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Research Topic : Community interventions
Scheme : NHMRC Strategic Awards
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  • Funded Activity

    The Pacific OPIC Study - A Four Country Study Of Obesity Prevention In Communities

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,600,580.00
    Summary
    Obesity is a rapidly escalating, worldwide epidemic. Many countries recognise the need to prevent obesity but there is insufficient evidence about what interventions work. The Pacific Obesity Prevention in Communities (OPIC) Project will provide data on the effectiveness of a range of interventions to prevent obesity among young people in Fiji, Tonga, New Zealand and Australia. Prevention research is particularly required in countries such as Fiji and Tonga because their prevalence of obesity is .... Obesity is a rapidly escalating, worldwide epidemic. Many countries recognise the need to prevent obesity but there is insufficient evidence about what interventions work. The Pacific Obesity Prevention in Communities (OPIC) Project will provide data on the effectiveness of a range of interventions to prevent obesity among young people in Fiji, Tonga, New Zealand and Australia. Prevention research is particularly required in countries such as Fiji and Tonga because their prevalence of obesity is extremely high. The interventions used in this project will be culturally appropriate and include at least 1000 young people in each intervention group. The outcomes of this project will be applicable to both low- and high-income countries. This project will lead to a greater understanding of the socio-cultural, policy, and economic contexts and provide crucial evidence for public health action to prevent obesity.
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    Funded Activity

    Participatory Action Research To Improve Diabetes Self-management For Aboriginal Families

    Funder
    National Health and Medical Research Council
    Funding Amount
    $46,550.00
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    Funded Activity

    An Efficacy Study Of A Cognitive-communicative Intervention To Improve Transition To Residential Care In Dementia

    Funder
    National Health and Medical Research Council
    Funding Amount
    $681,083.00
    Summary
    The transition from home to a residential aged care facility (RACF) is a potentially traumatic process that has a negative impact on the health and well-being of both people with dementia and their caregivers. This project will develop an intervention program for people with dementia that maximizes their ability to learn and retain functional skills and that enhances the communicative competence of both people with dementia and their carergivers. This will serve to minimize the stress and disori .... The transition from home to a residential aged care facility (RACF) is a potentially traumatic process that has a negative impact on the health and well-being of both people with dementia and their caregivers. This project will develop an intervention program for people with dementia that maximizes their ability to learn and retain functional skills and that enhances the communicative competence of both people with dementia and their carergivers. This will serve to minimize the stress and disorientation, as well as accompanying increased risk of illness, of entering residential care. We will investigate whether this intervention program has good outcomes both for the people with dementia as well as their caregivers. The research will develop guidelines for the development of best-practice policies for service providers and the government, which will assist both health workers and homebased caregivers to better manage the transition of people with dementia from home to the RACF environment.
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    Funded Activity

    Strenthening The Contribution Of Australian General Practice To The Control Of Pandemic Influenza

    Funder
    National Health and Medical Research Council
    Funding Amount
    $110,257.00
    Summary
    Most primary and preventive care in Australia occurs in general practice. Australian general practice will therefore have a critical role to play in control efforts during an influenza pandemic, and also in sustaining other primary health care activities. After an initial surge in attendances, there may be a decline in attendance, as Australians become more reluctant to congregate in a place where they may become ill. This study seeks to complement the Australian Pandemic Influenza Management Pl .... Most primary and preventive care in Australia occurs in general practice. Australian general practice will therefore have a critical role to play in control efforts during an influenza pandemic, and also in sustaining other primary health care activities. After an initial surge in attendances, there may be a decline in attendance, as Australians become more reluctant to congregate in a place where they may become ill. This study seeks to complement the Australian Pandemic Influenza Management Plan by developing a range of action plans for use by general practitioners and public health authorities to support essential primary health care functions through a pandemic, and maximize general practice's contribution to control efforts. A range of methods will be used, including systematic review of existing literature, economic modeling of the Medicare costs and savings of different models of health care, interviews with key informants who have helped develop disaster response plans for general practice, or who are in positions of leadership. The project will culminate in the development of a simulation exercise to be used as a self-assessment tool for general practitioners, and a summit of general practice stakeholders who will help to finalise agreed action plans for the general practice response to pandemic influenza.
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    Funded Activity

    Remote Indigenous Oral Health Testing A Commmunity Based Model Of Oral Health Promotion

    Funder
    National Health and Medical Research Council
    Funding Amount
    $77,152.00
    Summary
    Development and trial of an oral health promotion package for remote Aboriginal groups based on community consultations. This would include the development of visual health promotion packages in local language. The aim is to develop sustainable change in oral health behaviours.
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    Funded Activity

    The Impact On Diabetes Risk Factors Of Pre & Post Traditional Lean Meat And Exercixe Interventions

    Funder
    National Health and Medical Research Council
    Funding Amount
    $44,040.00
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    Funded Activity

