Improving Population Health By A Multidisciplinary, Multi-method Focus Kindey Disease Of The Young, The Old And Of Indigen
Funder
National Health and Medical Research Council
Funding Amount
$2,625,261.00
Summary
Drawing together a multidisciplinary team of experts in their field (epidemiology, biostatistics, health services research, health economics, clinical medicine, and qualitative research) this grant will develop 8-10 promising young population researchers by a targeted program of research and training. Using data from multiple well funded, large scale studies the team investigators will engage in two types of research; methods research and applied research. The methods research will include socio ....Drawing together a multidisciplinary team of experts in their field (epidemiology, biostatistics, health services research, health economics, clinical medicine, and qualitative research) this grant will develop 8-10 promising young population researchers by a targeted program of research and training. Using data from multiple well funded, large scale studies the team investigators will engage in two types of research; methods research and applied research. The methods research will include socioeconomic determinants of disease, systematic reviews of tests and interventions, community and patient preference elicitation, cost effectiveness modeling, and monitoring to support intervention decisions in population health. The applied research will include quantifying the effect of kidney disease on non-kidney outcomes, modeling the effect of better kidney care on population health, and preventing kidney disease in the young, old and in Aboriginal and Torres Strait Islander people. Kidney disease has been chosen because it is the interest of many of the lead applicant team, because there are excellent existing population-based databases and because it is an example of chronic disease which has a much bigger impact than on just kidney-related health outcomes alone. The training program is structured and covers initial evaluation of the goals, skills and aspirations of the team investigators, development of personal training programs, modular coursework learning from units provided by the School of Public Health at the University of Sydney, mentoring, co-mentoring, rotational placement, skills and methods support, evaluation and limited direct research funding.Read moreRead less
Examining A Core Assumption Of Policy And Services For Older Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$133,387.00
Summary
In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous po ....In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous population aged over 70. The evidence for this assumption is not established. It is well documented that the Indigenous population has worse health outcomes across all age groups relative to non-Indigenous Australians. However, our understanding of the details of the observed pattern is far from complete. This project seeks to compare the health status of the Indigenous population aged 50 years or over to the health status of the non-Indigenous population aged 70 years or over. The project will analyse a number of data sets to inform future directions in policy and service provision. A better understanding of these issues is fundamental to informed planning and allocation of resources, to identification of areas amenable to prevention strategies and to the development of approaches to care that meet the needs of Indigenous people.Read moreRead less
This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and pol ....This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and political barriers to its use ('policy analysis'); Developing appropriate, valid and reliable utility measures that are culturally appropriate for Indigenous populations, children and carers ('utility measures'); Developing methods and tools for measuring non-health sector costs and benefits from a social perspective ('cost benefit'); Refining methods for adjusting cost-effectiveness results to reflect other values such as equity, applicability and feasibility ('second filter'); Exploring the usefulness and appropriateness of different modeling approaches used in economic evaluation ('modeling'); and Developing techniques to measure gains in overall health system efficiency from the adoption of cost-effective interventions ('efficiency'). The proposed outcomes are: An increased number of independent researchers with expertise in economic evaluation-priority setting who develop their own research programs; Establish a critical mass of researchers who can improve the standard and acceptance of economic evaluation and priority setting methods in health, including priority setting for Indigenous Australians and other groups with special needs; Value-adding to existing priority setting and economic evaluation projects by validating methods and developing new approaches; Effective linkages between researchers and policy makers, advocates and other stakeholders to increase appreciation of the use of economic evaluation and priority setting in health policy and clinical practice; and Research transfer through workshops, presentations and peer-reviewed publications.Read moreRead less
Re-Focussing Qualitative Research. This project involves an in-depth investigation into the use of Focus Group Discussions (FGDs) in Aboriginal health services research. FGDs are a common way of gathering qualitative data in Aboriginal health services research, however, there have been no studies as to whether they are appropriate research tools in such contexts. The aim of this project is to generate the knowledge to inform the accountable, culturally appropriate, ethically sound and methodolog ....Re-Focussing Qualitative Research. This project involves an in-depth investigation into the use of Focus Group Discussions (FGDs) in Aboriginal health services research. FGDs are a common way of gathering qualitative data in Aboriginal health services research, however, there have been no studies as to whether they are appropriate research tools in such contexts. The aim of this project is to generate the knowledge to inform the accountable, culturally appropriate, ethically sound and methodologically rigorous use of FGDs in qualitative Aboriginal health service research.Read moreRead less
Discovery Indigenous Researchers Development - Grant ID: DI0240329
Funder
Australian Research Council
Funding Amount
$62,310.00
Summary
Living in Harmony: A case study on Aboriginal Mental Health Promotion to develop an understanding of the capacity of Indigenous Australians. Mental health problems in Australian Indigenous peoples are a major public health issue: the are frequent, disabling and represent a significant health burden. Indigenous Australian peoples and communities share a number of common historical and socio-economic experiences, and also differ one from another in terms of culture, language and tradition. However ....Living in Harmony: A case study on Aboriginal Mental Health Promotion to develop an understanding of the capacity of Indigenous Australians. Mental health problems in Australian Indigenous peoples are a major public health issue: the are frequent, disabling and represent a significant health burden. Indigenous Australian peoples and communities share a number of common historical and socio-economic experiences, and also differ one from another in terms of culture, language and tradition. However, the core concepts of mental health may have sufficiently similar characteristic and process across the communities. This ethnographic case study approach will provide i) a process for culturally mapping how Nyikina-Mangala people conceptualise 'mental health' and ii) develop culturally appropriate mental health promotion and prevention programs for indigenous communities.Read moreRead less
