A Randomised Trial Assessing A Shade Development Intervention In Secondary Schools For Adolescent Skin Cancer Prevention
Funder
National Health and Medical Research Council
Funding Amount
$709,615.00
Summary
Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and ....Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and commonly experience sunburn, an important indicator of increased risk of skin cancer. Psycho-social interventions have shown limited influence on adolescents' sun protective behaviours to date. The current research proposal explores an alternative approach to psycho-social interventions for adolescents. The study will assess the effect of increasing available shade at secondary schools. In a randomised control trial study design, the change in the number of students using certain outdoor areas at intervention schools will be observed 'before' and 'after' the installation of built shade sail structures. Our main hypothesis states that the number of students using these newly shaded areas in intervention schools will increase compared with use of equivalent unshaded areas in control schools. Shade development is increasingly becoming an issue for secondary schools and given both the high cost of providing shade structures and adolescents' resistance to other forms of sun protection it is important to establish that adolescents will use this form of sun protection. This study will determine whether adolescents actively avoid or seek shade and so provide evidence for informing decisions about further investment in shade provision in schools.Read moreRead less
Randomised Trial Of A GP-initiated Tobacco Control Intervention With Arabic-speaking Smokers
Funder
National Health and Medical Research Council
Funding Amount
$232,000.00
Summary
Previous estimates of smoking rates among Arabic-speakers men and women range from 43% to 55%. No intervention has been designed specifically to target smoking in this community. Barriers to smoking cessation among Arabic-speakers are poorly understood. GPs find it difficult to counsel smokers about their smoking. Even when they do, they are as likely to use ineffective strategies. An alternative approach is referral of smokers by GPs to a smoking cessation skilled in evidence-based behavioural ....Previous estimates of smoking rates among Arabic-speakers men and women range from 43% to 55%. No intervention has been designed specifically to target smoking in this community. Barriers to smoking cessation among Arabic-speakers are poorly understood. GPs find it difficult to counsel smokers about their smoking. Even when they do, they are as likely to use ineffective strategies. An alternative approach is referral of smokers by GPs to a smoking cessation skilled in evidence-based behavioural strategies to facilitate abstinence. Therefore, we propose to conduct a randomised controlled trial to assess the effectiveness of referral of smokers attending general practices who offer consultation in Arabic to an Arabic-speaking counsellor for intensive support to improve quit rates at six and twelve months. We also will assess the acceptability of the intervention to smokers and GPs. Participating Arabic-speaking GPs in SWS will refer to the study about 1050 Arabic men and women aged between 18 and 65 years who self-report being current smokers. Participants will receive either intensive smoking cessation intervention or usual care provided by their GPs and self-help written information. The Intensive intervention will involve usual care by GPs and intensive smoking cessation counselling program that will involve series of scheduled telephone calls from an Arabic-speaking counsellor trained in smoking cessation counselling; printed self-help material in Arabic script and also will be offered a home visit and face-to-face counselling session. Results from this randomised trial will add to the scarce literature about smoking cessation among ethnic CALD minorities in Australia and overseas. If proven to be effective, a new choice will have been emerged to achieve optimal tobacco control in ethnic minorities in general practice. Divisions could consider employing bilingual counsellors as a resource for all GPs in their region.Read moreRead less
Promoting Protective Feeding Practices To Prevent Childhood Obesity: Follow Up Of A Successful Obesity Prevention Program Commencing In Infancy.
Funder
National Health and Medical Research Council
Funding Amount
$846,965.00
Summary
Almost one in four Australian children are overweight by the time they start school and at increased risk of becoming overweight adults. This study will evaluate if an intervention to equip parents with the confidence and skills to initiate and maintain positive early feeding practices can foster healthy food preferences, dietary intakes and eating patterns and growth up to five years of age. This is consistent with government focus on early childhood as the foundation for health and well-being.
WALK 2.0: Investigating The Internal And External Validity Of Web 2.0 Applications In Promoting Physical Activity
Funder
National Health and Medical Research Council
Funding Amount
$934,436.00
Summary
More then half of the Australian population do not meet the recommended levels of physical activity to achieve health benefits. Internet based physical activity interventions which include innovative technology have the potential to reach large groups of individuals and contribute to physical activity promotion. This study evaluates the efficacy and utility of Web 2.0 applications to promote physical activity.
