Reconceptualising Health Promotion: The Role Of Values, Ethics And Evidence In Obesity Intervention.
Funder
National Health and Medical Research Council
Funding Amount
$485,103.00
Summary
Obesity and overweight 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 in detail, 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 future.
A Structured Systems Approach For Improving Health Promotion Practice For Chronic Diseases In Indigenous Communities
Funder
National Health and Medical Research Council
Funding Amount
$666,592.00
Summary
This project will trial a model for continuous improvement, with the aim of assisting health services and community based organisations to improve the services they deliver to promote health and prevent chronic disease in Indigenous communities.
Effects Of Anti-smoking Advertising, Tobacco-related Press Coverage And Tobacco Control Policies On Smoking Behaviour
Funder
National Health and Medical Research Council
Funding Amount
$358,696.00
Summary
Tobacco control programs invest significant resources into the production, development, and placement of anti-smoking advertisements. Evaluation of anti-smoking advertising campaigns is made difficult by the fact that they operate within the broader social context of changing tobacco control policies, tobacco marketing, and other forms of relevant paid and unpaid media. Public health advocates spend considerable effort attempting to obtain favourable news coverage about tobacco control issues, y ....Tobacco control programs invest significant resources into the production, development, and placement of anti-smoking advertisements. Evaluation of anti-smoking advertising campaigns is made difficult by the fact that they operate within the broader social context of changing tobacco control policies, tobacco marketing, and other forms of relevant paid and unpaid media. Public health advocates spend considerable effort attempting to obtain favourable news coverage about tobacco control issues, yet virtually no research has systematically related the volume and nature of news coverage on tobacco issues to smoking behaviour change. This study will exploit the existing variation in tobacco control acitvity between states and over time to study effects of these two forms of media and tobacco control policies on youth and adult smoking behaviour. The study will merge reliable measures of exposure to televised anti-smoking advertising, press coverage about tobacco issues and detailed quantified measures of other tobacco control policies, with monthly surveys of smoking prevalence and consumption from 1991 to 2005. This unique monthly survey database has tracked smoking behaviour changes over time and between states using a standard method over the course of a 15-year period. Analysis of the data will determine the most optimum levels of anti-smoking advertised required to reduce smoking, the potential influence of news reporting as a way of educating people to reduce smoking and effects of tobacco policies, such as advertising bans, smoke-free policies and youth access policies on smoking behaviour. By assessing the effectiveness of anti-smoking advertising and other tobacco policies in changing smoking behaviour, this study will guide public health policy and funding decisions related to tobacco control.Read moreRead less
RCT Of An Intervention To Improve The Health Of Adolescents With Intellectual Disability.
Funder
National Health and Medical Research Council
Funding Amount
$803,146.00
Summary
A high number of people with intellectual disability die at a younger age than the general population - 5 to 20 years younger. The standard of their health is low compared with others. They experience high levels of unrecognised disease and do not receive health promotion or health screening. As they comprise 2.7% of our population (502,000 Australians) - this situation is unjust and should be rectified. The barriers to good health for them include communication difficulties, impaired recall of ....A high number of people with intellectual disability die at a younger age than the general population - 5 to 20 years younger. The standard of their health is low compared with others. They experience high levels of unrecognised disease and do not receive health promotion or health screening. As they comprise 2.7% of our population (502,000 Australians) - this situation is unjust and should be rectified. The barriers to good health for them include communication difficulties, impaired recall of significant health information, negative social attitudes and inadequate training about disability for health service providers. This project is an attempt to minimise some of these barriers by examining the use of a Health Intervention Package. We want to give young people with intellectual disabilty the chance of similar health standards to the rest of the population. This package includes a comprehensive health review, a diary for collecting and storing health information, and advocacy training. We specifically want to examine if adolescents with intellectual disabilty using this package will receive better healthcare and improved health outcomes. We envisage that if successful, the intervention will establish good health practices for the rest of the young person's life. This group of young people is particularly at risk as they move from care provided by specialist paediatricians to accessing General Practitioners' services. To achieve this, the study will seek to recruit 1000 young people (and their parents and teachers) in Special Schools in Queensland. We have already shown that the comprehensive health review does improve health outcomes adults with intellectual disabilty, and the health information and advocacy training has received very positive evaluation. We now need to investigate the effect of both these processes in adolscence and establish if evidence exists to support wider implementation throughout the sector.Read moreRead less
Reducing Indoor Air Pollution In The Home: A Randomised Controlled Trial Of A Behavioural Intervention.
