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A Randomised Trial To Control Sexually Transmitted Infections In Remote Aboriginal Communities.
Funder
National Health and Medical Research Council
Funding Amount
$1,847,403.00
Summary
This project will trial strategies for attaining clinical best practice in sexual health with an overall objective of reducing the high rates of sexually transmitted infection in remote Aboriginal communities in central and northern Australia. The trial will take place in 21 communities of which seven will be randomly assigned in each of the three years of the trial. This trial will determine whether strengthening primary health services can reduce the level of these infections.
STRIVEplus: Refinement And Translation Of An Intervention Designed To Improve Sexual Health Service Delivery In Remote Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,373,952.00
Summary
Curable sexually transmitted infections remain an important public health issue in many remote communities. We will conduct a long term study to find out how successful remote clinics have been in increasing testing and treatment for these infections through a quality improvement program. The study will also identify the types of health clinics that are more likely to succeed, and show whether the program has had any effects, whether positive or negative, on other clinical services.
New Strategies To Increase Testing And Treatment For Endemic Sexually Transmitted Infections In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$982,228.00
Summary
We will undertake a trial of two new approaches to increase the number of people being tested for curable sexually transmitted infection in remote Aboriginal communities. One strategy will involve offering community members a means of being tested without having to see a clinician unless the result is positive, and the other will involve a financial incentive. The study will provide new ways forward in the long and challenging campaign to rid remote communities of the burden of curable STIs.
Uptake, Sustainability And Impact Of Scaling Up Point-of-care Testing For Sexually Transmissible Infections In Remote And Regional Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,461,788.00
Summary
Aboriginal youth experience unacceptably high rates of curable sexually transmissible infections (STI). Coverage of testing and treatment is insufficient for disease control but could be enhanced via point-of-care (POC) testing. We have been trialling a highly accurate STI/POC diagnostic in the TTANGO (Test, Treat ANd GO) trial. The TTANGO2 partnership will assess the long-term uptake, sustainability and impact of POC testing in 20 Aboriginal health services in regional/remote WA over 5 years.
The END RHD CRE: Developing An Endgame For Rheumatic Heart Disease In Australia
Funder
National Health and Medical Research Council
Funding Amount
$2,601,147.00
Summary
Rheumatic heart disease (RHD) is caused by an abnormal immune reaction to some bacterial infections. Although RHD is rare in developed countries, Indigenous Australians still live with the burden of RHD. The END RHD CRE will explore risk factors for RHD, prevention with antibiotics, management of RHD and the potential for vaccine development. Individuals and communities experiencing RHD are integral partners to this work. The CRE will establish a strategy for ending RHD in Australia.
A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping ....A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping habits of children. Better sleep is expected to result in improved alertness, better life satisfaction, and improved weight status.Read moreRead less
Burnt out and worn out or engaged and energised? Exploring the antecedents and consequences of burnout and engagement in drug-treatment specialists. This project will have significant social benefits in regard to the health and well being of workers in the health and human services sector. The results and outcomes of this project will contribute to the National Research Priority of "Promoting and Maintaining Good Health" by (1) contributing to the design of workplace interventions to facilitate ....Burnt out and worn out or engaged and energised? Exploring the antecedents and consequences of burnout and engagement in drug-treatment specialists. This project will have significant social benefits in regard to the health and well being of workers in the health and human services sector. The results and outcomes of this project will contribute to the National Research Priority of "Promoting and Maintaining Good Health" by (1) contributing to the design of workplace interventions to facilitate health and wellbeing in the workplace, (2) contributing to the policies designed to address problems with worker retention in the AOD workforce, and (3) contributing to the development of strategies and interventions which are likely to benefit a key disadvantage group - individuals with alcohol or other drug problems.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
Retirement activity planning: a randomised controlled trial. Retirement is a life transition where people must rethink the way they use their time, but little thought is given to planning for this. This project will assess the effect of systematic pre-retirement activity planning on use of time after retirement, with an emphasis on physical activity and sedentary behaviours.