A RCT Of An Innocative Supportive Care Program Designed To Reduce Perceived Needs & Psychological Distress & Enhance
Funder
National Health and Medical Research Council
Funding Amount
$111,043.00
Summary
The diagnosis of incurable lung cancer is a very distressing event, and patients have a high level of psychological and informational needs. An innovative evidence-based program has been designed to address these unmet needs in an emotionally supportive environment at this critical time. This study tests whether the program meets the needs of these people, reduces their psychological distress and enhances their quality of life. If successful, it will be integrated into the standard care to impro ....The diagnosis of incurable lung cancer is a very distressing event, and patients have a high level of psychological and informational needs. An innovative evidence-based program has been designed to address these unmet needs in an emotionally supportive environment at this critical time. This study tests whether the program meets the needs of these people, reduces their psychological distress and enhances their quality of life. If successful, it will be integrated into the standard care to improve the experience of this large and under-supported group.Read moreRead less
Reducing Unintended Pregnancies Among Female Sex Workers In Kenya Using MHealth: A Cluster Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$730,028.00
Summary
This research in Kenya aims to improve the health of female sex workers, their children and their partners through increasing uptake of family planning methods. This cluster randomised controlled trial will generate valuable evidence to inform policies and public health interventions on the effectiveness of a mobile phone delivered intervention aiming to increase sexual and reproductive health service uptake among hard-to-reach and marginalized sex workers in resource-limited settings.
Mass Disseminable Approaches To Smoking Cessation In General Practice
Funder
National Health and Medical Research Council
Funding Amount
$412,100.00
Summary
Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one ....Tobacco smoking is the most significant preventable cause of mortality in Australia. At any one time, many smokers want to quit. There are several interventions that are known to work in research settings, such as advice from care providers, self-help materials, drug therapies and telephone counselling. This study wants to find out if these strategies work in ordinary general practice. Over 50% of Australian have access to the Internet and research suggests that seeking health information is one of the most common uses of this technology. The rapid growth of Internet use potentially provides access to a number of cessation aids for tobacco smokers, including online support through 'chat rooms'. It is also possible to tailor interventions to individuals according to their stated interests and readiness to quit. General practitioners, in addition to providing support and care to smokers attemtping to quit, can direct them to community services such as Quit Victoria, which now offers smoking cessation programs tailored to individuals' needs delivered either through telephone counselling or by the Internet. We want to know whether more smokers quit successfully if their GP refers them to Quit services in addition to their usual care. As well as assessing the effectiveness of broadly distributable interventions in smoking cessation, this project will also collect data about the use of the Internet for health research. Little is known about how to perform research on the Web. This project will allow automatic monitoring of how people respond to research endeavours in this environment.Read moreRead less
Stand Up To Dementia: Reducing Prolonged Sitting To Improve Cognitive Function In Older Adults
Funder
National Health and Medical Research Council
Funding Amount
$603,901.00
Summary
Australia has an ageing population, resulting in more people being diagnosed with dementia. Prolonged sitting - (a behaviour that is very common amongst older adults) may increase the risk of cognitive decline and thus developing dementia. This study aims to further explore the relationship of sitting with dementia and cognitive function by using objective measures of sitting and also to develop programs and resources to reduce prolonged sitting which are informed by consumers.
A Randomised Trial Of An Intervention To Facilitate The Implementation Of Evidence Based Secondary School Physical Activity Practices.
Funder
National Health and Medical Research Council
Funding Amount
$181,065.00
Summary
Only 15% of adolescents participate in adequate physical activity each day. Schools can be supported to adopt policies and practices which increase adolescent physical activity. This study aims to test a model of support to assist schools to offer a range of practices known to improve adolescent physical activity levels, within routine school practice. If effective, the model of support could be used to assist schools to implement a range of other policies and practices.
Effectiveness Of An Early Intervention Trial To Prevent Obesity - Phase 2: Follow-up And Cost Effectiveness Analysis
Funder
National Health and Medical Research Council
Funding Amount
$435,690.00
Summary
Internationally, Healthy Beginnings Trial (HBT) is the first randomised controlled trial to test the effectiveness of an early childhood obesity intervention in 0-2 year olds. It is a home-based early intervention designed to improve family and behavioural risk factors for childhood obesity. We seek funding for conducting the follow-up to ages 3.5 and 5 years, and a cost-effectiveness analysis. This will permit the appropriate assessment of this internationally novel trial, which has already att ....Internationally, Healthy Beginnings Trial (HBT) is the first randomised controlled trial to test the effectiveness of an early childhood obesity intervention in 0-2 year olds. It is a home-based early intervention designed to improve family and behavioural risk factors for childhood obesity. We seek funding for conducting the follow-up to ages 3.5 and 5 years, and a cost-effectiveness analysis. This will permit the appropriate assessment of this internationally novel trial, which has already attracted a significant investment.Read moreRead less