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Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self- ....Effectiveness of Intervention Strategies to Promote Physical Activity Among Insufficiently Active Adults. This project will determine the cost-effectiveness of 2 types of physical activity (PA) interventions based around the workplace. 480 participants will be randomly assigned to PA intervention groups or controls. Interventions are either a (1) self-regulated, pedometer-based program or a (2) semi-structured, 40-day initiation to more moderately-vigorous PA. Both are designed to increase self-efficacy and impact on positive PA behaviours. Long-term, behavioural change and job-related outcomes will be evaluated by following participants for 12 months after the interventions.Read moreRead less
Overcome Barriers to Optimal Diabetes Management: Randomized Controlled Trial of Education/Consultation Interventions to Improve Self-Management of Diabetes. In addition to improving self care and quality of life in people with diabetes, the cost effectiveness component of the trial will provide other valuable data. Considering that the costs associated with diabetes and other associated health complications (i.e diabetic retinopathy) are estimated to be more than AU$10 billion, our intervention ....Overcome Barriers to Optimal Diabetes Management: Randomized Controlled Trial of Education/Consultation Interventions to Improve Self-Management of Diabetes. In addition to improving self care and quality of life in people with diabetes, the cost effectiveness component of the trial will provide other valuable data. Considering that the costs associated with diabetes and other associated health complications (i.e diabetic retinopathy) are estimated to be more than AU$10 billion, our intervention has a considerable potential to deliver substantial savings to the Australian community. The study will also generate a closer coordination between primary and tertiary care settings. This proposed trial will contribute substantially to future health policies related to personnel, resources and funding allocated to diabetes, eye health and rehabilitation. Read moreRead less
Effects of Private Health Insurance on Health Care Usage and Health Outcomes in Australia. Australians spend more than $7 billion each year on private health insurance (PHI), of which government subsidies amount to more than $2 billion. There is, however, little understanding of how PHI affects health care usage and health outcomes. Having PHI is likely to result in better health for the insured, but more health resources are also likely to be used. Moreover, the health of the uninsured could b ....Effects of Private Health Insurance on Health Care Usage and Health Outcomes in Australia. Australians spend more than $7 billion each year on private health insurance (PHI), of which government subsidies amount to more than $2 billion. There is, however, little understanding of how PHI affects health care usage and health outcomes. Having PHI is likely to result in better health for the insured, but more health resources are also likely to be used. Moreover, the health of the uninsured could be adversely affected if health resources available to the public hospital sector are reduced. This research will inform health policymaking on the effects of subsidising PHI on health care usage and health outcomes.Read moreRead less
Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, m ....Predicting the evolution of psychosocial and cognitive difficulties in epilepsy: A preventive approach. Chronic epilepsy is associated with significant psychosocial and cognitive difficulties. Research has neglected to examine how these problems evolve from the time of a first seizure, limiting our ability to predict ?at risk? patients and apply evidence-based preventive strategies. We will follow a cohort of 90 first seizure patients over two years in a prospective longitudinal investigation, mapping psychosocial and cognitive change. This study entails a multidisciplinary collaboration with industry, applying innovative psychosocial and cognitive measures that will ultimately improve the detection of adverse pharmaceutical side-effects. The project is an international first, and will provide an important foundation for implementing preventive healthcare.Read moreRead less
Implementing guidelines to prevent chronic disease in the community. The burden of chronic disease in Australia has resulted in prevention of chronic disease being an important priority for the Australian health system. High quality evidence for preventing chronic disease exists; however the practice falls short of the evidence. Finding ways to implement the evidence for preventing chronic disease is an urgent national need. This study aims to apply the evidence for preventing chronic disease in ....Implementing guidelines to prevent chronic disease in the community. The burden of chronic disease in Australia has resulted in prevention of chronic disease being an important priority for the Australian health system. High quality evidence for preventing chronic disease exists; however the practice falls short of the evidence. Finding ways to implement the evidence for preventing chronic disease is an urgent national need. This study aims to apply the evidence for preventing chronic disease in practice. It will generate data and validate a model on how to effectively improve the uptake of guidelines by both practitioners and consumers. This project is of national and community benefit because it will enable the potential of preventing chronic disease to be realised.Read moreRead less
