New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social p ....New directions in health inequalities research: understanding the intersection between housing, employment and health in Australia. People employed on a casual basis in Australia are nearly three times more likely to live in a household that is in housing affordability stress than their permanently employed counterparts. Employment and housing are both determinants of health. While social inclusion, employment and housing affordability are critical components of the government's current social policy agenda, articulation between these policy domains is limited and little researched. This important study will provide robust evidence on the ways that housing and employment interact to both cause and prevent health inequities. This will directly benefit agencies delivering services to vulnerable people and contribute to an evidence base of benefit to policy makers.Read moreRead less
A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic ev ....A new quality of life instrument with older people for economic evaluation. This project aims to develop and validate a new preference-based quality-of-life instrument with applications in aged-care. The new instrument will be developed with older people receiving aged care services, and will focus upon incorporating their values into the measurement and valuation of quality of life for economic evaluation. The new instrument will have immediate applications in quality assessment and economic evaluation, improving the quality of life and wellbeing of older Australians, and will assist in determining the relative cost effectiveness of new and existing services.
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Social practices of oral health in Australian preschool children. The aim of the study is to explore "social practices" of oral health in Australian (Aboriginal and non-Aboriginal) preschool children. We use this emerging theory to move away from focusing on individuals and individual behaviour (and blame) to identify and map social practices: actions, materials and meanings families attribute to
child’s oral health. Expected project outcomes include identifying practices promoting or underminin ....Social practices of oral health in Australian preschool children. The aim of the study is to explore "social practices" of oral health in Australian (Aboriginal and non-Aboriginal) preschool children. We use this emerging theory to move away from focusing on individuals and individual behaviour (and blame) to identify and map social practices: actions, materials and meanings families attribute to
child’s oral health. Expected project outcomes include identifying practices promoting or undermining children’s oral health that can inform upstream and downstream policy directions and practices to improve health outcomes. This offers a new approach to "wicked" problems such as oral health where extensive
effort has not reduced morbidity and cost despite rhetoric that oral health is preventable.Read moreRead less
The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the co ....The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the country. The project aims to inform consumers, health practitioners, health service planners and policy-makers about the impact of FIFO, as well as to contribute to the development of strategies designed to stabilise the remote health workforce.Read moreRead less
Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the po ....Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the potential positive effect of community control. Expected outcomes include rigorous evidence about the 'fly in/fly out' workforce and the impact of community control which can inform new policy that will stabilise the remote health workforce, save money and contribute to 'closing the gap' in health outcomes.Read moreRead less
Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self- ....Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self-efficacy and impact on positive PA behaviours. Long-term, behavioural change and job-related outcomes will be evaluated by following participants for 12 months after the interventions.Read moreRead less
Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health ....Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health of adults with ID that has been undertaken internationally to date. The population will cover the age span of late adolescence (16 years) through the transition to adult life then through to the elderly. The research will establish the prevalence and nature of mental illness and potential risk factors in a large representative population of adults with ID.Read moreRead less
Time scarcity in Australian families: another inequity? The globalising economy, financial uncertainties and major democratic changes are all affecting family time. Parent's time is a resource on which children depend, but time scarcity has become a widespread problem for families. Our study helps focus policy attention on this problem. We deliver new methods to assess the experience of time scarcity in families, identifying those who are most likely to experience it, where they live, and how ti ....Time scarcity in Australian families: another inequity? The globalising economy, financial uncertainties and major democratic changes are all affecting family time. Parent's time is a resource on which children depend, but time scarcity has become a widespread problem for families. Our study helps focus policy attention on this problem. We deliver new methods to assess the experience of time scarcity in families, identifying those who are most likely to experience it, where they live, and how time scarcity affects them. This evidence can help support policy approaches to time, benefiting the twin economic and social policy goals of encouraging workforce participation while supporting the health and wellbeing of families.Read moreRead less
Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide ....Driving performance and self-regulation practices in drivers with dementia . Despite the high prevalence of dementia in older drivers, a substantial gap remains in the evidence regarding the natural progression of the disease and its impact on fitness to drive. This project will use a combination of real-time, in-vehicle driver monitoring devices and a state-of-the-art driving simulator. Together, these will objectively measure natural driving patterns and self-regulation practices, and provide a comprehensive assessment of driving performance for drivers with mild dementia and a comparison group without dementia. The project will create a partnership between leading researchers, clinicians and policy makers in order to provide an answer to a complex problem.Read moreRead less
Strengthening community responses to hepatitis B. Australians who have been born overseas often have high rates of chronic hepatitis B. In this project people with hepatitis B and people who provide them with health and social services will be interviewed to understand individual responses to the infection, and to identify barriers to effective health care delivery.