For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on our earlier research which demonstrated significantly improved blood glucose levels from a strength training program for older adults with T2DM. The strength training program is to be administered nationally in a research to practice trial (Lift for Life); however, the original research found that those who did not complete the program as it was intended (ie, poor adherence) did not show significant improvements in blood glucose levels. Furthermore, maintenance of strength training exercises after completion of the program was poor and resulted in return of blood glucose levels back to pre-starting levels. In people without diabetes, we have collected pilot data that shows that the use of behavioural strategies based on behavioural theories whereby each person's motivations and barriers are taken into consideration is more effective than the traditional one-treatment-fits-all approach. This study will evaluate the effectiveness of using behavioural strategies for improving adherence and maintenance to the Lift for Life strength training program (Enhanced L4L) for older adults with T2DM compared with the Standard L4L program. It will also follow-up participants 6 months later to determine the extent to which the changes in behaviour can be maintained. The study will provide information that will assist in the design, delivery and uptake of programs to improve treatment strategies in older adults with T2DM through the maintenance of healthier behaviours and lifestyles.Read moreRead less
A Controlled Trial Of An Opportunistic Intervention To Reduce Suicide Risk Among Alcohol And Other Substance Misusers
Funder
National Health and Medical Research Council
Funding Amount
$361,000.00
Summary
Hopelessness, depression and suicidal ideation are common among people who misuse alcohol and other substances. A general relationship between alcohol-substance abuse and self-harming - suicidal behaviour has been recognised for decades. From the point of view of diagnosed substance abusers there is a correspondingly high incidence of suicide and self-harm. The lifetime risk for suicide in alcohol dependence is higher than for schizophrenia or affective disorder. Despite the public health and pe ....Hopelessness, depression and suicidal ideation are common among people who misuse alcohol and other substances. A general relationship between alcohol-substance abuse and self-harming - suicidal behaviour has been recognised for decades. From the point of view of diagnosed substance abusers there is a correspondingly high incidence of suicide and self-harm. The lifetime risk for suicide in alcohol dependence is higher than for schizophrenia or affective disorder. Despite the public health and personal burden associated with suicidality, the general lack of skills and focus on management of self-harm in specialised drug and alcohol services is of great concern. In this study, all patients attending drug and alcohol services will be screened for suicide risk, and offered a comprehensive psychological treatment to reduce suicide risk and the use of alcohol and other substances.Read moreRead less