Increasing Global Equity In Access To End-stage Kidney Disease Care Through Better Peritoneal Dialysis Affordability, Practice, Quality And Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$2,511,960.00
Summary
Kidney disease is a growing problem worldwide and places an enormous burden on patients and their families. People with kidney disease are more likely to die, get cancer, have heart problems and have poor mental and emotional health than the general population. This program of research aims to consult widely with patients and their families and build on previous research knowledge to bring better evidence for therapies to improve the lives of people living with kidney disease.
Models Of Care And Health Professional Collaboration For Patients With Type 2 Diabetes Identified As Requiring Insulin In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$90,124.00
Summary
More insulin initiation for people with type 2 diabetes in general practice needs to occur because of the increasing prevalence of this condition and a relative shortage of specialists. Collaboration and coordination between primary and secondary care, and between doctors and nurses, may be important in achieving this. This study utilises a mixed method approach to explore the roles and relationships between the health professionals involved in this task and its impact on insulin initiation.
Roots Of Resilience: Transformations Of Identity And Community In Indigenous Mental Health
Funder
National Health and Medical Research Council
Funding Amount
$15,000.00
Summary
We propose to develop a cross-country interdisciplinary research program on factors and processes that promote resilience in mental health among indigenous peoples across the lifespan, with an emphasis on early childhood, school age children, adolescence and young adulthood. We will carry out a set of linked projects to identify the distinctive characteristics of individual and collective resilience among indigenous peoples in the three countries. This linkage of studies will occur in three ways ....We propose to develop a cross-country interdisciplinary research program on factors and processes that promote resilience in mental health among indigenous peoples across the lifespan, with an emphasis on early childhood, school age children, adolescence and young adulthood. We will carry out a set of linked projects to identify the distinctive characteristics of individual and collective resilience among indigenous peoples in the three countries. This linkage of studies will occur in three ways: (1) developing a comprehensive model of resilience at individual, family, community and societal levels that can be applied across the three countries; (2) designing multi-method studies of the same population so that results can be triangulated for greater validity of interpretation of results; (3) using cross-national comparisons to examine potential social structural, cultural and historical differences in the processes of resilience. The projects will include clinical, community and population-based studies of resilience using both qualitative life history and ethnographic methods and quantitative analysis of epidemiological data. The collaborating investigators have developed specific methods for studies of resilience in different age groups, including: parenting and family environment during infancy and early childhood; school-based research on outcomes of performance and retention; community-based ethnographic research on individual life trajectories; social historical research on community responses to adversity; and population-based research on longitudinal datasets. Throughout these studies our emphasis will be on identifying what may be distinctive about the experience of indigenous peoples so that research on resilience can be appropriately interpreted and applied to improve the health of these populations.Read moreRead less
Research has shown that psychosocial and behavioural processes of networks can result in better health status among and between non-Indigenous populations. In Australia, Canada and New Zealand Indigenous health organizations and networks have formed to combat health disparities and advance opportunities for Indigenous populations. Little is know about the social, economic, cultural and political life-course of such networks in a �post-colonial� environment, or whether these contribute to �resili ....Research has shown that psychosocial and behavioural processes of networks can result in better health status among and between non-Indigenous populations. In Australia, Canada and New Zealand Indigenous health organizations and networks have formed to combat health disparities and advance opportunities for Indigenous populations. Little is know about the social, economic, cultural and political life-course of such networks in a �post-colonial� environment, or whether these contribute to �resiliency� in health workers, researchers and policy developers that is translated into improved health for Indigenous populations. Historically the resiliency literature has viewed resilience as a fixed attribute of individuals. Some inroads have been made in defining resilience relative to social and cultural collective contexts. However, no study defines resiliency from an Indigenous perspective or within the context of networks and resilience generally. This study will develop Indigenous constructs of �resiliency� from a decolonized and non-deficit perspective for Indigenous health workers, researchers and policy developers, and will examine how networks and �resiliency� intersect. It will further explore whether Indigenous health worker, researcher and policy developer networks may be important mediators in laying a foundation for good health throughout life for Indigenous peoples. Constructs of �resiliency� specific to each country and across countries will be identified from themes that arise from key informant interviews. Comparative projects in each country will be designed to evaluate the impact of these networks on improving health status and combating health problems such as diabetes mellitus. These Indigenous constructs of �resiliency� will inform the ICIHRP research program intended to improve Indigenous health status.Read moreRead less