Funder
National Health and Medical Research Council
Funding Amount
$85,552.00
Summary
Exposure to air pollution is not confined to pollution emitted outdoors by motor vehicles and industry. We are exposed to a diverse and complex mix of indoor pollutants produced in many cases by everyday activities. Since we spend about 70-90% of our time indoors, the potential effect of these pollutants on our health is important and of concern. There is a growing number of scientific studies that confirm the importance of indoor air pollution to our health. Two indoor pollutants commonly found ....Exposure to air pollution is not confined to pollution emitted outdoors by motor vehicles and industry. We are exposed to a diverse and complex mix of indoor pollutants produced in many cases by everyday activities. Since we spend about 70-90% of our time indoors, the potential effect of these pollutants on our health is important and of concern. There is a growing number of scientific studies that confirm the importance of indoor air pollution to our health. Two indoor pollutants commonly found in the home are nitrogen dioxide (NO2) emitted from gas appliances and environmental tobacco smoke (ETS). ETS, or passive smoking, is known to increase lower respiratory tract illness in children, asthma, lung cancer and cardiovascular disease. Studies have shown that NO2 may increase respiratory symptoms and exacerbate the response of asthmatics to allergens such as house dust mites. In this project we extend our earlier work on indoor air pollution, with the aim of evaluating simple and effective ways to improve air quality in the home. Parents of school children from the Newcastle area will be invited to participate in the study. Parents will receive information about the health risks of indoor air pollution and advice on how to decrease the levels in their home. We will monitor the air quality in each participant's home to see whether the education program has helped parents to decrease the levels of NO2 and ETS in their home. We will also examine whether a reduction in these pollutants has improved the lung health of the children in the study.Read moreRead less
Improving Capacity Of Aboriginal And Torres Strait Islander Communities To Influence Food Systems For Food Security
Funder
National Health and Medical Research Council
Funding Amount
$1,620,683.00
Summary
The proposed project represents a structured collaborative, continuous improvement and capacity-building approach to improving food security in remote Indigenous communities. It aims to trial a monitoring and evaluation learning approach to assist community based organisations and services to improve the food system and services they deliver to provide an affordable and healthy food supply.
Socioeconomic Variation In Community Risk Profiles Associated With Health And Behaviour Problems In Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$459,700.00
Summary
Until recently, emotional and behavioural problems of adolescence have tended to be dismissed as part of the normal turbulence of adolescent development; however, attitudes to adolescent health and health promotion have changed quickly. Downward age-trends in tobacco, alcohol and illicit drug use have made adolescents a major target for health promotion. The practical potential for adolescent mental health promotion has gained considerable ground and knowledge of the modifiable determinants of y ....Until recently, emotional and behavioural problems of adolescence have tended to be dismissed as part of the normal turbulence of adolescent development; however, attitudes to adolescent health and health promotion have changed quickly. Downward age-trends in tobacco, alcohol and illicit drug use have made adolescents a major target for health promotion. The practical potential for adolescent mental health promotion has gained considerable ground and knowledge of the modifiable determinants of youth mental health problems has been progressed by a growing number of studies examining distal and proximal predictors in community samples. The project plans to comprehensively assess locally elevated risk factors and depressed protective factors predictive of a range of adolescent health and behaviour problems including substance abuse, obesity and depression in 30 communities across three Australian States. These communities will be selected from the entire socioeconomic spectrum to determine how the social context of our neighbourhoods may influence the health and behaviour of adolescents . Surveys of students in grade 6 and year 8 will be conducted. Each participating student will be weighed and measured and asked to complete a questionnaire that assesses a comprehensive range of community risk and protective factors.Read moreRead less
An Internet Based Intervention For Overweight Or Obese Adolescents
Funder
National Health and Medical Research Council
Funding Amount
$676,768.00
Summary
This project will compare weight loss in a group of overweight and mildly obese adolescents who receive standard treatment with a group who receive an internet delivered program that offers suggestions for increasing physical activity and making healthier food choices as well as a counselling support program. The enhanced program will allow the participants to record their progress and will provide feedback and encouragement to continue.