    Epidemiology And Community Consequences Of Asbestos Exposure In WA

    Funder
    National Health and Medical Research Council
    Funding Amount
    $879,876.00
    Summary
    We aim to explore the impact of asbestos exposure on the health of individuals using the Wittenoom workers and residents cohort studies and the Australian community with the formation of a new community based cohort study. Using data from the Wittenoom workers and residents studies, we will examine the impact of asbestos exposure on women�s health which has not been looked at before. We will examine if asbestos exposure affects psychosocial health and determine if long term supplementation with .... We aim to explore the impact of asbestos exposure on the health of individuals using the Wittenoom workers and residents cohort studies and the Australian community with the formation of a new community based cohort study. Using data from the Wittenoom workers and residents studies, we will examine the impact of asbestos exposure on women�s health which has not been looked at before. We will examine if asbestos exposure affects psychosocial health and determine if long term supplementation with Vitamin A for cancer prevention results in an increased risk of bone fractures. We will also examine the genetic susceptibility of asbestos related diseases in these cohorts, and create and validate an algorithm to derive measures of fibre counts from occupational histories. Earlier projections of mesothelioma in the general community have been based on extrapolations from disease incidence in the past. We intend collecting data on a new community based cohort, to examine the distribution of asbestos in the community in order to predict future cases of asbestos related disease and the perception, beliefs and knowledge that exists in the community of its potential health effects. With this new knowledge we will devise an intervention program with the aim of preventing future cases of asbestos related disease. As part of this process we will use a multimedia website as an information hub. This will allow us to experiment with the use of creative media to present personal and community experiences of living with asbestos and present scientific research and public health messages.
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    Funded Activity

    The Impact Of Hospital-based Aged Care And Dementia Services On Outcomes For People With Dementia Admitted To Hospital-a

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,308,580.00
    Summary
    This research explores how hospital based aged care and dementia services influence outcomes for people with dementia who are admitted to hospital. Using detailed data for NSW public hospitals, it will provide information about the kinds of hospital based aged care and dementia services available to assist people with dementia, and how the level and mix of these services is associated with different patient outcomes, including lower rates of admission to hospital. There is considerable evidence .... This research explores how hospital based aged care and dementia services influence outcomes for people with dementia who are admitted to hospital. Using detailed data for NSW public hospitals, it will provide information about the kinds of hospital based aged care and dementia services available to assist people with dementia, and how the level and mix of these services is associated with different patient outcomes, including lower rates of admission to hospital. There is considerable evidence that there are many hazards for people with dementia when they are hospitalized. The project will result in recommendations about the types of services and their features which produce better outcomes for people with dementia. Every stage of the research will be guided and informed by an Expert Panel comprising representatives of dementia service consumers, aged care providers, health service planning staff and key researchers. The Panel will provide contextual information about the service environment and how it affects people with dementia. Details of the patient's complete hospital stay can be investigated by linking existing administrative datasets. Data about hospital services will be gathered through a census of NSW hospitals, supplemented with in-depth interviews with key stakeholders and small group expert discussions with experts in each Area Health Service. The research team will also visit selected hospital sites. Multilevel modelling techniques will test for statistical associations between hospital based dementia services and care outcomes including admission rates to hospital, total length of hospital stay, mortality, admission rates to hospital, and the level of patient dependency on entry to residential aged care. The model will include the influence of regional variations in the provision of community aged care packages and residential aged care and the availability of informal care. The project will include a focus on the outcomes for people with co-morbidities and for people from different culturally and linguistically diverse backgrounds.
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    Funded Activity

    Pandemic Influenza: Developing A Model To Enhance Preperadness In The Buisness Sector

    Funder
    National Health and Medical Research Council
    Funding Amount
    $146,934.00
    Summary
    Businesses need to undertake pandemic influenza preparedness to protect their staff, suppliers, customers, business and the wider community. The prospect of pandemic influenza has major implications for business continuity and while the instinctive reaction may be that business is able to look after itself, small and medium sized businesses are key to Australia's economic wellbeing and thereby our physical and mental health. We also consider that without appropriate planning, and because of the .... Businesses need to undertake pandemic influenza preparedness to protect their staff, suppliers, customers, business and the wider community. The prospect of pandemic influenza has major implications for business continuity and while the instinctive reaction may be that business is able to look after itself, small and medium sized businesses are key to Australia's economic wellbeing and thereby our physical and mental health. We also consider that without appropriate planning, and because of the economic imperatives, businesses may become a key point for spreading of influenza. Small and medium sized businesses account for more than half the total private sector work-force in Australia. Experience from SARS has demonstrated that health staff spend an inordinate amount of time fielding queries from the business sector faced with an epidemic. By obtaining key information in advance, resources can be readied should a pandemic occur, and the most useful and relevant advice can be developed. The aim of this project is to establish an evidence-based approach to business preparedness for pandemic influenza. We will identify key areas of vulnerability in small and medium-sized businesses which can be targeted to enhance preparedness for pandemic influenza, and thus contribute to control of the spread of pandemic influenza in the community. Focus groups and face-to-face interviews with 200 small or medium businesses owners or managers from a range of sectors will be used to identify the critical issues for consideration pandemic preparedness planning. We will ascertain the range of current knowledge attitudes and beliefs to pandemic influenza, the extent of business continuity planning for pandemic influenza, perceived requirements to support small business to develop pandemic plans, and the most effective approaches to strategic communication and knowledge transfer. Our underlying hypothesis is based on the fact that small and medium sized businesses are inadequately informed and prepared for a pandemic, and that planning to protect staff and critical points in the business can protect both business functioning, and individual and community health. The major outcomes of this project include a self-administered intervention kit that will permit businesses to undertake their own preparedness planning.
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    Funded Activity

    Development Of A Collaborative Intervention Model To Improve Diabetes Outcomes In A Rural Aboriginal Community

    Funder
    National Health and Medical Research Council
    Funding Amount
    $50,000.00
    More information

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