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A Smartphone-based Clinical Decision Support System For Primary Health Care Workers To Improve The Detection And Management Of Hypertension And Associated Cardiovascular Risk In Rural India.
Funder
National Health and Medical Research Council
Funding Amount
$954,505.00
Summary
We have found that around one in four adults in rural India have hypertension and a minority of these receive best practice care. Current health system infrastructure is grossly under-resourced to address this. We aim to improve hypertension management by strengthening primary health care workforce capacity through use of a smartphone based clinical decision support system that is integrated with existing health structures. This will be evaluated in a trial involving 45 villages in rural Andhra ....We have found that around one in four adults in rural India have hypertension and a minority of these receive best practice care. Current health system infrastructure is grossly under-resourced to address this. We aim to improve hypertension management by strengthening primary health care workforce capacity through use of a smartphone based clinical decision support system that is integrated with existing health structures. This will be evaluated in a trial involving 45 villages in rural Andhra Pradesh.Read moreRead less
Systematic Medical Assessment, Referral And Treatment For Diabetes Care In China Using Lay Family Health Promoters - SMART Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$1,385,858.00
Summary
Type 2 Diabetes (T2DM) affects 113.9 million people in China. Prevalence has risen dramatically to over 10% and is expected to continue rising. Few Chinese with T2DM are achieving adequate management targets to prevent complications and the current health system infrastructure is struggling to meet these gaps in care. Our project will expand the family health promoter model to develop a scalable model for low cost, high quality diabetes care in urban and rural China.
Systematic Medical Appraisal, Referral And Treatment For Common Mental Disorders In India - SMART Mental Health
Funder
National Health and Medical Research Council
Funding Amount
$1,957,608.00
Summary
An estimated 150 million Indians have mental health disorders and the vast majority receive no care whatsoever. We have developed a solution to strengthen India's primary healthcare system comprising village-based anti-stigma campaigns, and a workforce strategy that leverages the skills of doctors and non-physician frontline workers through use of mobile health technologies. It will be tested in North and South India in a large-scale trial involving 44,000 people and 20 primary health centres.
Eating Disorder Prevention In Young-adult Women At Risk: A Randomised Controlled Trial Of Two Online Programs
Funder
National Health and Medical Research Council
Funding Amount
$264,434.00
Summary
Disordered eating is experienced by 23% of young Australian women leading to a range of serious consequences. An online nation-wide study will evaluate the effectiveness of two promising prevention programs with women at high-risk of developing an eating disorder. This research will identify which program is of most benefit and inform whether that program can reduce the need for participants to access mental and physical health services.
Improving The Management Of Diabetes In Pregnancy In Remote Australia
Funder
National Health and Medical Research Council
Funding Amount
$2,117,449.00
Summary
This study aims to optimise the management of diabetes in pregnancy (both gestational diabetes and pre-existing type 2 diabetes) and post-partum follow-up of these high risk women in order to reduce the risk of future chronic disease among women and their children. The proposal involves scale-up of successful initiatives that we have developed as part of the NT DIP Partnership, scale-up within the Northern Territory (NT) and to Far North Queensland (FNQ).
Development Of Gatekeeper Training To Improve The Capacity Of Aboriginal And Torres Strait Islander Communities To Prevent Youth Suicide
Funder
National Health and Medical Research Council
Funding Amount
$1,178,077.00
Summary
This project aims to develop and evaluate suicide gatekeeper training courses for Aboriginal and Torres Strait Islander communities and for non-Aboriginal frontline workers, which will empower them to take action to reduce the risk of suicide and self-injury in Aboriginal and Torres Strait Islander youth.
Patterns Of Cancer Care For Indigenous People In NSW
Funder
National Health and Medical Research Council
Funding Amount
$1,690,636.00
Summary
Cancer is the second biggest killer of Indigenous Australians: for some cancers the mortality rate is more than 3 times higher in Aboriginal people and overall it is 60% higher. While differences in stage at diagnosis and the type and duration of care received by Aboriginal people may contribute to the higher mortality, this has not been studied in detail. New South Wales has the largest Aboriginal population in Australia. Reliable and current data on cancer care for NSW Aboriginal people will a ....Cancer is the second biggest killer of Indigenous Australians: for some cancers the mortality rate is more than 3 times higher in Aboriginal people and overall it is 60% higher. While differences in stage at diagnosis and the type and duration of care received by Aboriginal people may contribute to the higher mortality, this has not been studied in detail. New South Wales has the largest Aboriginal population in Australia. Reliable and current data on cancer care for NSW Aboriginal people will allow health services to better target cancer care. The aims of this project are: to determine whether Aboriginal people are being diagnosed with cancer at later stages; to describe the barriers to Aboriginal people being diagnosed earlier and accessing cancer care; to describe the care that Aboriginal people with cancer are currently receiving; and to compare their level and types of care with that received by non-Indigenous people. We will conduct four studies to address these aims. We will conduct interviews with Aboriginal people diagnosed with cancer and Aboriginal health workers who look after people with cancer to find out about their perceptions and experiences of Aboriginal people dealing with cancer. We will analyse a data set containing records from the NSW Central Cancer Registry and hospital admission records for people living in NSW. Treatments for cancer for Aboriginal and non-Indigenous people will be compared. This analysis will be complemented by an examination of records at Aboriginal Medical Services to obtain information on other treatments such as chemotherapy and radiotherapy and referrals to specialists. We will also conduct a population-based patterns of care study where questionnaires seeking information about the diagnostic tests performed and types of treatment given will be sent to doctors who have treated Aboriginal people with cancer. In addition, information will be obtained from Aboriginal people with newly diagnosed cancer about the clinical pathway that led to the diagnosis.Read moreRead less
Testing A Comprehensive Targeted Intervention To Reduce Student Bullying.
Funder
National Health and Medical Research Council
Funding Amount
$620,000.00
Summary
The serious effects of frequent bullying suffered by targets remains a major public health problem, with limited evidence to help school staff to successfully treat students who frequently bully others. This study is innovative as it involves students at a time of heightened risk of bullying and measures the additional contribution of comprehensive training and support to school staff, such as school psychologists who work with students who bully, to a whole school bullying prevention program.
The European Commission study - Models of Child Health Appraised (MOCHA) will examine the most effective model of primary health care (medical and non-medical) for children. We will complement this work through specific Australian studies on (1) experiences at the primary/secondary care interface, (2) development and testing of paediatric quality measures and (3) determining if and how primary care addresses inequity; ensuring all the results are translatable outside the European context.
Prevention Of Depression Using E Health Technologies
Funder
National Health and Medical Research Council
Funding Amount
$3,750,000.00
Summary
The number of people experiencing depression in Australia could be reduced radically if we do two things: Provide prevention programs to young people AND reduce the stigma people feel if they seek help. This research aims to develop effective, personalised school prevention programs, and deliver them to every school student in Australia. It also aims to determine how we can lower stigma across Australia by using social media.