A Phase III Trial Comparing Adjuvant Versus Salvage Radiotherapy For High Risk Patients Post Radical Prostatectomy
Funder
National Health and Medical Research Council
Funding Amount
$819,138.00
Summary
About half of all patients Treated with an operation to remove their prostate cancer have a high chance of the cancer coming back. Giving immediate radiotherapy to all patients will improve cure rates but does not benefit all men and can cause significant side effects. This study explores whether it is safe to wait and only give radiotherapy when there is a rising PSA after surgery indicating active cancer. A total of 470 men from Australasia will enter this study comparing the two approaches.
A Randomised Control Trial Of Non-specific Clinical Management Versus CBT In Chronic Anorexia Nervosa
Funder
National Health and Medical Research Council
Funding Amount
$555,843.00
Summary
Anorexia nervosa (AN) is a serious mental illness that usually starts in adolescence and often runs a chronic course. With an estimated prevalence rate between 0.5% and 3.7% of women, and up to 50% remaining chronically ill, the illness poses a disproportionate burden on health and social services. AN has inpatient costs alone that exceed that for schizophrenia. Chronic AN has the highest mortality rate of any mental illness. Chronic AN patients are known for their ambivalence about engaging in ....Anorexia nervosa (AN) is a serious mental illness that usually starts in adolescence and often runs a chronic course. With an estimated prevalence rate between 0.5% and 3.7% of women, and up to 50% remaining chronically ill, the illness poses a disproportionate burden on health and social services. AN has inpatient costs alone that exceed that for schizophrenia. Chronic AN has the highest mortality rate of any mental illness. Chronic AN patients are known for their ambivalence about engaging in treatment and poor motivation to change their eating disorder behaviours. They often fail to respond to traditional treatments and develop a history of negative treatment experiences and repeated treatment failures. A new approach is needed to reduce both the personal suffering and the burden of the illness on social and medical services. To date, there has been little scientific investigation into the development of specific treatment for those patients with chronic AN. This study will trial a recently manualised therapy - non-specific supportive clinical management - which initial evidence suggests may hold promise for chronic AN because it offers a more indirect, motivationally-matched approach. This treatment will be compared to the establishment therapy Cognitive Behavioural Therapy. Patients will be randomly allocated to one of the two treatment conditions and will receive 40 sessions over 12 months. They will be thoroughly assessed prior to during and after they have completed treatment and followed up for 6 months. This is the worlds first trial of a psychological treatment for chronic AN; it is hoped the study will establish an effective treatment for this debilitating and expensive illness. Further, as the project aims to explore the core, but often over-looked, feature of AN - poor motivation for recovery - it will also be in a position to shed light on the deep psychological processes that maintain this illness.Read moreRead less
Exploring Internet Induced Changes in Youth Music Consumption. Music consumption is the basis of both a key Australian industry with wide reaching economic impact, and a social practice closely tied to identity formation, relationship development and mood management. This project has significant community and national benefit, in that it will further our understanding of contemporary popular music consumption. In documenting the range of online music products, young consumers' attitudes towards ....Exploring Internet Induced Changes in Youth Music Consumption. Music consumption is the basis of both a key Australian industry with wide reaching economic impact, and a social practice closely tied to identity formation, relationship development and mood management. This project has significant community and national benefit, in that it will further our understanding of contemporary popular music consumption. In documenting the range of online music products, young consumers' attitudes towards them, and their personal music acquisition habits, the project will lead to an understanding of how having access to almost unlimited, personalised music-file collections will affect the role music plays in their lives and the follow-on impact in social, cultural and economic terms.Read moreRead less
Uncovering the transgenerational dimension of ageing. Despite over a century of research on the biology of ageing, one intriguing aspect of ageing – the widely observed tendency for older parents to produce offspring with reduced lifespan and fitness – remains poorly understood. Such effects could be a major source of variation in individual fitness, could play a role in the evolution of ageing, and could impact human health. Building on recent discoveries by CI Bonduriansky’s research group and ....Uncovering the transgenerational dimension of ageing. Despite over a century of research on the biology of ageing, one intriguing aspect of ageing – the widely observed tendency for older parents to produce offspring with reduced lifespan and fitness – remains poorly understood. Such effects could be a major source of variation in individual fitness, could play a role in the evolution of ageing, and could impact human health. Building on recent discoveries by CI Bonduriansky’s research group and others, this project’s aims will address significant questions about the mechanisms mediating these effects, the roles of mothers vs. fathers, and the role of the ambient environment. This project will also contribute new theory on the evolutionary implications of such effects. Read moreRead less