Culture, context and Risk: socio-cultural influences on the sexual health of Indigenous young people. The health of Indigenous young people is a national priority, and it is clear in the area of sexual health that they suffer disproportionately when compared to the non-Indigenous population. Existing interventions are not acheiving the desired changes in sexual health. This project explores sexuality from the perspective of Indigenous youth in order to develop interventions that are appropriate ....Culture, context and Risk: socio-cultural influences on the sexual health of Indigenous young people. The health of Indigenous young people is a national priority, and it is clear in the area of sexual health that they suffer disproportionately when compared to the non-Indigenous population. Existing interventions are not acheiving the desired changes in sexual health. This project explores sexuality from the perspective of Indigenous youth in order to develop interventions that are appropriate and sustainable. Read moreRead less
A mortality profile of Victoria's Aboriginal (and non-Aboriginal) children 1998-2008 using an innovative method and research process. The development of a population mortality profile of Victoria's children that includes accurate Indigenous identification will provide robust information to assess the effectiveness of programs interventions and policies aimed at reducing preventable deaths in children. This research will contribute to state, national and international imperative to improve the co ....A mortality profile of Victoria's Aboriginal (and non-Aboriginal) children 1998-2008 using an innovative method and research process. The development of a population mortality profile of Victoria's children that includes accurate Indigenous identification will provide robust information to assess the effectiveness of programs interventions and policies aimed at reducing preventable deaths in children. This research will contribute to state, national and international imperative to improve the collection of Aboriginal death information in order to allow meaningful comparisons between Australian jurisdictions and Aboriginal people globally. The consistent imput of the Aboriginal community and relevant experts in all phases of the project will enable and strengthen links with those who can influence government and policy makers to effect change.Read moreRead less
The prevalence and impact of intellectual disability among Indigenous Australians in Western Australia. There is limited information on the extent and impact of intellectual disability among Indigenous Australians. The proposed project will develop a credible baseline picture of intellectual disability among Indigenous Australians in Western Australia by investigating the true prevalence, clinical and sociodemographic correlates, and morbidity and mortality patterns. It builds on a successful co ....The prevalence and impact of intellectual disability among Indigenous Australians in Western Australia. There is limited information on the extent and impact of intellectual disability among Indigenous Australians. The proposed project will develop a credible baseline picture of intellectual disability among Indigenous Australians in Western Australia by investigating the true prevalence, clinical and sociodemographic correlates, and morbidity and mortality patterns. It builds on a successful collaborative relationship between Disability Services Commission of WA and academia; and is unique in integrating information from multiple data sources. The findings will have direct health and social benefits by providing information on which to base appropriate health strategies and care networks to service particular needs.Read moreRead less
A Population-based Survey Of Recent Mothers In South Australia And Victoria
Funder
National Health and Medical Research Council
Funding Amount
$1,098,661.00
Summary
This study involves a postal survey of women giving birth in SA and Victoria in 2007. The survey will be mailed to around 7,000 women by hospitals and home birth practitioners in early 2008, five months after women have given birth. All Indigenous women who give birth in SA and Victoria during 2008, approx. 900 women, will be invited to participate in the survey by completing the survey by mail or by interview. The study will investigate the childbirth and early postnatal experiences, physical a ....This study involves a postal survey of women giving birth in SA and Victoria in 2007. The survey will be mailed to around 7,000 women by hospitals and home birth practitioners in early 2008, five months after women have given birth. All Indigenous women who give birth in SA and Victoria during 2008, approx. 900 women, will be invited to participate in the survey by completing the survey by mail or by interview. The study will investigate the childbirth and early postnatal experiences, physical and emotional health of representative samples of women giving birth in each state. Women living in metropolitan, regional and remote areas, and women having first and subsequent births will be included. A major aim of the study will be to monitor the impact of maternity services strategies implemented in each State, and determine whether the expansion of midwife care and other models providing continuity of care have resulted in improvements in women's overall experiences of maternity care. The study will also investigate women's experiences of psychosocial inquiry and support, explore women's views of universal postnatal home visiting programs and monitor the impact of the continuing trend towards shorter length of postnatal hospital stay on women's health after childbirth, breastfeeding and infant readmission. The impact of organisational and policy changes in maternity care has not been subject to careful or rigorous evaluation. The conduct of population-based surveys of recent mothers in Victoria provides a unique and important source of information for monitoring the impact of policy changes on maternal health and well-being, and women's experiences of maternity care. Repeating the survey, extending the survey to include women giving birth in SA and a representative sample of Indigenous women will provide valuable evidence regarding the responsiveness of maternity services and the extent to which policy changes have led to improvements in maternity care.Read moreRead less
Discovery Indigenous Researchers Development - Grant ID: DI0989521
Funder
Australian Research Council
Funding Amount
$150,000.00
Summary
A Qualitative Study of Barriers to Effective Infectious and Parasitic Disease Interventions in Aboriginal Communities. This project is significant and innovative as it will enhance current understandings of the experience Indigenous communities have with infectious diseases. To date there have been no significant qualitative studies that examine the perceptions Indigenous communities have about infectious disease treatment interventions that draw on their current knowledge, experiences and on he ....A Qualitative Study of Barriers to Effective Infectious and Parasitic Disease Interventions in Aboriginal Communities. This project is significant and innovative as it will enhance current understandings of the experience Indigenous communities have with infectious diseases. To date there have been no significant qualitative studies that examine the perceptions Indigenous communities have about infectious disease treatment interventions that draw on their current knowledge, experiences and on health, functionality and well-being. This study will develop a model that Indigenous communities, clinicians, policy makers and researchers can use to guide the implementation of sustainable infectious disease interventions. The outcomes of this project will help guide, inform and improve future infectious disease intervention strategies and programs.Read moreRead less