Self-help And Guided Self-help For Bulimia Nervosa In Primary Care: A Randomised Control Trial.
Funder
National Health and Medical Research Council
Funding Amount
$206,113.00
Summary
Bulimia nervosa (BN) is a major health problem in Australian women with an estimated prevalence of 1.5%. It is frequently invisible, however as women with BN are often self-blaming, ashamed and reluctant to seek specialist help. Therapist led cognitive behavioural therapy (CBT) for BN, while effective, is expensive and frequently difficult to access. This research aims to evaluate the effectiveness of two accessible and promising treatments: CBT self-help alone and guided CBT self-help treatment ....Bulimia nervosa (BN) is a major health problem in Australian women with an estimated prevalence of 1.5%. It is frequently invisible, however as women with BN are often self-blaming, ashamed and reluctant to seek specialist help. Therapist led cognitive behavioural therapy (CBT) for BN, while effective, is expensive and frequently difficult to access. This research aims to evaluate the effectiveness of two accessible and promising treatments: CBT self-help alone and guided CBT self-help treatment conducted in primary care in which the patient receives regular guidance from a general practitioner (GP). Women with BN from the community will be randomly assigned to one of 3 conditions: self-help alone, guided self-help or delayed treatment control and symptoms assessed before and after treatment. Patient characteristics associated with improvement will be examined. We anticipate patients in guided self-help will show greatest improvement, then those in the self-help alone treatment. This information will be extremely valuable in both Australia and internationally for a number of reasons. It is ethically inappropriate to recommend any treatment before it has been shown to be effective and a careful design such as the one proposed is the best way to determine treatment effectiveness. In addition, a treatment delivered in primary care is likely to be one of the most accessible within Australia?s health care system in which specialist services tend to be centralised. Further, it is essential to know which patients are likely to benefit from less resource intensive interventions. Finally, if GPs have at their disposal an effective, evidence based treatment for BN, they would be in an ideal position for secondary prevention. They are likely under these circumstances to be more alert to the symptoms of eating disorders and confident in their ability to manage them. If successful, this research will result in more widespread treatment of this disturbing disorder.Read moreRead less
Enhanced Treatment For Social Phobia Through The Incorporation Of Attentional Re-training.
Funder
National Health and Medical Research Council
Funding Amount
$465,162.00
Summary
Social phobia is a serious difficulty that can cause tremendous interference in an individual's life. Social phobia can interfere with an individual's social and romantic life, work and study aspirations, and even increase medical and other psychological problems. Psychological programs to help individuals manage their anxiety have been developed and shown to lead to relatively strong positive outcomes. Recent theoretical understanding has suggested that one maintaining factor in social phobia m ....Social phobia is a serious difficulty that can cause tremendous interference in an individual's life. Social phobia can interfere with an individual's social and romantic life, work and study aspirations, and even increase medical and other psychological problems. Psychological programs to help individuals manage their anxiety have been developed and shown to lead to relatively strong positive outcomes. Recent theoretical understanding has suggested that one maintaining factor in social phobia may be these people's tendency to focus onto negative information. In some exciting developments, several researchers have shown that simply training people with social phobia to focus their attention away from negative information, with no other treatment components, can produce a marked change in their fears. Therefore it makes sense that incorporating these methods into current standard treatment packages, may increase their effectiveness. The current study aims to compare the current best practice treatment package for social phobia with a combination of this package plus the recent attention re-training methods. It is expected that incorporating attention re-training into standard treatment with significantly improve its effects.Read moreRead less
Self-help For Depressive Symptoms: Finding Messages Suitable For Population-wide Promotion
Funder
National Health and Medical Research Council
Funding Amount
$161,807.00
Summary
Members of the community often use self-help methods to reduce symptoms of depression. In some cases, these may be effective, but in others they may do more harm than good (e.g. self-medication with nicotine or alcohol). The project aims to find out which self-help methods are most likely to be helpful and are easy for the community to use. These methods can then be promoted in educational campaigns to improve how people cope with symptoms of depression. If people can take action to reduce milde ....Members of the community often use self-help methods to reduce symptoms of depression. In some cases, these may be effective, but in others they may do more harm than good (e.g. self-medication with nicotine or alcohol). The project aims to find out which self-help methods are most likely to be helpful and are easy for the community to use. These methods can then be promoted in educational campaigns to improve how people cope with symptoms of depression. If people can take action to reduce milder levels of depression, this may prevent them from progressing to develop a clinical disorder that needs professional treatment.Read moreRead less
Mental Health Literacy And Action To Deal With Mental Heath Problems: A Longitudinal Study Of Young Australians
Funder
National Health and Medical Research Council
Funding Amount
$161,745.00
Summary
Many young people with mental health problems do not get adequate professional help because they lack relevant knowledge. This study will find out what type of knowledge is important for improving appropriate help-seeking by young Australians. Young people who were surveyed two years earlier to assess their mental health knowledge will be followed up to see whether they developed a mental health problem and what action they took to deal with it.
The Use Of Electronic Portal Imaging Devices For The Dosimetric Verification Of Complex Radiotherapy Treatments
Funder
National Health and Medical Research Council
Funding Amount
$260,949.00
Summary
The prognosis for someone diagnosed with cancer is much better than commonly believed. If detected early, malignant tumours are generally well localised. During these early stages of tumour growth high doses of radiation therapy can with a high probability, eradicate a cancer but come with the cost of causing unacceptable damage to normal tissue. A specific goal of improving the technology of radiation therapy is to reduce the probability of damage to normal tissue. Achieving this goal may allow ....The prognosis for someone diagnosed with cancer is much better than commonly believed. If detected early, malignant tumours are generally well localised. During these early stages of tumour growth high doses of radiation therapy can with a high probability, eradicate a cancer but come with the cost of causing unacceptable damage to normal tissue. A specific goal of improving the technology of radiation therapy is to reduce the probability of damage to normal tissue. Achieving this goal may allow delivery of higher doses with an associated increase in the chance of controlling the tumour. One of the challenges in radiation therapy is that tumours do not come in shapes that are easy to treat. Tumours extend into cavities and push aside healthy organs growing into complex 3D shapes. The careful shaping of the radiation beams to deliver dose distributions that match the 3D shape of the target is known as 3D conformal radiotherapy (3DCRT). Intensity Modulated Radiotherapy (IMRT) is an advanced form of 3DCRT that allows the delivered dose to be closely tailored to the shape of complex tumour volumes while sparing neighbouring healthy tissues. One of the consequences of increasing the conformality of radiation therapy is an increased sensitivity to errors in the preparation and execution of the treatment. If the maximum gain in the treatment outcome using 3DCRT and IMRT techniques is to be achieved then it is crucial that the correct volume is treated to the correct dose on each day of the treatment. This requires new improved methods and techniques for verifying the daily delivery of the treatment. In this project we aim to develop the use of online digital imaging devices for measuring the delivered dose during treatment. This will increase the confidence with which these new conformal radiotherapy techniques can be delivered allowing their true potential for improving patient treatment outcomes to be realised.Read moreRead less
A Comprehensive Self-Management Programme For Chronic Obstructive Pulmonary Disease In The Community
Funder
National Health and Medical Research Council
Funding Amount
$391,610.00
Summary
Chronic obstructive pulmonary disease (COPD) is the third leading cause of burden of disease in Australia. It has a major impact on sufferers, their carers and society. This study introduces a new model of community care, based on case management, mentoring to improve self-efficacy and information systems to deliver information and closely monitor disease status. This will improve the quality of life of sufferers, develop healthcare networks and decrease healthcare utilisation.