A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.
The Effectiveness Of A Clinical Practice Change Intervention In Increasing, On A Health Service Wide Basis, Community Health Clinician Adherence To Preventive Care Guidelines.
Funder
National Health and Medical Research Council
Funding Amount
$612,290.00
Summary
The delivery of preventive care that aims to decrease smoking, risky alcohol use, physical inactivity and inadequate fruit and vegetable consumption is less than optimal in community health services. The study examines the effectiveness of an intervention in increasing the delivery of such across an area health service. The findings will demonstrate the ability of community health clinicians to routinely provide preventive care, and hence improve the health of the community.
Mass Disseminable Approaches To Smoking Cessation In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$412,100.00
Summary
Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one ....Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one of the most common uses of this technology. The rapid growth of Internet use potentially provides access to a number of cessation aids for tobacco smokers, including online support through 'chat rooms'. It is also possible to tailor interventions to individuals according to their stated interests and readiness to quit. General practitioners, in addition to providing support and care to smokers attemtping to quit, can direct them to community services such as Quit Victoria, which now offers smoking cessation programs tailored to individuals' needs delivered either through telephone counselling or by the Internet. We want to know whether more smokers quit successfully if their GP refers them to Quit services in addition to their usual care. As well as assessing the effectiveness of broadly distributable interventions in smoking cessation, this project will also collect data about the use of the Internet for health research. Little is known about how to perform research on the Web. This project will allow automatic monitoring of how people respond to research endeavours in this environment.Read moreRead less
Reconceptualising Health Promotion: The Role Of Values, Ethics And Evidence In Obesity Intervention.
Funder
National Health and Medical Research Council
Funding Amount
$485,103.00
Summary
Obesity and overweight are public health priorities. Population-level programs, campaigns and regulations are required to prevent and reduce obesity. How should these interventions proceed? What is effective? What is ethical? How can we avoid doing harm? At present, we do not know. By studying current interventions in detail, and working with experts and practitioners in health promotion and ethics, this project will develop a new framework to guide overweight and obesity intervention in future.
Efficacy Of Exercise Physiologist Counselling In Primary Care Patients: A RCT Of Two Pragmatic Approaches
Funder
National Health and Medical Research Council
Funding Amount
$940,925.00
Summary
Physical activity is one of the most powerful contributors to health, but population levels of activity are low. General practitioners (GPs) are well placed to provide physical activity counselling, but many are too busy. This project examines the effectiveness of referral of insufficiently active adults to an exercise physiologist (EP), using step counts from a pedometer as the outcome. We compare usual care from the GP with: (1) 5 EP visits, and (2) a single visit and telephone follow up.
Developing a novel method for delivering a behavioral intervention for decreasing morbidity in women with a chronic disease: a randomized controlled trial. Currently there are 209.8 deaths from heart, stroke and vascular diseases per 100 000 of the Australian female population each year, with the rates being considerably high in the elderly female population. Despite the potential benefits of behavioural strategies to prevent morbidity in women with chronic disease, studies to date have not targ ....Developing a novel method for delivering a behavioral intervention for decreasing morbidity in women with a chronic disease: a randomized controlled trial. Currently there are 209.8 deaths from heart, stroke and vascular diseases per 100 000 of the Australian female population each year, with the rates being considerably high in the elderly female population. Despite the potential benefits of behavioural strategies to prevent morbidity in women with chronic disease, studies to date have not targeted women who already have a chronic disease in a clinical setting. This research study will address this, helping postmenopausal women who have chronic disease change negative health behaviours and increase physical activity and self efficacy, improve quality of life and decrease blood pressure, obesity and tobacco use.Read moreRead less
Narrative Social Influence: Narrative Communication as an Effective Means of Public Health Campaign. Mass media has been used for public health campaigns with varying degrees of success. This project aims to improve their effectiveness in modifying public attitudes and behaviour to reduce the risk of life style diseases such as cancer, stroke, and heart disease. In particular, the project investigates the effectiveness of narrative as a means of social influence by examining whether it can effec ....Narrative Social Influence: Narrative Communication as an Effective Means of Public Health Campaign. Mass media has been used for public health campaigns with varying degrees of success. This project aims to improve their effectiveness in modifying public attitudes and behaviour to reduce the risk of life style diseases such as cancer, stroke, and heart disease. In particular, the project investigates the effectiveness of narrative as a means of social influence by examining whether it can effectively communicate an appropriate health promoting behaviour to the public, while encouraging people to disseminate the message to others interpersonally, so that not only mass media but also the community itself acts as an agent of social influence.Read moreRead less
Can parents teach their children to drink alcohol responsibly? Or, is one drop a drop too many? Parents typically supply alcohol to their children believing it is the best way to teach responsible drinking. Whether parents should provide alcohol is controversial and the evidence to inform this decision is unclear. This research will provide an in-depth understanding of the consequences of parents providing alcohol to their children and when, where and how this can be done to minimise harm. This ....Can parents teach their children to drink alcohol responsibly? Or, is one drop a drop too many? Parents typically supply alcohol to their children believing it is the best way to teach responsible drinking. Whether parents should provide alcohol is controversial and the evidence to inform this decision is unclear. This research will provide an in-depth understanding of the consequences of parents providing alcohol to their children and when, where and how this can be done to minimise harm. This is a national priority as alcohol abuse is a leading cause of injury and death among young Australians and developing the knowledge for preventive health care is essential. This research will provide parents with the information they need to give their children a healthier start to life.Read moreRead less
The efficacy of a physical activity intervention in the management of psychological and physical symptoms among breast and prostate cancer patients. The vastly improved survival rates for breast and prostate cancer in recent years has resulted in an ever-increasing number of people living with a history of cancer. Treatment for cancer is often associated with negative side effects like fatigue, depression and sleep disturbance, and an overall impaired quality of life.
This project will assess ....The efficacy of a physical activity intervention in the management of psychological and physical symptoms among breast and prostate cancer patients. The vastly improved survival rates for breast and prostate cancer in recent years has resulted in an ever-increasing number of people living with a history of cancer. Treatment for cancer is often associated with negative side effects like fatigue, depression and sleep disturbance, and an overall impaired quality of life.
This project will assess the effectiveness of a physical activity program in alleviating these symptoms of treatment. The program will include regular walking and gentle resistance strength training.
The outcomes from the project will advance research by shedding light on which symptoms are most helped by physical activity, and how much activity is needed to gain these benefits.
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The efficacy of a referral and physical activity program for survivors of prostate cancer. Although survival rates of prostate cancer are approximately 83 per cent with earlier detection and improved treatment modalities, prostate cancer survivors are at an increased risk of dying from co-morbidities, which may be prevented or ameliorated through participation in physical activity. This project aims to establish an effective and sustainable referral and physical activity program to improve the ....The efficacy of a referral and physical activity program for survivors of prostate cancer. Although survival rates of prostate cancer are approximately 83 per cent with earlier detection and improved treatment modalities, prostate cancer survivors are at an increased risk of dying from co-morbidities, which may be prevented or ameliorated through participation in physical activity. This project aims to establish an effective and sustainable referral and physical activity program to improve the health outcomes of prostate cancer survivors by utilising the influence of clinicians in their delivery of information to patients. This concept of a referral and physical activity program has the potential to translate across all cancer tumour streams to reduce the physiological and psychological burden associated with living with cancer.Read moreRead less