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Improved Support For Regional And Remote Paediatric Oncology Families: A Randomised Controlled Trial Of Videotelephony
Funder
National Health and Medical Research Council
Funding Amount
$304,843.00
Summary
Childhood cancer presents a major life stressor for the entire family. Significant changes to the everyday lives of families, practically, socially and emotionally cause major disruption. There is evidence that this disruption results in isolation and poor communication between family members, anxiety, low self-esteem and school problems for siblings and anxiety, post-traumatic stress symptoms and risk of depression for parents. Providing ongoing support to these families is an essential part of ....Childhood cancer presents a major life stressor for the entire family. Significant changes to the everyday lives of families, practically, socially and emotionally cause major disruption. There is evidence that this disruption results in isolation and poor communication between family members, anxiety, low self-esteem and school problems for siblings and anxiety, post-traumatic stress symptoms and risk of depression for parents. Providing ongoing support to these families is an essential part of care. The Royal Children's Hospital (RCH) Paediatric Oncology Service in Brisbane is the major tertiary paediatric referral centre for Queensland, northern New South Wales and the southwest Pacific. A multidisciplinary team of medical, nursing, and allied health professionals provides care and support to children with cancer, as well as their families. Each year around 100 newly diagnosed patients are cared for. Around 60% of the families cared for by the service live in regional and remote areas. There are a number of challenges which inhibit the equitable provision of specialist health services to these areas including availability of health care professionals and accessibility due to distance, time, cost and transport. For paediatric oncology families, opportunities to receive support are limited. One possible solution is the use of online support mechanisms, such as videotelephony, to facilitate the provision of much needed support to patients, parents, siblings and the family as a whole. The objective of this research is to see if videotelephony can be used to support regional and remote families of the Royal Children's Hospital Paediatric Oncology Service providing indizidualised communication, education, counselling and monitoring. This will present a new and innovative use of videophone technology as well as a new method for supporting regional and remote oncology patients and their families.Read moreRead less
The Feasibility And Effectiveness Of A Family-based Intervention For Indigenous Australians With Alcohol Dependence.
Funder
National Health and Medical Research Council
Funding Amount
$218,291.00
Summary
This study aims to determine the feasibility of implementing a family-based intervention in an Indigenous community-controlled health service in rural NSW and it's level of acceptability to Indigenous patients. The expected main benefits of implementing the family-based intervention are increases in the percentage of Indigenous individuals with alcohol dependence entering and engaging in evidence-based treatment.
The Effectiveness Of A School-based Parent Education Program In The Promotion Of Adolescent Health: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$422,900.00
Summary
Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has ....Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has been neglected. This is remiss, as there is evidence that a range of youth mental health and behaviour problems may be preventable through interventions through this transition. The overall objective of this project is to evaluate the effectiveness of a multi-level, family intervention designed to promote adolescent health within secondary schools. The intervention will be implemented over the first two years of high school and incorporates both universal components (for all families) and selected components (for families with particular difficulties). The intervention elements have been developed and partially evaluated in work undertaken by the applicant and collaborators over the past five years. To evaluate this intervention a representative sample of 12 Victorian secondary schools will be randomly assigned to intervention and compared to 12 control schools with prior matching on school demographics and student behaviour variables. Intervention processes will be closely monitored and evaluated for impacts on relevant risk and protective factors. Effectiveness will be evaluated by testing whether reductions in youth mental health and behaviour problems were greater for intervention families compared to controls. The evaluation has been designed to test the theory that improvement across the whole secondary school environment can be encouraged by preventing the negative peer influences that can emerge within families experiencing adolescent adjustment problemsRead moreRead less
Impact Of Parental Alcohol, Tobacco And Other Substance Use On Infant Development And Family Functioning
Funder
National Health and Medical Research Council
Funding Amount
$1,996,525.00
Summary
The current study will be the first large-scale Australian birth cohort study to comprehensively examine the effects of substance use in pregnant women and their partners during the prenatal period on infant developement and family functioning. Dramatically improved knowledge of these effects will provide evidence-based direction to the development of public health policy and community interventions that aim to improve the health and wellbeing of Australian children and families.
A Parent Education And Skills Training Intervention For Young Adolescents With Autism
Funder
National Health and Medical Research Council
Funding Amount
$436,500.00
Summary
Autism is a most severe and prevalent lifelong developmental disorder affecting approximately one in every thousand children and their families. Autism is associated with personal suffering and is a significant burden and stress for parents, families and carers and cost to the community. In earlier work we have demonstrated that providing a structured program of parent education and guidance to families with preschool children with autism leads to improved parental adjustment and mental health. ....Autism is a most severe and prevalent lifelong developmental disorder affecting approximately one in every thousand children and their families. Autism is associated with personal suffering and is a significant burden and stress for parents, families and carers and cost to the community. In earlier work we have demonstrated that providing a structured program of parent education and guidance to families with preschool children with autism leads to improved parental adjustment and mental health. The program also led to behavioural and developmental benefits for the child. The early secondary school years bring further stress and difficulty to adolescents with autism and their families. This project aims to assess the effectiveness of a parent education and training program for parents with autistic adolescents aged 12-14 years. If shown to be effective, this manual based intervention can be readily used by professionals to promote parent mental health, family adjustment and improve the wellbeing and outcome for adolescents with autism. As a result, family stress and the necessity of out of home care may be reduced and school participation improved.Read moreRead less
Aboriginal Families Study: Closing The Gap In Indigenous Maternal And Child Health Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$981,590.00
Summary
This proposal addresses agreed targets for closing the gap in Indigenous disadvantage outlined by the Council of Australian Governments (COAG) in the National Indigenous Reform Agenda. The Aboriginal Families Study will help to determine organisational and service level factors leading to better health outcomes for Aboriginal women and families during and after pregnancy and inform the implementation of COAG funded maternal and child health initiatives in South Australia and nationally
Adolescent And Young Adult Parental Antecedent Of Health And Development In The First Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$566,331.00
Summary
In the past 50 years the gap between reproductive maturity at puberty and first childbirth has extended to around 2 decades. This coincides with a rise in mental disorders and substance use that has the potential to affect the health of babies and their mothers. This study will build on 20 years of work to test in a 1000 offspring the extent to which problems such as prematurity, post-natal depression and early mother-child relationships may be affected by earlier mental health and behaviour.