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Pandemic Influenza Containment Strategies In Aboriginal Communities: What Is Acceptable And Feasible?
Funder
National Health and Medical Research Council
Funding Amount
$1,056,688.00
Summary
Influenza is a serious disease with a much greater impact in Indigenous communities. This project will work with Aboriginal communities in NSW, north Qld and WA on modifying the national pandemic influenza plan to develop control strategies that are acceptable to the culture and circumstances of those communities. A template and acceptable process will then be offered to other Indigenous communities, finally leading to negotiation to modify implementation of pandemic influenza plans.
Indigenous Community Action To Reduce Harms Associated With Heavy Cannabis Use In Cape York
Funder
National Health and Medical Research Council
Funding Amount
$814,163.00
Summary
Cape York Indigenous communities together with Queensland Police, are working to reduce cannabis availability. Community leaders report that cannabis use is widespread in their communities with associated problems such as violence, mental illness and economic hardship. This project will deliver tailored strategies to reduce the demand for cannabis whilst providing support and education about the effects of cannabis and reasons to avoid using it over a three year period.
The DRUID Study: Diabetes And Related Disorders In Urban Indigenous People In The Darwin Region.
Funder
National Health and Medical Research Council
Funding Amount
$1,116,052.00
Summary
Indigenous Australians suffer a high burden of ill health from diabetes and related conditions, but very little is known about the burden of diabetes and its complications among Indigenous people in urban areas, and how to reduce it. Unlike Indigenous people in rural and remote areas, Indigenous people in urban areas (the majority of Indigenous Australians) have rarely been the subjects of health research and have even more rarely been the drivers of such research. The DRUID Study (Diabetes and ....Indigenous Australians suffer a high burden of ill health from diabetes and related conditions, but very little is known about the burden of diabetes and its complications among Indigenous people in urban areas, and how to reduce it. Unlike Indigenous people in rural and remote areas, Indigenous people in urban areas (the majority of Indigenous Australians) have rarely been the subjects of health research and have even more rarely been the drivers of such research. The DRUID Study (Diabetes and Related Disorders in Urban Indigenous People in the Darwin Region) is a partnership between researchers and members of the Darwin Indigenous community to: examine the health of adults aged 15 years and over; refer people with disease to appropriate health care and related services; follow people over time to collect information on the state of their health and their use of health services; and test the effectiveness of a program to improve dietary quality, increase physical activity and reduce tobacco smoking among those at highest risk for diabetes. The results will be of significant value to policy-makers, health practitioners, researchers, and, most importantly, Indigenous people and organisations. The study will provide the first-ever data on the burden of diabetes and related conditions in an urban Indigenous population. This information can be directly compared with recently collected national data from the AusDiab study, and used to inform the development and implementation of strategies for reducing the impact of diabetes and related conditions. The study will provide an important vehicle for the training and development of Indigenous researchers, and the central involvement of Indigenous people in the study will promote improved local awareness and understanding of diabetes among Indigenous people and increase the capacity of Indigenous people and service providers to manage diabetes and related disorders.Read moreRead less
A Randomised Trial Of Fish And Fruit To Improve Survival Of Aboriginal People With End Stage Renal Disease
Funder
National Health and Medical Research Council
Funding Amount
$184,500.00
Summary
End stage renal disease (ESRD) is a devastating disease which affects Aboriginal Australians disproportionately: The average survival time for Aboriginal people in the Northern Territory is 3.6 years from the onset of kidney failure, compared to 12.3 years for non-Aboriginal people. There has been a dramatic rise in incidence of kidney failure over the past 20 years, with the prevalence doubling every 4-5 years in many NT communities and other remote parts of Australia. Mortality for patients wi ....End stage renal disease (ESRD) is a devastating disease which affects Aboriginal Australians disproportionately: The average survival time for Aboriginal people in the Northern Territory is 3.6 years from the onset of kidney failure, compared to 12.3 years for non-Aboriginal people. There has been a dramatic rise in incidence of kidney failure over the past 20 years, with the prevalence doubling every 4-5 years in many NT communities and other remote parts of Australia. Mortality for patients with ESRD is approximately 5 to 10 fold that of the general population, with heart disease accounting for approximately half of deaths. The aims of this study are to determine whether a dietary intervention of fish and fruit three times a week will decrease cardiovascular and all-cause mortality in patients on haemodialysis in Darwin and