Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, m ....Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, mapping psychosocial and cognitive change. This study entails a multidisciplinary collaboration with industry, applying innovative psychosocial and cognitive measures that will ultimately improve the detection of adverse pharmaceutical side-effects. The project is an international first, and will provide an important foundation for implementing preventive healthcare.Read moreRead less
A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in ....A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in CR patients. Given the role of self-efficacy in predicting adherence, MI needs to be evaluated in CR. This study is significant in terms of preventative health, and its potential to improve the design and delivery of CR programs and increase patient adherence. Expected outcomes include increased adherence to cardiovascular risk modification and improved psychological well-being.Read moreRead less
Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evalu ....Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evaluate the success of treatment for clients diverted from the criminal justice system, but also in its unique focus on a wide range of outcomes for different client groups.Read moreRead less
Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self- ....Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self-efficacy and impact on positive PA behaviours. Long-term, behavioural change and job-related outcomes will be evaluated by following participants for 12 months after the interventions.Read moreRead less
Relationship self-regulation as a predictor of marital satisfaction and stability in the early years of marriage. Marital distress and separation are major social problems in Australia. Marital problems are associated with domestic violence, poor health and adjustment of adults and children, and substantial financial costs to individual families and society. The current project tests whether the effort partners expend to sustain the relationship helps maintain relationship satisfaction. If true, ....Relationship self-regulation as a predictor of marital satisfaction and stability in the early years of marriage. Marital distress and separation are major social problems in Australia. Marital problems are associated with domestic violence, poor health and adjustment of adults and children, and substantial financial costs to individual families and society. The current project tests whether the effort partners expend to sustain the relationship helps maintain relationship satisfaction. If true, relationship education programs can be structured to teach people how to enhance their relationships. Effective relationship education could significantly improve the health and quality of life of partners and their children, and reduce national and community costs associated with marital problems. Read moreRead less
Overcome Barriers to Optimal Diabetes Management: Randomized Controlled Trial of Education/Consultation Interventions to Improve Self-Management of Diabetes. In addition to improving self care and quality of life in people with diabetes, the cost effectiveness component of the trial will provide other valuable data. Considering that the costs associated with diabetes and other associated health complications (i.e diabetic retinopathy) are estimated to be more than AU$10 billion, our intervention ....Overcome Barriers to Optimal Diabetes Management: Randomized Controlled Trial of Education/Consultation Interventions to Improve Self-Management of Diabetes. In addition to improving self care and quality of life in people with diabetes, the cost effectiveness component of the trial will provide other valuable data. Considering that the costs associated with diabetes and other associated health complications (i.e diabetic retinopathy) are estimated to be more than AU$10 billion, our intervention has a considerable potential to deliver substantial savings to the Australian community. The study will also generate a closer coordination between primary and tertiary care settings. This proposed trial will contribute substantially to future health policies related to personnel, resources and funding allocated to diabetes, eye health and rehabilitation. Read moreRead less
Effects of Private Health Insurance on Health Care Usage and Health Outcomes in Australia. Australians spend more than $7 billion each year on private health insurance (PHI), of which government subsidies amount to more than $2 billion. There is, however, little understanding of how PHI affects health care usage and health outcomes. Having PHI is likely to result in better health for the insured, but more health resources are also likely to be used. Moreover, the health of the uninsured could b ....Effects of Private Health Insurance on Health Care Usage and Health Outcomes in Australia. Australians spend more than $7 billion each year on private health insurance (PHI), of which government subsidies amount to more than $2 billion. There is, however, little understanding of how PHI affects health care usage and health outcomes. Having PHI is likely to result in better health for the insured, but more health resources are also likely to be used. Moreover, the health of the uninsured could be adversely affected if health resources available to the public hospital sector are reduced. This research will inform health policymaking on the effects of subsidising PHI on health care usage and health outcomes.Read moreRead less
Body image instability, disordered eating and muscle dysmorphia. Body image is a serious public health issue. Dissatisfaction with body shape promotes disordered eating in females who fast and purge to lose weight, and muscle dysmorphia in males who over-exercise and use steroids to gain muscle. We will test the idea that these psychological disorders stem from an unstable body image. Our research will reveal the fundamental risk factors associated with disordered eating and muscle dysmorphia an ....Body image instability, disordered eating and muscle dysmorphia. Body image is a serious public health issue. Dissatisfaction with body shape promotes disordered eating in females who fast and purge to lose weight, and muscle dysmorphia in males who over-exercise and use steroids to gain muscle. We will test the idea that these psychological disorders stem from an unstable body image. Our research will reveal the fundamental risk factors associated with disordered eating and muscle dysmorphia and allow us to identify at-risk individuals on the basis of their body image instability. It will also predict patients' amenability to treatments that target body image, thereby improving outcomes for these individuals.Read moreRead less
Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment prot ....Sound practice: Supporting sustainable careers in orchestral musicians through Occupational Health and Safety initiatives. This project will produce new knowledge about musician health, well-being and injury prevention and management. It will establish the first injury surveillance system for musicians internationally and the first set of rigorous studies to evaluate the effectiveness of injury management interventions for orchestral musicians. We will establish musician-specific assessment protocols, practices and interventions leading to effective OHS policies, thus enabling global improvement in OHS in the music industry, preventing economic and personal loss from premature career termination due to injury, and assisting, through mentoring, the new generation of young orchestral musicians.Read moreRead less
Regulating anger: Cognitive reappraisal, emotional suppression, and post-event rumination. Australians bear the substantial psychological, social, and economic costs associated with unrestrained anger. Anger problems are associated with school and work difficulties, poor social relationship quality, alcohol and drug use, financial and legal difficulties, premature cardiovascular mortality, and clinically significant mental health problems. Anger and aggression also cause much harm to society th ....Regulating anger: Cognitive reappraisal, emotional suppression, and post-event rumination. Australians bear the substantial psychological, social, and economic costs associated with unrestrained anger. Anger problems are associated with school and work difficulties, poor social relationship quality, alcohol and drug use, financial and legal difficulties, premature cardiovascular mortality, and clinically significant mental health problems. Anger and aggression also cause much harm to society through crime, domestic abuse, and workplace violence among others. The Australian Institute of Criminology estimates the cost of assault, sexual assault, and homicide in Australia at over $2.5 billion per year. The insights gained from this research may help ameliorate these negative consequences of anger.Read moreRead less