Associations Between Periodontal Disease And Cardiovascular Surrogate Endpoints In An Adult Indigenous Population
Funder
National Health and Medical Research Council
Funding Amount
$1,346,328.00
Summary
The relationship between periodontal disease and cardiovascular surrogate endpoints, both of which are high among the Indigenous Australian population, is established. This study seeks to explore the prevalence of cardiovascular surrogate endpoints among this population with periodontal disease, and to determine if implementation of a periodontal intervention leads to improved cardiovascular risk outcomes. There may be benefit in applying this model to other areas of Indigenous health research.
The Feasibility And Effectiveness Of A Family-based Intervention For Indigenous Australians With Alcohol Dependence.
Funder
National Health and Medical Research Council
Funding Amount
$218,291.00
Summary
This study aims to determine the feasibility of implementing a family-based intervention in an Indigenous community-controlled health service in rural NSW and it's level of acceptability to Indigenous patients. The expected main benefits of implementing the family-based intervention are increases in the percentage of Indigenous individuals with alcohol dependence entering and engaging in evidence-based treatment.
Improving Metabolic Fitness In Aboriginal And Torres Straight Islander Women: A Pragmatic Controlled Trial Of Waist Loss
Funder
National Health and Medical Research Council
Funding Amount
$556,193.00
Summary
Torres Strait Islanders have the highest prevalence of diabetes in Australia and weight gain in young women can increase further the risk of diabetes for themselves and their babies. Waist loss can reduce the risk of diabetes and heart disease. A pilot study in the Torres Strait in 2007, has demonstrated that this is achievable and acceptable in young Indigenous women. This proposal aims to conduct a larger trial, to look at effectiveness and sustainability of waist loss in young women.
Long Term Impact, Capacity Gains And Cost-effectiveness Of A Successful Community-wide Child Obesity Prevention Program
Funder
National Health and Medical Research Council
Funding Amount
$703,191.00
Summary
Be Active, Eat Well is the first community-wide obesity prevention project to successfully reduce the weight and waist gain of children. The 'intervention' was to 'boost' community capacity to enable the local organisations to create their own solutions to childhood obesity. This research will continue to assess the project 3 years after that 'boost' to determine the long-term sustainability, impact and cost-effectiveness of this approach to prevent childhood obesity.
The Efficacy Of A Peer-to-peer Online Support Group And An Automated Self-help Internet Intervention For Depression
Funder
National Health and Medical Research Council
Funding Amount
$476,855.00
Summary
Depression is the leading cause of disability in Australia. Many people do not receive professional help and prefer self help methods to antidepressants or face to face therapy. A significant number turn to Internet support groups. The Internet also has great potential for offering self-guided automated web-based therapy. This research investigates whether Internet support groups and self-help web therapy are helpful treatments for depression.
The Effectiveness Of A Community Based Program For Reducing The Incidence Of Falls Among The Elderly:A Randomized Trial.
Funder
National Health and Medical Research Council
Funding Amount
$206,604.00
Summary
Falls are the leading cause of hospitalization due to injury in elderly people, and are associated with substantial medical and rehabilitation costs, as well as social isolation and premature institutionalization for a significant number of people who fall. This study aims to reduce the economic and social burden of falls. A randomized controlled trial will evaluate the impact of a community based falls prevention program (C-BF) with an at-risk elderly population. The intervention is designed to ....Falls are the leading cause of hospitalization due to injury in elderly people, and are associated with substantial medical and rehabilitation costs, as well as social isolation and premature institutionalization for a significant number of people who fall. This study aims to reduce the economic and social burden of falls. A randomized controlled trial will evaluate the impact of a community based falls prevention program (C-BF) with an at-risk elderly population. The intervention is designed to improve elderly people's capacity to follow through with effective falls prevention strategies and to manage risks in their everyday lives, and hence to reduce the rate at which they experience falls. The outcome of this project will be a user friendly manual that will document the program in enough detail so that it can be easily implemented by health care professionals.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
Melanoma Diagnosis, And The Effect Of Screening On Depth Of Invasion Of Melanoma.
