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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
Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evalu ....Evaluation of treatment outcomes for court-referred and voluntary clients in residential and outclient substance abuse treatment programs. Very little research has been conducted evaluating the relative effectiveness of substance abuse treatment programs for court-referred clients, compared with voluntary clients. This project will obtain psychological, social and health measures in order to compare short- and long-term treatment outcomes. Its significance lies not only in its potential to evaluate the success of treatment for clients diverted from the criminal justice system, but also in its unique focus on a wide range of outcomes for different client groups.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
A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in ....A randomised controlled trial of motivational interviewing as a tool to enhance secondary prevention strategies in cardiovascular disease. While there is increasing evidence for the efficacy of cardiac rehabilitation (CR) in reducing mortality and morbidity, adherence to risk factor modification strategies are problematic for many CR patients. This project will evaluate in a randomised controlled trial the benefit of motivational interviewing (MI) in enhancing secondary prevention strategies in CR patients. Given the role of self-efficacy in predicting adherence, MI needs to be evaluated in CR. This study is significant in terms of preventative health, and its potential to improve the design and delivery of CR programs and increase patient adherence. Expected outcomes include increased adherence to cardiovascular risk modification and improved psychological well-being.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
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. 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
A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping ....A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping habits of children. Better sleep is expected to result in improved alertness, better life satisfaction, and improved weight status.Read moreRead less