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Pathways To Mental Health And Obesity In Young Adults: A Longitudinal Study
Funder
National Health and Medical Research Council
Funding Amount
$698,510.00
Summary
While the health of the population has been gradually improving, there are some health problems which are increasing. The mental health of young people is one such area. Based on data relating to youth suicide, substance abuse, cigarette smoking by females and behavioural or mental health problems in the young, there has been evidence of a marked increase in some important health problems faced by the young. Little is known about the causes of these problems and even less is known about the reas ....While the health of the population has been gradually improving, there are some health problems which are increasing. The mental health of young people is one such area. Based on data relating to youth suicide, substance abuse, cigarette smoking by females and behavioural or mental health problems in the young, there has been evidence of a marked increase in some important health problems faced by the young. Little is known about the causes of these problems and even less is known about the reasons for the increase. Based on the available evidence, 20-25% of young persons manifest a mental health problem. A second area of marked health deterioration concerns youth (and adult) obesity. Existing research points to the accumulation of cardiovascular risk factors associated with obesity from a very early age. Over 10% of youth are obese and a substantially higher proportion are overweight. There is evidence that the rate of obesity has been substantially increasing. Again little is known about the factors that contribute to obesity or the causes of the increase in the rates of obesity in the population. This proposal is for a 21-year follow-up of a sample of youth first enrolled when their mothers attended for their first obstetrical visit. Using a substantial body of existing data, we propose to examine the changes in levels of mental health and obesity and to identify the factors which contribute to these changes. This study involves the largest Australian cohort ever assembled for such research. The main questions asked in this study concern the impact of the mother's social and economic circumstances, her physical health and well-being, her use of addictive substances (including alcohol, cigarettes, illicit drugs) on the youth's health. We will also examine the association between early indicators of mental health and well-being and subsequent youth health and development.Read moreRead less
Impact Of An Infant Sleep Intervention On Infant Sleep And Maternal Wellbeing: A Cluster Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
Infant sleep problems and postnatal depression are common in the Australian community. Over a third of Australians report a problem with their infant's sleep in the second six months of life whilst 10-15% of Australian women will experience an episode of depression in the first year after their child is born. Both infant sleep problems and postnatal depression have been associated with serious outcomes including child abuse, child behaviour problems, maternal physical and emotional problems, fam ....Infant sleep problems and postnatal depression are common in the Australian community. Over a third of Australians report a problem with their infant's sleep in the second six months of life whilst 10-15% of Australian women will experience an episode of depression in the first year after their child is born. Both infant sleep problems and postnatal depression have been associated with serious outcomes including child abuse, child behaviour problems, maternal physical and emotional problems, family stress and family breakdown. This study builds on previous work conducted by researchers at the Centre for Community Child Health, Royal Children's Hospital, Melbourne. In this work, a brief behavioural intervention significantly decreased infant sleep problems and symptoms of maternal depression, particularly for depressed mothers. The intervention consisted of controlled crying and removal of sleep associations such as a dummy which the infant had become dependent upon to fall asleep. Mothers who received the intervention reported 20% fewer sleep problems and a 45% reduction in depression symptoms compared with mothers who did not receive the intervention. The interention also improved maternal sleep quality and quantity and reduced the need for professional sleep services. It was acceptable to mothers, of low cost and was minimally disruptive to families - in contrast to many current strategies directed primarily at postnatal depression. This trial aims to determine whther a similar intervention delivered by Victorian Maternal and Child health nurses within their usual practice settings can replicate these important benefits.Read moreRead less
Deaths In Young People Involved In The Youth Justice System: Towards Evidence-based Prevention
Funder
National Health and Medical Research Council
Funding Amount
$620,705.00
Summary
Young offenders have complex health needs and are at dramatically increased risk of preventable death due to drug overdose, suicide and injury. In order to inform effective prevention, a more detailed understanding of mortality in these young people is required. This project will examine all deaths in young offenders in Queensland from 1993 to 2015, identify targets for prevention, and recommend policy reforms and interventions that are supported by evidence and are culturally appropriate.
Planning for Later Life: an Ethnographic Analysis of Aging among Transnational Papua New Guineans. This project addresses the global problem of ageing populations by looking at how transnational Papua New Guinean families plan for old age. It explores how Papua New Guineans resident in North Queensland make specific decisions about later life that balance the value of relations with kin, friends, neighbours while also dealing with the social services provided by the state and the market. The pro ....Planning for Later Life: an Ethnographic Analysis of Aging among Transnational Papua New Guineans. This project addresses the global problem of ageing populations by looking at how transnational Papua New Guinean families plan for old age. It explores how Papua New Guineans resident in North Queensland make specific decisions about later life that balance the value of relations with kin, friends, neighbours while also dealing with the social services provided by the state and the market. The project will describe the tensions that emerge in transnational decision making concerning old age. The resulting knowledge of how Papua New Guineans prepare for old age will help to critically inform policies concerning the wellbeing of people engaged with ageing.Read moreRead less
Emerging from the shadows: the evaluation of intervention strategies to reduce social isolation amongst the aged. Social isolation imposes a high cost on affected individuals and the community at large. This project will determine what interventions work in addressing social isolation amongst the older population.
