A Solution Based Approach Developing Child Health Research With A Focus On Preventive Interventions For Common Childhood
Funder
National Health and Medical Research Council
Funding Amount
$2,599,538.00
Summary
There is an increasing recognition that research into child health should focus not only on disease but also on common childhood disorders such as obesity, depression and poor literacy. In addition, such research should include solution-based activity. That is, child health research should have an active program of testing new interventions to prevent the onset of disorders, or to allow optimal early management. The Murdoch Childrens Research Institute, the largest Australian child health resear ....There is an increasing recognition that research into child health should focus not only on disease but also on common childhood disorders such as obesity, depression and poor literacy. In addition, such research should include solution-based activity. That is, child health research should have an active program of testing new interventions to prevent the onset of disorders, or to allow optimal early management. The Murdoch Childrens Research Institute, the largest Australian child health research institute, is in a very good position to develop Australia's capacity further with regard to a coordinated research program into preventative interventions in child health. This is because of: - the Institute's location at the Royal Children's Hospital, Melbourne, the largest paediatric health service provider in Australia - the many individual relevant research projects that are already occurring in MCRI - the strong existing teams of researchers with skills in many different fields of child health such as psychology, speech pathology, clinical-medical care, epidemiology and biostatistics, and laboratory science including genetics. This capacity building program will coordinate population health work to develop the knowledge and skills of eight population health researchers. This development will occur within the context of an internationally competitive research program with structured continuing education and training to promote public health leadership. The capacity building program will develop skills not only in study design, conduct and analysis, but also in collaboration and the translation of research findings into better health services, government policy and parental knowledge to prevent problems and improve the health and well being of children and their families. To care for children in the best way, parents, families, schools, health care providers, and government need the best evidence base possible on the prevention of common child disorders.Read moreRead less
A prospective study investigating factors related to foster placement stability and the developmental outcomes of foster children. The study will aim to identify factors that influence the stability of placements and the developmental outcomes of children in foster care. The results of the study will have implications for the recruitment, training and support of foster carers. The study will lead to the refinement of procedures for the recruitment of appropriate foster carers, and the developmen ....A prospective study investigating factors related to foster placement stability and the developmental outcomes of foster children. The study will aim to identify factors that influence the stability of placements and the developmental outcomes of children in foster care. The results of the study will have implications for the recruitment, training and support of foster carers. The study will lead to the refinement of procedures for the recruitment of appropriate foster carers, and the development of an intervention for foster families relevant to the Australian context. Improving the developmental outcomes of children in foster care will help to reduce the intergenerational transmission of abuse and neglect and thus promote the mental health of the nation.Read moreRead less
The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chro ....The feasibility, acceptability and cost-effectiveness of nurse-led models of chronic disease management in general practice. This study directly relates to the National Research Priority of 'promoting and maintaining good health' through our approach to trial a new and innovative model of chronic disease management specifically for CVD and Type II diabetes in general practice. This project aims to test a new model of health service delivery - that is, the use of a practice nurse to provide chronic disease care rather than a general practitioner. Our strategy involves collaboration with health providers, stakeholders and consumers to help achieve this by providing patient education and disease management through a registered nurse in general practice.Read moreRead less
Developing Evidence-Based Workforce Models for Nursing Services in Acute Care Hospitals. Nursing shortages and increasing patient demand and acuity are influencing the capacity of the health system to deliver quality nursing care. The aims of this study are to document the current activities undertaken by differing levels of nursing staff in hospitals and develop evidence-based guidelines for future service delivery. Using Work Sampling, current activities will be documented then Critical Incide ....Developing Evidence-Based Workforce Models for Nursing Services in Acute Care Hospitals. Nursing shortages and increasing patient demand and acuity are influencing the capacity of the health system to deliver quality nursing care. The aims of this study are to document the current activities undertaken by differing levels of nursing staff in hospitals and develop evidence-based guidelines for future service delivery. Using Work Sampling, current activities will be documented then Critical Incident Technique will capture key contextual data and strategies for workforce redesign. Focus groups with health professionals and an Expert Advisory Panel will further develop these strategies f and establish evidence-based policy, professional and organisational guidelines for the delivery of nursing services in hospitals.Read moreRead less
A disease of the brain: how do neurobiological explanations of addiction influence the attitudes and behaviour of smokers? This project explores the impact of promoting addiction as a "brain disease" on smokers' confidence in their ability to quit smoking, and the methods they use to quit. This is essential to inform public health policies designed to reduce the burden of tobacco related harms.
Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic ....Pathways to healing: determining effective care pathways for chronic wounds for timely healing, prevention and cost effectiveness. Care for chronic leg ulcers is reported to cost 1-2.5% of total health budgets (>3 billion $US/year, $500 million AUD/year). Efficient use of health resources and improved health as a result of effective chronic wound management (early healing and prevention) are the most significant potential outcomes from this study. In addition to direct health care costs, chronic wounds are associated with significant hidden burdens on the community resulting from loss of mobility, decreased functional ability, social isolation and loss of participation in the workforce/society. This study will provide much needed information on management of this chronic disease to promote improved quality of life, health and independence in this population.Read moreRead less
Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to ....Preventing hospital readmissions and loss of functional ability in high risk older adults: A randomised controlled trial. Older people have higher rates of hospital admission and readmission due to complications and falls. During hospitalisation, many older people experience functional decline which impacts on their future independence. Acute hospital services comprise the largest section of health expenditure in Australia, costing $26,413 million/year. Prevention or delay of disease is known to produce more effective use of services. This study will compare the effectiveness of innovative strategies to prevent deconditioning, functional decline and hospital readmissions. Comparative analysis of these strategies will provide information with potential to reduce costs whilst improving functional status, psychosocial well-being and independence in older peopleRead moreRead less
Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and qua ....Comprehensive discharge-planning and in-home follow-up for older adults incorporating exercise strategies to avoid de-conditioning and reduce risk of hospital re-admission. Older people have significantly higher rates of hospital admission and length of stay than the general population and higher rates of hospital re-admission due to complications and falls. During hospitalisation, older people experience significant functional decline which impacts on their future levels of independence and quality of life. This research aims to design, deliver and evaluate an innovative model of discharge planning and in-home exercise-based follow-up for community-living frail older people at high risk of hospital re-admission as a means of promoting health. Results should delay occurrence of disease, reduce re-admissions, and improve functional status, psycho-social well-being and patient satisfaction.Read moreRead less
Empowering and protecting children by enhancing knowledge, skills and well-being: a randomised trial of Learn to BE SAFE with Emmy™. By evaluating the school-based program, Learn to BE SAFE with Emmy™ developed by ACT for Kids, this multi-site, Queensland project will use innovative methods to guide efforts to prevent child abuse. This project will focus on young children to promote competence in protective behaviours and improve child and family well-being.
Understanding and Managing the Occupational Health Impacts on Investigators of Internet Child Exploitation. Through developing best practice models for managing vicarious trauma in investigators of Internet child exploitation, the project will result in enhanced job satisfaction and less burnout of workers, and reduced health costs for policing organisations. Thus the project addresses a serious occupational health issue and contributes to the goal of promoting and maintaining good health. Furth ....Understanding and Managing the Occupational Health Impacts on Investigators of Internet Child Exploitation. Through developing best practice models for managing vicarious trauma in investigators of Internet child exploitation, the project will result in enhanced job satisfaction and less burnout of workers, and reduced health costs for policing organisations. Thus the project addresses a serious occupational health issue and contributes to the goal of promoting and maintaining good health. Further, by better managing the occupational health of investigators, the project will enhance the capacity of police organisations to deliver on their mission of investigating and preventing Internet child exploitation. This in turn contributes to the reduced consumption of Internet child exploitation and the associated traumatisation of abused victims. Read moreRead less