Individual, social and physical environmental influences on children's active transport and independent mobility. Childhood obesity is likely to have significant economic and social impacts on Australian society. Preventing further increases in this disease is crucial, particularly among children at high risk such as those living in rural or disadvantaged areas. The promotion of behaviours such as active transport may have a significant benefit for public health; however little is known about wh ....Individual, social and physical environmental influences on children's active transport and independent mobility. Childhood obesity is likely to have significant economic and social impacts on Australian society. Preventing further increases in this disease is crucial, particularly among children at high risk such as those living in rural or disadvantaged areas. The promotion of behaviours such as active transport may have a significant benefit for public health; however little is known about what influences active transport among children in rural or disadvantaged areas. This study will identify important factors influencing active transport and will directly inform strategies aiming to promote health and wellbeing, thereby creating a healthier generation of Australian children.Read moreRead less
African youth and obesity: The role of the intergenerational acculturation gap. The financial cost of obesity to the Australian community is estimated to be $21.9 billion when the costs borne by individuals are taken into account. Understanding and addressing factors that extenuate health inequalities and reduce obesity will lead to a reduction in the burden of diseases and healthier ageing population. Our study will be the first to apply acculturation theories to examine the family environment ....African youth and obesity: The role of the intergenerational acculturation gap. The financial cost of obesity to the Australian community is estimated to be $21.9 billion when the costs borne by individuals are taken into account. Understanding and addressing factors that extenuate health inequalities and reduce obesity will lead to a reduction in the burden of diseases and healthier ageing population. Our study will be the first to apply acculturation theories to examine the family environment and family dynamics that predispose adolescents from one of the fastest growing immigrant populations, Africans, to obesity, and to produce culturally competent and tested models to inform large scale, population-level obesity prevention programs and policies.Read moreRead less
Reducing alcohol misuse: The efficacy of a comprehensive accreditation intervention in community sports clubs. The prevention of alcohol misuse is increasingly recognised as a priority by State and Commonwealth governments, and the community alike. A similar increasing recognition of the role of sport in the occurrence of such misuse has resulted in a call for action in this community setting. Very limited data are available regarding effective intervention strategies in sports clubs. The propos ....Reducing alcohol misuse: The efficacy of a comprehensive accreditation intervention in community sports clubs. The prevention of alcohol misuse is increasingly recognised as a priority by State and Commonwealth governments, and the community alike. A similar increasing recognition of the role of sport in the occurrence of such misuse has resulted in a call for action in this community setting. Very limited data are available regarding effective intervention strategies in sports clubs. The proposed intervention directly addresses this knowledge deficit. In addressing the culture of excessive alcohol consumption in sports clubs, the intervention, should it be effective, has the potential to contribute to a reduction in both short and long term alcohol harms in Australia.Read moreRead less
The adoption and maintenance of physical activity in 25-45 year old sedentary females. This research project will investigate interventions based on proven elements of theories on the adoption and maintenance of increased physical activity and psychological well-being in sedentary women aged 25-45 years, who are at risk of remaining inactive. A longitudinal study will examine the efficacy of adoption and maintenance interventions that combine effective constructs identified in analysis of theori ....The adoption and maintenance of physical activity in 25-45 year old sedentary females. This research project will investigate interventions based on proven elements of theories on the adoption and maintenance of increased physical activity and psychological well-being in sedentary women aged 25-45 years, who are at risk of remaining inactive. A longitudinal study will examine the efficacy of adoption and maintenance interventions that combine effective constructs identified in analysis of theories. Effective intervention will promote current life-experience, healthy lifestyle in later life, and decrease risk of chronic ill health.Read moreRead less
Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health ....Normative study of a checklist of emotional and behavioural disturbance in adults with intellectual disability. People with intellectual disability (ID) are three times more likely to suffer mental illness than the general community, making this a bigger problem than schizophrenia. They are a great burden to their carers and cost to the community but their mental health problems remain largely untreated. This study aims to conduct the largest and most comprehensive survey of the mental health of adults with ID that has been undertaken internationally to date. The population will cover the age span of late adolescence (16 years) through the transition to adult life then through to the elderly. The research will establish the prevalence and nature of mental illness and potential risk factors in a large representative population of adults with ID.Read moreRead less