Sociocultural Determinants Of Childrens Oral Health From Refugee And Migrant Communities
Funder
National Health and Medical Research Council
Funding Amount
$57,342.00
Summary
Refugee and migrant children experience significantly poorer oral health than the non-migrant population. Factors that impact on poor oral health include perceptions of tap water safety, dietary changes, access to prevention and treatment health services, and language barriers. This study will explore reasons for these factors and potential solutions. Communities involved are those which have arrived the most recently and those with large numbers of young children.
Leveraging Big Data To Assess Medicines Safety In Australia
Funder
National Health and Medical Research Council
Funding Amount
$91,538.00
Summary
The aim of this project is to leverage routinely collected, linked population-level data to generate high calibre evidence on the safety and effectiveness of commonly used prescription medicines in Australia. The results of this work will promote quality use of medicines, reduce medicine-related harms, and directly support medicines policy and decision-making in Australia.
A Roadmap For Aboriginal And Torres Strait Islander Adolescent Health: Defining Priority Health Needs And Actions Through The Empowerment & Capacity Development Of Young People.
Funder
National Health and Medical Research Council
Funding Amount
$2,002,448.00
Summary
A third of the Indigenous population are adolescents, their health central to cultural continuity and health equity. Yet priority health needs and evidence-based responses for Indigenous adolescents remain poorly defined, a barrier to effective policy. The project is significant because it will establish a roadmap to guide actions around Indigenous adolescent health. It will also result in a network of engaged and up-skilled Indigenous young people who can drive implementation.
Determining Critical Points In The Potential Palliative Care Pathway In The Last Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$356,461.00
Summary
People with serious illnesses who are approaching the end of their lives undergo a journey where, along the way, they experience several critical points. Although we know these critical points are crucial to how they might access the best kind of care, we are unsure exactly when these points may occur and how they may vary for different kinds of people. We need to know when is the best time to start withdrawing invasive and purely curative treatments, when are discussions about approaching death ....People with serious illnesses who are approaching the end of their lives undergo a journey where, along the way, they experience several critical points. Although we know these critical points are crucial to how they might access the best kind of care, we are unsure exactly when these points may occur and how they may vary for different kinds of people. We need to know when is the best time to start withdrawing invasive and purely curative treatments, when are discussions about approaching death best introduced and how we can care for people from a diverse range of backgrounds and beliefs within our current health care system. We also need to identify and promote the best possible ways of supporting patients at the end of life and their families as they negotiate the often complex path towards a good death. With this kind of information, health care practitioners, particularly those involved in palliative care, can design better services that put in place pathways where assessment of patient and family needs, referral to the most appropriate services and coordination of all the aspects of care are easy to understand and access for all people. This kind of care can be expensive so we need to use the money allocated to palliative care wisely. This can be achieved with thoughtful research that identifies those most in need, at the time of most need and investigates the best approaches to alleviating pain in suffering in the weeks and months before death. A fair and equitable health care system is not just about keeping people healthy, but also about dealing humanely with the inevitability of deathRead moreRead less
Development And Implementation Of An Educational Program To Guide Palliative Care For People With Motor Neurone Disease
Funder
National Health and Medical Research Council
Funding Amount
$258,525.00
Summary
The project aims to improve the quality of care for people with MND and their family carers through the development, testing and implementation of an educational program for health professionals and other service providers focused on the palliative care needs of this population. The project is taking place in three sites: Western Australia, Victoria and South Australia, in collaboration with the MND associations in the three states. The effectiveness of the flexible model of care provided to peo ....The project aims to improve the quality of care for people with MND and their family carers through the development, testing and implementation of an educational program for health professionals and other service providers focused on the palliative care needs of this population. The project is taking place in three sites: Western Australia, Victoria and South Australia, in collaboration with the MND associations in the three states. The effectiveness of the flexible model of care provided to people with MND and their carers as a result of the implementation of the MND Education Program will be assessed and a national implementation plan will be developed.Read moreRead less
Reconceptualising Health Promotion: The Role Of Ethics, Values And Evidence In Obesity Interventions
Funder
National Health and Medical Research Council
Funding Amount
$90,566.00
Summary
Overweight and obesity are public health priorities. Population-level programs, campaigns and regulations are required to prevent and reduce obesity. How should these interventions proceed? What is effective? What is ethical? How can we avoid doing harm? At present, we do not know. By studying current interventions, and working with experts and practitioners in health promotion and ethics, this project will develop a new framework to guide overweight and obesity intervention in the future.