Alice Springs. There is a strong scientific rationale for this simple dietary intervention. Fish are a rich source of omega-3 fatty acids, believed to reduce the risk of heart attack . Fruit is a good source of anti oxidants and other chemicals that may amplify the beneficial effects of fish. This simple combination is also practical to include in usual clinical care. Dialysis is done three days each week, with people allocated to intervention or control groups according to the day of dialysis. Nutritional and cardiovascular status will be measured at commencement of the study and then at intervals of 3, 6 and 12 months. Strategies have been incorporated into the project design to ensure understanding, informed consent and participation of Aboriginal people in a number of domains: the participant, their family, urban and remote communities, and service providers. If successful this intervention will result in changes to the clinical management of renal patients worldwide.Read moreRead less
RCT Of Polypill Versus Usual Care Among Aboriginal And Torres Strait Islander People With High Cardiovascular Risk
Funder
National Health and Medical Research Council
Funding Amount
$1,855,205.00
Summary
Cardiovascular disease is a major contributor to the lower life expectancy of Aboriginal compared to non Aboriginal people. Guidelines recommend people at high risk of cardiovascular disease shoul be on a combination of blood thinning, blood pressure lowering and cholesterol lowering medications. There is a large gap between actual practice and these guidelines. We will test a combined polypill strategy aiming to simplify treatment and reduce costs to close this gap.
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.
Single Versus Combination Pneumococcal Conjugate Vaccines (13PCV And PHiD-CV) For High-risk Aboriginal Children (COMBO)
Funder
National Health and Medical Research Council
Funding Amount
$3,017,464.00
Summary
Two new pneumococcal vaccines, each offering protection from different pneumococcal strains and pathogens will soon be available. At this time, health experts do not know which vaccine will be best for Indigenous children. The hypothesis of this project is that both vaccines, given as a 4 dose schedule may be a better than 3-dose single vaccines for Indigenous and high-risk children. The vaccines' effects on immune response and on nasal colonisation with bacterial pathogens will be compared.
Stress During Pregnancy And The Developmental Origins Of Renal Disease In Aboriginal Australians
Funder
National Health and Medical Research Council
Funding Amount
$866,044.00
Summary
There is an epidemic of renal failure in Aboriginal people who also have high rates of premature birth of small babies. This project aims to understand the causes of kidney failure in Aboriginal people through testing if stress during pregnancy leads to the birth of preterm, small babies with small poorly formed kidneys that lead to kidney failure in later life. The effect of stressors impacting on pregnant women including infections, exposure to smoking and social stressors will be examined.
Contextual And Composition Determinants Of Urban Health Inequities: An Indigenous Perspective
Funder
National Health and Medical Research Council
Funding Amount
$426,317.00
Summary
This research studies the life experiences of Indigenous Australians living in suburban Australia. The project is exploring whether the characteristics of suburbs have an effect on residents' health, regardless of the make up of the resident population. In particular, this research is examining whether this locational impact is any different for Indigenous people compared to non-Indigenous people. It will specifically take into account the impact of social and economic factors on health. More pa ....This research studies the life experiences of Indigenous Australians living in suburban Australia. The project is exploring whether the characteristics of suburbs have an effect on residents' health, regardless of the make up of the resident population. In particular, this research is examining whether this locational impact is any different for Indigenous people compared to non-Indigenous people. It will specifically take into account the impact of social and economic factors on health. More particularly, the research will consider how Indigenous people's patterns of social interaction, trust and reciprocity - elements of social capital - affect their perceived health status. The research will examine the extent to which people are able to use their social networks to gain access to benefits such as assistance in daily life, access to jobs or to people with influence in ways that directly or indirectly contribute to improved health within the Indigenous population. The impact of racism on health will also be considered. The research will be conducted in two high income and three low income suburbs in Adelaide in order to allow comparisons between the suburbs and between Indigenous and non-Indigenous residents in each. Information will be collected from detailed interviews, a face-to-face survey and observation of the social environment, services and facilities available in the case study suburbs. The final stage of the research will engage policy makers and program planners to determine the implications of the research for their work. The research findings are designed to be used by policy makers and practitioners when they devise interventions aimed at improving health status and outcomes in Indigenous communities.Read moreRead less