Remembering to remember: Prospective memory function in everyday life. Prospective memory is a core cognitive skill that refers to memory for future intentions. The goal of this project is to establish when, why and how real-life prospective memory function breaks down at different stages of the adult lifespan and in different everyday contexts - and what strategies most effectively prevent this from occurring. In doing so, this project expects to deliver knowledge that is theoretically transfor ....Remembering to remember: Prospective memory function in everyday life. Prospective memory is a core cognitive skill that refers to memory for future intentions. The goal of this project is to establish when, why and how real-life prospective memory function breaks down at different stages of the adult lifespan and in different everyday contexts - and what strategies most effectively prevent this from occurring. In doing so, this project expects to deliver knowledge that is theoretically transformative, and that delivers the practical understanding of what can be done to reduce real-life vulnerability to prospective memory failures. Given that lapses of prospective memory account for more than half of all daily cognitive errors, this should provide important social and economic benefits for all Australians.
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Taking advice: Limits and potentials of social decision-making in older age. Older adults are increasingly victims of financial fraud and abuse. While well-intentioned advice has the potential to improve financial decision-making, ill-intentioned advice can lead to exploitation. This project will use extensive behavioural testing to establish the factors governing how much weight older adults give to advice depending on the type of advisor, the type of advice, and feedback about advice quality. ....Taking advice: Limits and potentials of social decision-making in older age. Older adults are increasingly victims of financial fraud and abuse. While well-intentioned advice has the potential to improve financial decision-making, ill-intentioned advice can lead to exploitation. This project will use extensive behavioural testing to establish the factors governing how much weight older adults give to advice depending on the type of advisor, the type of advice, and feedback about advice quality. The outcome will be a model of the influence of advice on decision-making in ageing. This will provide an evidence base to create best practice guidelines, interventions, and decision aids that will reduce exploitation and increase the independence and wellbeing of Australia’s rapidly ageing population.Read moreRead less
Reducing social frailty in late adulthood. Social frailty is one of the most troubling and potentially devastating threats to healthy adult ageing, and refers broadly to low social engagement status. This project aims to test how age-related changes in the abilities that allow us to perceive, interpret and process social information drive resilience and risk for this important threat to successful ageing, and then leverage these data to create a training tool that directly targets those abilitie ....Reducing social frailty in late adulthood. Social frailty is one of the most troubling and potentially devastating threats to healthy adult ageing, and refers broadly to low social engagement status. This project aims to test how age-related changes in the abilities that allow us to perceive, interpret and process social information drive resilience and risk for this important threat to successful ageing, and then leverage these data to create a training tool that directly targets those abilities identified as being most strongly linked to social frailty. Enhancing older adults' resilience to social frailty should generate significant and far-reaching benefits, including greater independence of ageing Australians, and reduced burden on health and welfare support infrastructure. Read moreRead less
Increasing advance personal planning by older adults. This project aims to increase the uptake of advance personal planning among people aged 65 years or over in the community by developing, implementing and evaluating a community action model. People have a legal right to engage in advance personal planning, a process that helps them discuss and document their financial, personal and health preferences, in case they later lose the ability to make or communicate decisions. Few people plan ahead, ....Increasing advance personal planning by older adults. This project aims to increase the uptake of advance personal planning among people aged 65 years or over in the community by developing, implementing and evaluating a community action model. People have a legal right to engage in advance personal planning, a process that helps them discuss and document their financial, personal and health preferences, in case they later lose the ability to make or communicate decisions. Few people plan ahead, even though it can reduce the likelihood of financial exploitation, family conflict and unwanted medical care. This project aims to provide a model of community action to build capacity and collaboration across social services and improve the wellbeing of older people.Read moreRead less
Designing distanced intergenerational interaction with tangible technology. Older people and their young relatives/grandchildren who are geographically distanced cannot currently experience closeness in tangible ways, which are the natural ways they would play and build relationships in “real” life. Enabling this connection would have positive impacts for both groups, and two types of technologies – Mixed Reality and Tangibles - can be explored to allow us to understand how to do this. We will d ....Designing distanced intergenerational interaction with tangible technology. Older people and their young relatives/grandchildren who are geographically distanced cannot currently experience closeness in tangible ways, which are the natural ways they would play and build relationships in “real” life. Enabling this connection would have positive impacts for both groups, and two types of technologies – Mixed Reality and Tangibles - can be explored to allow us to understand how to do this. We will develop approaches to distanced tangible intergenerational interaction which are designed specifically to increase intergenerational closeness and to be innovative and subtle so that they fit seamlessly into the lives of older people and young children.Read moreRead less