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Understanding Burn Injuries In Aboriginal And Torres Strait Islander Children: Treatment, Access To Services And Outcomes.
Funder
National Health and Medical Research Council
Funding Amount
$911,798.00
Summary
This is the first large scale study to systematically examine the burden of burn injury in Aboriginal and Torres Strait Islander children, including care and cost of treatment, and relationship between access to treatment and functional outcomes. With a team comprising epidemiologists, burns clinicans and Aboriginal health researchers, this study will generate important new research evidence to improve care in this over-represented and vulnerable population.
Adult literacy and Aboriginal community well-being in western NSW. Adult literacy and Aboriginal community well-being in western NSW. This project aims to examine the effect of an adult literacy campaign on Aboriginal communities in New South Wales. Since 2012, four western NSW Aboriginal communities have implemented a Cuban-designed mass campaign model to address very low levels of adult literacy. Over 100 people will have achieved basic literacy by July 2016, and four more communities will joi ....Adult literacy and Aboriginal community well-being in western NSW. Adult literacy and Aboriginal community well-being in western NSW. This project aims to examine the effect of an adult literacy campaign on Aboriginal communities in New South Wales. Since 2012, four western NSW Aboriginal communities have implemented a Cuban-designed mass campaign model to address very low levels of adult literacy. Over 100 people will have achieved basic literacy by July 2016, and four more communities will join by 2019. This project will use a social determinants of health framework to analyse quantitative and qualitative data collected at an individual and population level. This research is expected to improve understanding of the link between Aboriginal adult literacy and health.Read moreRead less
A New Model For The Pathogenesis Of Rheumatic Fever: Superantigen Priming Of The Immune Response To Group A Streptococci
Funder
National Health and Medical Research Council
Funding Amount
$248,820.00
Summary
Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, c ....Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, control of this ARF will partly depend on new and better treatment and prevention strategies. To achieve these goals a deeper understanding of the immune mechanisms underlying this disease is urgently needed. It is known that ARF is caused by an abnormal immune response following streptococcal infection. This leads to the production of cells called T cells that attack the body s own tissues rather than the bacteria itself. This autoimmune disease is responsible for the heart damage that underlies ARF. It is believed that this proces only occurs when susceptible individuals are infected with specific rheumatogenic strains of streptococci. However there are a number of deficiencies in this model and it is proposed that there is an additional factor responsible for the abnormal immune response in ARF. This project will explore the possibility that bacterial toxins called superantigens are the critical missing factor , by studying the immune response in ARF. Superantigens are produced by certain streptococci and staphylococci, and are potent in minute quantities causing widespread activation of the immune system. They have been found to play an important role in a number of autoimmune diseases and the type of immune response found in ARF fits well with that expected if superantigens were involved. If superantigens play an important role in causing the abnormal immune response in ARF then a number of new avenues would open for the treatment and prevention of this disease.Read moreRead less
Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health servic ....Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health services for Indigenous adolescents, Key benefits are 1) A locally-responsive adolescent mental health screening instrument; 2) Comprehensive evidence-informed service model in adolescent mental healthcare; 3) Best practice protocol for developing and managing adolescent mental health as a service delivery stream. Read moreRead less
Closing The Gap: Early Childhood Sustained Home Visiting For Families Of Aboriginal Infants In An Urban Community
Funder
National Health and Medical Research Council
Funding Amount
$2,244,402.00
Summary
The study aims to determine whether a sustained structured nurse home visiting (SSNVH) program is effective for Aboriginal families. In the context of increased government investment in home visiting programs for Indigenous children, this study will help to answer three critical questions: (1) Does SSNHV result in improved outcomes for Aboriginal infants? (2) Is SSNHV equally effective for Aboriginal and non-Aboriginal infants?(3) What are the issues in adaptation and implementation?
Closing the gap in Aboriginal maternal and child health outcomes. This project will build the evidence base needed to design and implement effective strategies to close the gap in Aboriginal maternal and child health outcomes and reduce Indigenous disadvantage across the life course.
The Childhood Resilience Study: Building The Evidence To Reduce Health Inequalities Across The Lifecourse
Funder
National Health and Medical Research Council
Funding Amount
$1,075,842.00
Summary
Children exposed to social adversity, family violence and trauma have higher risks of emotional, developmental and physical health problems. Despite this, many children experiencing social adversity and trauma grow up with positive outcomes. This will be the first international study of resilience in middle childhood. The study will examine factors promoting resilience in Aboriginal children, children exposed to family violence and children in families of refugee background.
Closing the gap between the wellbeing of Indigenous and non-Indigenous youth: A comparative case study. Indigenous communities in Australia (and elsewhere) suffer from extreme disadvantage. Northern Australia and many other places face a demographic time bomb of alienated, self-destructive and culturally disoriented youth, with this manifested in violence and abuse. An evidence-based approach will build upon community strengths and knowledge moving beyond welfare or paternalistic approaches to i ....Closing the gap between the wellbeing of Indigenous and non-Indigenous youth: A comparative case study. Indigenous communities in Australia (and elsewhere) suffer from extreme disadvantage. Northern Australia and many other places face a demographic time bomb of alienated, self-destructive and culturally disoriented youth, with this manifested in violence and abuse. An evidence-based approach will build upon community strengths and knowledge moving beyond welfare or paternalistic approaches to improve the wellbeing of Indigenous young people. Ultimately the project aims to develop interventions for Indigenous youth that work towards closing the gap between the wellbeing of Indigenous and non-Indigenous youth.Read moreRead less
Centre For Research Excellence To Promote Safer Families: Tailoring Early Identification And Novel Interventions For Intimate Partner Violence
Funder
National Health and Medical Research Council
Funding Amount
$2,497,801.00
Summary
Partner violence damages the health of families, particularly children. We aim to make all families safer by generating new knowledge from evidence (reviews of studies, data from following families over time and trials of health and community programs) to assist health and family services to identify violence early and tailor responses to individual’s experiences and to specific communities. We will support early career researchers by mentoring and an international network.
Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-asses ....Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-assessment of their resilience and wellbeing between low and high risk cohorts; and study how community services develop youth wellbeing and resilience. The expected benefit of this research is a better understanding of connections among age, cultural identity, resilience, wellbeing and risky behaviours in Indigenous youth.Read moreRead less