Funder
National Health and Medical Research Council
Funding Amount
$399,961.00
Summary
AIMS This study will assess how melanoma is diagnosed in Queensland, and if improvements can be made. It will assess if skin screening gives earlier diagnosis of some melanomas, and also if it leads to the diagnosis of some thin melanomas which would not progress if left alone. SIGNIFICANCE Melanoma is the most common invasive cancer in Queensland, with some 1,963 people diagnosed annually with the disease. The outlook for these patients varies dramatically with the depth of invasion of melanoma ....AIMS This study will assess how melanoma is diagnosed in Queensland, and if improvements can be made. It will assess if skin screening gives earlier diagnosis of some melanomas, and also if it leads to the diagnosis of some thin melanomas which would not progress if left alone. SIGNIFICANCE Melanoma is the most common invasive cancer in Queensland, with some 1,963 people diagnosed annually with the disease. The outlook for these patients varies dramatically with the depth of invasion of melanoma. Melanoma diagnosed and treated when very thin has an excellent long-term outcome, whereas the outcome for deeply invasive melanoma is much less favourable. Improvements to diagnosis are currently our best hope of reducing deaths and serious distress from this disease. This will be the largest study in the world of the process of diagnosis of melanoma: information on how melanoma presents, and the time between presentation and diagnosis will be compared between thin and deeply invasive melanoma. Results may indicate areas for improvement in education or health services. The use of screening, either by individuals themselves or by health professionals, has the potential to achieve early diagnosis. However, there is currently no good information on whether screening is actually effective. This study will assess the impact of self-screening and doctor screening on the depth of invasion of melanoma at presentation, and ultimately on the likelihood of dying from melanoma. The study will also assess the potential impact of screening on the over-diagnosis of lesions which while labeled as melanoma, may in fact be biologically non-progressive. This is an important issue of current concern internationally. This study will be one of only two studies in the world currently addressing this issue. This project is directly relevant to the early detection and optimum management of the most common invasive cancer in Queensland, and will have relevance internationally.Read moreRead less
Evaluation Of The Effectiveness Of Mobile Preschool For Child Health And Development In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$456,369.00
Summary
This project is a retrospective study of the effectiveness of the NT Mobile Preschool Program using assessment data for children's emergent literacy, social and emotional competencies and health status. Effectiveness will be established by comparison with achievement and health status data for children not attending preschool and those in communities with no preschool service. The study will identify and describe the key factors influencing the health and learning outcomes of the three groups.
Kidskin: An Intervention To Reduce Sun Exposure In Children
Funder
National Health and Medical Research Council
Funding Amount
$307,775.00
Summary
Melanoma is an important public health problem in Australia. Almost all melanoma is caused by exposure to sunlight, and childhood exposure appears to be particularly important. Thus, if we can reduce childhood exposure, we should ultimately be able to reduce the incidence of melanoma. Despite nation-wide campaigns such as SunSmart, children in Australia still get too much sun exposure. The school offers an ideal opportunity for implementing sun-safety campaigns in children. In 1995, we began the ....Melanoma is an important public health problem in Australia. Almost all melanoma is caused by exposure to sunlight, and childhood exposure appears to be particularly important. Thus, if we can reduce childhood exposure, we should ultimately be able to reduce the incidence of melanoma. Despite nation-wide campaigns such as SunSmart, children in Australia still get too much sun exposure. The school offers an ideal opportunity for implementing sun-safety campaigns in children. In 1995, we began the Kidskin study, which aims to develop, implement and test a school-based program to reduce sun exposure. Preliminary data from the study show that we successfully reduced exposure. However, we are not certain that we have reduced their risk of melanoma. To see if we have reduced the risk of melanoma, we are counting the children's moles. Moles are strongly related to melanoma, and are our best way of measuring actual risk of melanoma. If we are successful, it will be the first time anyone has shown that reducing exposure to sunlight during childhood will lead to a reduction in the incidence of melanoma in later life.Read moreRead less