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Research Topic : Injury prevention intervention
Scheme : NHMRC Project Grants
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  • Funded Activity

    Improving Adherence With The Use Of Hip Protectors, In Community, Residential Aged Care And Hospital Settings

    Funder
    National Health and Medical Research Council
    Funding Amount
    $405,250.00
    Summary
    Hip protectors are plastic shields or foam pads worn over the hip in specially adapted underwear. A number of studies in older people have shown that hip protectors are very effective if worn when a fall occurs and these have been available for the last few years in Australia. Unfortunately it has been difficult for older people to wear the hip protectors reliably and because of limited compliance with their use they have not been fully effective. This study will compare provision of a brochure, .... Hip protectors are plastic shields or foam pads worn over the hip in specially adapted underwear. A number of studies in older people have shown that hip protectors are very effective if worn when a fall occurs and these have been available for the last few years in Australia. Unfortunately it has been difficult for older people to wear the hip protectors reliably and because of limited compliance with their use they have not been fully effective. This study will compare provision of a brochure, with supply of the older person's choice of hip protectors , with or without cost, and with or without contact with a nurse who will assist with use of the hip protector. After six months the level of use of the hip protectors will be checked. The new strategies tested in this study may increase compliance with hip protectors to a level where they will be effective if used at home in the community, in residential aged care facilities, and in hospitals.
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    Funded Activity

    Risk Factors For Serious Farm-work Related Injury Among Adult Males

    Funder
    National Health and Medical Research Council
    Funding Amount
    $665,930.00
    Summary
    This study addresses occupational injury among male adult farm workers. The health and safety performance of agricultural industries is among the worst in Australia. A recently published study of work-related fatalities from 1989 to 1992 found that rural industries ranked third, with a fatality rate 3-4 times that for all industries. The rural industries accounted for 80 deaths annually. Best estimates place the cost of farm injury between $0.5 and $1.29 billion per year. This study is designed .... This study addresses occupational injury among male adult farm workers. The health and safety performance of agricultural industries is among the worst in Australia. A recently published study of work-related fatalities from 1989 to 1992 found that rural industries ranked third, with a fatality rate 3-4 times that for all industries. The rural industries accounted for 80 deaths annually. Best estimates place the cost of farm injury between $0.5 and $1.29 billion per year. This study is designed to contribute to farm injury prevention by: (1) identifying factors associated with a higher risk of serious injury among adult farm workers and (2) determining the proportions of the farm workforce who are exposed to various injury risks. The study will recruit 300 seriously injured or killed farm workers from regional Victoria and collect information about themselves, their working life and the property on which they work. This information will be compared with 600 randomly selected farm workers who are not seriously injured to determine which personal, work and environmental factors place farm workers at higher risk of injury. The study will lead to the development of new or more refined prevention strategies and programs. A study of this kind has not been conducted before in Australia and would contribute to a continuing scientific basis for selection of interventions for farm injury and targeting of prevention programs, at a time of increasing momentum in agricultural health and safety.
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    Longitudinal Study Of Modifiable Influences For The Development Of Harmful Young Adult Alcohol Use And Related-problems.

    Funder
    National Health and Medical Research Council
    Funding Amount
    $1,484,496.00
    Summary
    Young adulthood is a time of high vulnerability for alcohol use problems that are the major preventable contributor to death and injury in this age period. This 5-year project will identify modifiable influences in adolescence and young adulthood that contribute to harmful alcohol use. A cohort of almost 3,000 young people initially recruited in Victoria in 2002 (aged 11 to 15) will be followed for two further waves of data collection in 2010-11 (age 19 to 23) and 2012-13 (age 21 to 25).
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    Funded Activity

    SES And Injury In Children: A Cohort Study To Identify And Measure The Effects Of Preventable Mediating Factors

    Funder
    National Health and Medical Research Council
    Funding Amount
    $360,505.00
    Summary
    While changing an individual or group SES is at best a long term and challenging social objective, proximal risk factors for injury can be more readily modified. Once the proximal risk factor differential across SES groups has been adequately delineated, then the possibility arises for targeted public health intervention to redress the SES differential in the incidence of injury. The sophistication of the proposed modeling will result in a good assessment of the best point to target.
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    Funded Activity

    The Relationship Between Fatigue, Sleepiness And Crash Risk While Driving

    Funder
    National Health and Medical Research Council
    Funding Amount
    $444,070.00
    Summary
    Driver fatigue is a major road safety problem that is currently managed by encouraging drivers to take breaks when they feel tired. Unfortunately we dont know whether drivers really are able to detect when they are too tired to drive safely or, if they can make this judgement, whether and what motivates them to stop driving. This research will look at driver awareness of fatigue effects and what indicators and motivators can be used to encourage them to respond to signs of impaired driving.
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    Funded Activity

    Promoting The Mental Health Of Children And Families: Measurement And Intervention Within School Communities

    Funder
    National Health and Medical Research Council
    Funding Amount
    $320,962.00
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    Funded Activity

    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.
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    Funded Activity

    Does Traumatic Brain Injury Lead To Offending Behaviour?

    Funder
    National Health and Medical Research Council
    Funding Amount
    $275,401.00
    Summary
    Rates of reported traumatic brain injury (TBI) in offender and prisoner populations are extremely high (~80%). It has been suggested that TBI may be responsible for half the crimes leading to incarceration. Criminal behaviour is complex and the role of TBI in this conundrum is unclear. Our study will examine this question using data-linkage. Should we find a link between TBI and subsequent offending, this opens up the possibility of developing interventions aimed at preventing this trajectory.
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    Funded Activity

    Falls In Older People: Tailored Strategies For Prevention

    Funder
    National Health and Medical Research Council
    Funding Amount
    $348,793.00
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    Funded Activity

    A Randomised Trial Assessing A Shade Development Intervention In Secondary Schools For Adolescent Skin Cancer Prevention

    Funder
    National Health and Medical Research Council
    Funding Amount
    $709,615.00
    Summary
    Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and .... Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and commonly experience sunburn, an important indicator of increased risk of skin cancer. Psycho-social interventions have shown limited influence on adolescents' sun protective behaviours to date. The current research proposal explores an alternative approach to psycho-social interventions for adolescents. The study will assess the effect of increasing available shade at secondary schools. In a randomised control trial study design, the change in the number of students using certain outdoor areas at intervention schools will be observed 'before' and 'after' the installation of built shade sail structures. Our main hypothesis states that the number of students using these newly shaded areas in intervention schools will increase compared with use of equivalent unshaded areas in control schools. Shade development is increasingly becoming an issue for secondary schools and given both the high cost of providing shade structures and adolescents' resistance to other forms of sun protection it is important to establish that adolescents will use this form of sun protection. This study will determine whether adolescents actively avoid or seek shade and so provide evidence for informing decisions about further investment in shade provision in schools.
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