Resilience: The Effect Of Sexual And Injecting Risk Behaviour On The Health Of Indigenous Populations In Australia, Cana
Funder
National Health and Medical Research Council
Funding Amount
$15,000.00
Summary
HIV-AIDS has become one of the most important health problems in the world today. Like several other infectious diseases, it is mainly spread by behaviours that most people consider to be part of their private lives, such as sexual intercourse and drug use. In many societies, the search for ways to prevent and treat these infectious has been complicated by the fact that people find them embarrassing to discuss, or fear discrimination if they have them. While surveys of sexually transmitted infec ....HIV-AIDS has become one of the most important health problems in the world today. Like several other infectious diseases, it is mainly spread by behaviours that most people consider to be part of their private lives, such as sexual intercourse and drug use. In many societies, the search for ways to prevent and treat these infectious has been complicated by the fact that people find them embarrassing to discuss, or fear discrimination if they have them. While surveys of sexually transmitted infections have found high rates in some Indigenous communities in Australia, New Zealand and Canada, so far only Canada has seen increased rates of HIV-AIDS among Indigenous people. There is much we need to learn about prevention and treatment in Indigenous people. We are therefore proposing to set up collaborative studies in each of the three countries that will explore how Indigenous people are able to protect themselves against these infections. We are especially interested in finding out about their resiliency, the way in which they make use of their own and their communities� strengths to protect themselves and enhance their health and well-being. A good understanding of what resiliency is about will help us discover how Indigenous health programs can help all people in their communities to have the best chance of avoiding these infections, or getting the right kind of care, support and treatment if they do have one or more of these infections. The research will be done in full collaboration with Indigenous communities in every aspect, from planning through to regular reporting of results. The program will provide opportunities for Indigenous people in the three countries to develop and enhance research skills in this important area, and allow non-Indigenous people to share knowledge and experience with Indigenous communities.Read moreRead less
Growing Up Indigenous; An International Birth Cohort Study.
Funder
National Health and Medical Research Council
Funding Amount
$15,000.00
Summary
The main aim of this research programme is to identify factors that promote and enhance resiliency within indigenous children, families and communities. We propose to establish a longitudinal cohort of Indigenous infants and children who are identified from within Indigenous community settings and health services in Canada, Aotearoa-New Zealand and Australia. We intend to investigate the factors associated with �resilience� at a number of levels: individual, family, community (for example commun ....The main aim of this research programme is to identify factors that promote and enhance resiliency within indigenous children, families and communities. We propose to establish a longitudinal cohort of Indigenous infants and children who are identified from within Indigenous community settings and health services in Canada, Aotearoa-New Zealand and Australia. We intend to investigate the factors associated with �resilience� at a number of levels: individual, family, community (for example community indicators of socio-economic status, self-determination etc) and wider social factors (such as experience of colonisation and racism). Information will be gathered about the mother, child, family, community and social environments commencing during the pre-natal period and continuing over subsequent years. We will identify factors associated with good outcomes and �resilience� at a number of levels including individual, familial, community, social and the environment, using multilevel modelling. Identification of these factors will allow us to make recommendations for policy and practice that should improve health outcomes for indigenous peoples. Although the main aim is to identify factors associated with resiliency and good health outcomes, we will also be able to identify factors associated with adverse outcomes. We will also identify (within the antenatal, infancy and early childhood periods) key transition points, associated protective and risk factors for these transition points, and interventions that may be useful in ensuring successful negotiation of these transition points by families and communities. Indigenous health workforce capacity development and indigenous research methodology development are also key features of this proposal.Read moreRead less