The identification, prevention and management of chronic disease risk factors and understanding impact on clinical outcomes is fundamental to improving health and well-being. The program of work encapsulated in this application utilises a number of research methods to advance our understanding and provide new directions for cardiovascular disease prevention and management.
Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
Testing A Comprehensive Targeted Intervention To Reduce Student Bullying.
Funder
National Health and Medical Research Council
Funding Amount
$620,000.00
Summary
The serious effects of frequent bullying suffered by targets remains a major public health problem, with limited evidence to help school staff to successfully treat students who frequently bully others. This study is innovative as it involves students at a time of heightened risk of bullying and measures the additional contribution of comprehensive training and support to school staff, such as school psychologists who work with students who bully, to a whole school bullying prevention program.
Pathways, policies and prevention: better outcomes for western Australian children. This project will provide new knowledge to inform and enable future policy and prevention strategies for improving child health and wellbeing. The collaboration between researchers and policy makers across 11 government departments will deliver a new evidence base for understanding child, family and community level factors that increase or reduce vulnerability to poor outcomes through the utilisation of cross-sec ....Pathways, policies and prevention: better outcomes for western Australian children. This project will provide new knowledge to inform and enable future policy and prevention strategies for improving child health and wellbeing. The collaboration between researchers and policy makers across 11 government departments will deliver a new evidence base for understanding child, family and community level factors that increase or reduce vulnerability to poor outcomes through the utilisation of cross-sectoral population data. This collaboration will inform whole of government intervention and prevention strategies to improve outcomes, as well as evaluate and monitor existing initiatives. This project will provide a model for population-based research and policy development both nationally and internationally.Read moreRead less
1+1- A Healthy Start To Life:Targeting The Year Before And The Year After Birth In Aboriginal Children In Remote Areas
Funder
National Health and Medical Research Council
Funding Amount
$587,272.00
Summary
Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential ....Indigenous Australians in remote communities are less healthy and more socially disadvantaged than other Australians. This influences the quality of the intrauterine environment. Babies often suffer malnutrition and recurring infections during infancy which are exacerbated by their less than optimal birth status and contribute to chronic conditions (diabetes, cardiovascular disease, renal failure) in adulthood. Existing health services are costly to Government and do not achieve their potential for promoting health and providing quality care. Evidence suggests redesigned models based on continuity of care, focused, proactive family support and workload reform will improve maternal and infant outcomes. New models need to be developed, costed, implemented and evaluated providing governments with the evidence base to initiate service improvement. Such models will have applicability elsewhere in Australia. Professor Lesley Barclay and her team of researchers from Charles Darwin University will conduct research into developing such a model. The project aims to improve the quality of care for remote dwelling Aboriginal women and infants in the year before, during and the year after birth by providing evidence for, and facilitating changes to, service delivery. This will enhance the potential for the development of resilience and well-being of their children. It will also test if service improvements can improve the health of women and reduce childhood disease and therefore reduce the impact of health conditions occurring in adulthood which have their origins in the early stages of life.Read moreRead less
Using Total Population Data To Describe The Characteristics Of Respiratory Infections In Order To Predict Future Epidemics And Recommend Vaccination Strategies For Western Australian Children
Funder
National Health and Medical Research Council
Funding Amount
$294,892.00
Summary
Respiratory infections are a major reason for children to go to hospital. I am an epidemiologist and I will be using previously collected and linked laboratory and hospital data from Western Australian children to better understand how these infections flow through the population over different seasons. I will then be able to predict future epidemics of respiratory infections and how different vaccine programs might have an impact in reducing how many children are affected by these infections.
Vaccination Timeliness In Aboriginal And Non-Aboriginal Infants: Risk Factors For Delayed Vaccination And Impact On Disease Burden—a Record Linkage Study
Funder
National Health and Medical Research Council
Funding Amount
$538,183.00
Summary
Vaccination has had a significant impact, but preventable infections continue to occur, perhaps due to delayed uptake of scheduled doses. For the first time, we will link vaccination and other health records to: provide accurate estimates of the impact of vaccination; identify reasons for delayed vaccination; and quantify the expected reduction in disease burden if vaccination timeliness was improved. The study will help determine who would benefit most from efforts to improve timeliness.
Alcohol and caffeinated energy drinks: exploring patterns of consumption and associated harms. Very little research has been conducted on the functions, contexts, effects and harms associated with combining energy drinks and alcohol, despite the widespread consumption of these beverages by young people. This project will contribute to the knowledge base of this under-researched area and inform harm reduction policy and practice.
Linking for Life: Enhancing pathways to well-being for all Australians. The Linking for Life Project will identify pathways to wellbeing and better social outcomes across the life-course for high-risk/vulnerable individuals and their families to streamline service provision, improve outcomes and identify cost-efficiencies across government agencies. The work will expand cross-sectoral data linkage capability, enhancing research capacity to generate evidence-based policy to improve integrated ser ....Linking for Life: Enhancing pathways to well-being for all Australians. The Linking for Life Project will identify pathways to wellbeing and better social outcomes across the life-course for high-risk/vulnerable individuals and their families to streamline service provision, improve outcomes and identify cost-efficiencies across government agencies. The work will expand cross-sectoral data linkage capability, enhancing research capacity to generate evidence-based policy to improve integrated service delivery across government. The project will also trial innovative data linkage models including the creation of data repositories to improve efficiency for data provision and access, which will have application nationally and enable more timely access to whole-population linked cross-sector data.Read moreRead less
The impact of gambling advertising, promotions, and sponsorship on children. This project aims to provide new and informative qualitative data aimed at preventing and reducing children’s exposure to gambling advertising, promotion and sponsorship (GAPS) in sport. It uses a Commercial Determinants of Health Framework which investigates the impact of industry mechanisms on health outcomes. It explores this issue from three perspectives - children; sporting organisations; and policy makers. The pro ....The impact of gambling advertising, promotions, and sponsorship on children. This project aims to provide new and informative qualitative data aimed at preventing and reducing children’s exposure to gambling advertising, promotion and sponsorship (GAPS) in sport. It uses a Commercial Determinants of Health Framework which investigates the impact of industry mechanisms on health outcomes. It explores this issue from three perspectives - children; sporting organisations; and policy makers. The project will have significant policy benefits by providing important evidence about the impact of gambling industry marketing strategies within sport, the decision making processes associated with gambling policy, and identifying leverage points for improving strategies to prevent GAPS from having a negative impact on children. Read moreRead less