Preventing Mental Health Problems In Children: A Population-based Cluster Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$431,133.00
Summary
14% of Australian children develop mental health problems. As treatment is time and cost intensive, prevention is the ideal model. This can be targeted to ‘at risk’ children, but may stigmatise families and have poor uptake. This project aims to trial whether a population targeted approach embedded in universal prevention performs better than targeted prevention alone, with each approach compared to ‘usual care’. The local and state government partners will ensure sustainability, policy relevanc ....14% of Australian children develop mental health problems. As treatment is time and cost intensive, prevention is the ideal model. This can be targeted to ‘at risk’ children, but may stigmatise families and have poor uptake. This project aims to trial whether a population targeted approach embedded in universal prevention performs better than targeted prevention alone, with each approach compared to ‘usual care’. The local and state government partners will ensure sustainability, policy relevance and uptake if effectiveRead moreRead less
A Study To Describe The Trends And Identify Modifiable Risk Factors Of Stillbirth : Using Population Health Data Sets
Funder
National Health and Medical Research Council
Funding Amount
$324,854.00
Summary
Few obstetric complications are as emotionally devastating for women and their care givers as stillbirth. Many of the underlying causes of stillbirth are unknown, and almost 25% of stillbirths are unexplained. By applying advanced analysis methods onto linked population health data, this study aims to investigate the trends of stillbirth. And importantly to determine the risk factors of stillbirth, and of further stillbirths in subsequent pregnancies following a stillbirth.
Health Care In The Round: Building Capacity For Integrated Decision-making For Improving Health Services.
Funder
National Health and Medical Research Council
Funding Amount
$2,156,378.00
Summary
Our title, ‘Healthcare in the round’, reflects two key perspectives on improving health services. First, we wish to ‘close the loop’ between the introduction of an innovation and measuring its uptake and impact. Second, we are seeking to explore how decisions about health services might be ‘rounded out’ if the ethical dimensions, economic implications and community’s views on what is being proposed were routinely considered in deciding what changes to make to existing patterns of care.
VicCPchild- Prospective Cohort Study Of Children With Cerebral Palsy
Funder
National Health and Medical Research Council
Funding Amount
$613,587.00
Summary
Cerebral palsy is the most common cause of physical disability in children affecting 1 in 500 young Australians. While the brain lesion is static, the musculoskeletal problems are progressive and require lifelong management (cost of US$946,000 over life per person). Only large prospective population-based studies give a true indication of the incidence of physical problems, determine the pathway(s) to outcome and determine the best pathways to successful treatment and efficient resource allocati ....Cerebral palsy is the most common cause of physical disability in children affecting 1 in 500 young Australians. While the brain lesion is static, the musculoskeletal problems are progressive and require lifelong management (cost of US$946,000 over life per person). Only large prospective population-based studies give a true indication of the incidence of physical problems, determine the pathway(s) to outcome and determine the best pathways to successful treatment and efficient resource allocation. The broad aim of this project is: This population based cohort study (n - 240) aims to determine the pathway to motor outcome from diagnosis at 18 months to 5 years based on the nature of the brain injury at 24 months (structural MRI of the nature, location and timing of the brain lesion). Secondary Aims: Determine the rate of musculoskeletal deformity (hip displacement, spasticity, muscle contracture). Potential impact of medical co-morbidities (nutrition, epilepsy, respiratory problems) Patterns of participation and HRQOL. Patterns of medical resource use: treatment costs and outcomes. This study will: Allow clinicians to better the likely functional outcomes of children with CP from an earlier age based on the rate and limit of gross motor development and nature and severity of the brain lesion, determine the nature and timing of physical deformities to aid prevention and treatment; provide information on resource use for future planning and organisation of medical and therapy services. This in turn will give more accurate prognostic counseling as well as target areas for early therapy. Our multidisciplinary research group is uniquely placed to conduct this world-first study with access to two entire birth years of children linked to our Victorian Cerebral Palsy Register. Recruitment is conducted at both the Royal Children's Hospital and the Monash Medical centre in order to ensure state wide referral and easy access for families.Read moreRead less