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A Cluster Randomised Trial To Test A Systems Based Collaborative For Type 2 Diabetes Among Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$1,855,936.00
Summary
Type 2 diabetes is a condition which contibutes significantly to Indigenous disability and premature death. Increasing numbers of Indigenous Australians are developing Type 2 diabetes. To date there has been limited research on systematic approaches to improving screening and managment outcomes for Type 2 diabetes. This important research will test the effectiveness of a systems based collaborative approach to improve health outcomes for people with Type 2 diabetes.
Alcohol Treatment For Aboriginal Men In And Out Of Prison
Funder
National Health and Medical Research Council
Funding Amount
$607,264.00
Summary
Over half the Aboriginal or Torres Strait Islander people entering prison in NSW have unhealthy alcohol use (drinking over recommended limits, including alcohol dependence). Better access to evidence-based treatment is needed to improve health and reduce return to prison. My proposed research focuses on how clinical and behavioural treatments for alcohol use disorders can be improved on entry to prison, in prison and on release.
A Randomised Controlled Trial Of Internet-based Therapy For Panic Disorder.
Funder
National Health and Medical Research Council
Funding Amount
$202,575.00
Summary
Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increase ....Approximately 9.7% of the adult population have an anxiety disorder with one of the more common, panic disorder, often with agoraphobia, afflicting 2.4% of the community. Around 8% of patients consulting a GP also have panic disorder (PD). A further 10% of the community experience spontaneous panic, but do not have full PD (termed non-clinical panic). People with PD frequently experience clinical depression, about 15% abuse alcohol and non-prescription drugs and PD is associated with an increased risk of suicide. Over time people with PD appear to have an increased risk of heart problems. They also have substantial financial burdens through multiple attendances at doctors' rooms and through restricted employment opportunities. Only just over one in four people with an anxiety disorder consults a health professional for their problems, with most going to their GP. It has been estimated that less than 10% of these people seek the services of a mental health specialist such as a clinical psychologist or psychiatrist. Therefore because of blocks to do with access, cost or embarrassment, many people with mental health problems do not seek face-to-face specialised mental health treatment. People in rural and regional Australia are particularly disadvantaged by limited access to these specialists. We have developed an internet-based treatment program on panic and anxiety for people in the community, and particularly in regional Australia. Early evaluation of this program has found it is more effective than other types of therapist-assisted self-help treatment. The aim of this research project is to compare it to best-practice face-to-face psychological and pharmacological treatment for PD. If the effectiveness of our internet-based treatment is comparable to best-practice face-to-face treatment, its availability will assist the many Australians who suffer from debilitating panic but who are unable to access specialised mental health assistance.Read moreRead less
Improving School Transition By Improving Child Sleep: A Translational Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$745,827.00
Summary
A successful transition to school sets a child on a path for life. A poor transition can lead to early drop out, poor peer relationships and poor emotional skills. In 2008/09, we found that a brief sleep intervention for children improved key determinants of a successful transition including social-emotional functioning and parent mental health. We now plan to see if the same intervention, delivered by school nurses, can have a similar effect.
Assessing The Impact Of A Multi-component Intervention To Improve Dietary Intake Of Indigenous Australian Children And Their Families Living In Remote Communities
Funder
National Health and Medical Research Council
Funding Amount
$1,455,043.00
Summary
Sugar-sweetened beverage consumption seems to contribute to obesity and diabetes. We aim to test the impact of multi-component intervention including a school-based nutrition education program combining high levels of parental involvement plus a supportive environment to reduce sugar-sweetened beverage consumption and improve healthy eating among Indigenous Australian children and their families living in remote communities.
The Efficacy Of Behavioural Activation Therapy In Treating Depression Among Individuals With Opioid Dependence
Funder
National Health and Medical Research Council
Funding Amount
$733,908.00
Summary
Heroin dependence is a chronic relapsing condition, associated with high levels of psychopathology. On entry to treatment at least one quarter of heroin users meet criteria for Major Depression. The co-occurrence of heroin dependence and depression is associated with a range of harms and has been linked to poorer treatment outcomes. Despite this, practical and effective treatment options are scarce. The proposed international collaboration will contribute significantly to understanding of the tr ....Heroin dependence is a chronic relapsing condition, associated with high levels of psychopathology. On entry to treatment at least one quarter of heroin users meet criteria for Major Depression. The co-occurrence of heroin dependence and depression is associated with a range of harms and has been linked to poorer treatment outcomes. Despite this, practical and effective treatment options are scarce. The proposed international collaboration will contribute significantly to understanding of the treatment of this comorbidity.Read moreRead less
Improving Adolescent Gate-keeping And Help-seeking For Risky Drinking And Depression: A Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$655,495.00
Summary
Young people with mental health and substance use problems are reluctant to seek help. There is a significant gap in health promotion activities which specifically target help-seeking skills, particularly teaching friends to help friends to access treatment early. This project seeks to demonstrate the efficacy of a school-based intervention that focuses on improving adolescent gate-keeping and help-seeking skills for risky drinking and depression, using a cluster randomised controlled design.
Association Of Retinal Vascular Calibre With Physical Activity And Sedentary Behaviour In Adults
Funder
National Health and Medical Research Council
Funding Amount
$104,664.00
Summary
The back of the eye provides a unique window to the health of the body's veins and arteries. The diameter of its blood vessels can be measured using photographs. Studies have shown that these measurements can help identify a person's risk of high blood pressure, diabetes or stroke. This project aims to see if the state of health of these blood vessels are related to a person's level of physical activity and television viewing time using data from a large-scale Australian study.
Using Healthcare Wisely: Psychosocial Interventions To Reduce Unnecessary Testing And Treatment
Funder
National Health and Medical Research Council
Funding Amount
$763,845.00
Summary
Overuse of healthcare (use of unnecessary tests and treatments) is harming patients and diverting scarce health resources from where they are most needed. Effective communication of the problem to the public, patients, clinicians and policymakers is a prerequisite for behaviour change. This fellowship will develop a suite of communication-based interventions to reduce overuse and build a multidisciplinary workforce of researchers to address this urgent problem facing health systems globally.
Catalytic Questions: Facilitating Evidence-based Partnerships Between Health Professionals And Health Consumers
Funder
National Health and Medical Research Council
Funding Amount
$199,117.00
Summary
This research program will address the key issues of encouraging consumers to be more actively involved in their healthcare by testing the effectiveness of a set of questions to prompt doctors to discuss evidence. The program will go on to investigate ways to encourage patients to ask those questions when consulting with their healthcare practitioner and will develop an education program for consumers to learn more about how make smart health choices.