Intra-genomic conflict and the evolution of sexually selected traits. The dynamics of sexual selection may prevent the simultaneous optimization of traits shared by the sexes, or of different traits within each sex. This proposal focuses on the consequences of these conflicts for phenotypic and genomic evolution. First, I will compare selection acting on a sexually dimorphic trait in males and females. Second, I will use artificial selection to create a novel sexually dimorphic trait, and track ....Intra-genomic conflict and the evolution of sexually selected traits. The dynamics of sexual selection may prevent the simultaneous optimization of traits shared by the sexes, or of different traits within each sex. This proposal focuses on the consequences of these conflicts for phenotypic and genomic evolution. First, I will compare selection acting on a sexually dimorphic trait in males and females. Second, I will use artificial selection to create a novel sexually dimorphic trait, and track the evolutionary response. Third, I will investigate the link between two important fitness traits: body size and ageing rate. This work will enhance important on-going research in the laboratory of Robert Brooks (UNSW).Read moreRead less
Benefits Of Home-based Multidisciplinary Rehabilitation In Non Small Cell Lung Cancer
Funder
National Health and Medical Research Council
Funding Amount
$581,039.00
Summary
Lung cancer is the third leading cause of death in Australia. People with lung cancer experience a complex mix of symptoms that can provoke significant distress and impair physical function. This study aims to develop and test a home based exercise and self-management support program to increase function and physical activity levels, reduce levels of depression and improve quality of life of people with lung cancer.
Developing An Australian Valuation For The EQ-5D-5L Quality Of Life Instrument
Funder
National Health and Medical Research Council
Funding Amount
$348,357.00
Summary
In the assessment of gains resulting from a health technology, it is standard to consider both mortality and quality of life effects. This project explores how Australians value different components of quality of life. To do this, we are running an online survey called a discrete choice experiment, and analysing the data using a range of cutting-edge econometric techniques. This will allow policy-makers to better reflect people's preferences when making decisions about new technologies.
Sustainable Fish: a material analysis of cultures of consumption & production. This project is a multifaceted, innovative cultural analysis of the crucial role of fish and fishing in feeding a growing global population. Estimates are that the world’s population will be nine billion by 2050. It is imperative that innovative research strategies are developed to explore how to best respond to questions of food security in a sustainable manner. This brings challenges across numerous scales, includin ....Sustainable Fish: a material analysis of cultures of consumption & production. This project is a multifaceted, innovative cultural analysis of the crucial role of fish and fishing in feeding a growing global population. Estimates are that the world’s population will be nine billion by 2050. It is imperative that innovative research strategies are developed to explore how to best respond to questions of food security in a sustainable manner. This brings challenges across numerous scales, including: changing consumer tastes, new State, Commonwealth and international regimes of marine governance, and adapting fishing communities to new forms of livelihood. This project will provide the first in-depth cultural account of the complex entanglement of the economy, the environment and the humans involved in fish and fishing.Read moreRead less
Youth, religion and sexuality: digital media, school cultures, exemptions. This project aims to understand the knowledges and practices about sexuality and religion that form the everyday worlds of young people who are religious. This should provide significant new knowledge about a key time in the development of a young person’s identity via a nationwide, deep yet comparative approach. Expected outcomes include strategic health policy and curriculum development advice that responds to current d ....Youth, religion and sexuality: digital media, school cultures, exemptions. This project aims to understand the knowledges and practices about sexuality and religion that form the everyday worlds of young people who are religious. This should provide significant new knowledge about a key time in the development of a young person’s identity via a nationwide, deep yet comparative approach. Expected outcomes include strategic health policy and curriculum development advice that responds to current debates around religious exemptions to anti-discrimination law and creates better education and health care for religious and LGBTIQ+ youth. Benefits will include increased wellbeing for religious LGBTIQ+ youth, conservatively religious and newly arrived youth communities in Australia.Read moreRead less
Ageing Well And Productively: Pathways To Healthy Workforce Participation And Caregiving.
Funder
National Health and Medical Research Council
Funding Amount
$143,660.00
Summary
Good health is vital to increase workforce participation,which enables us to pay for rising health care costs. This study will examine how socio-economic, behavioural, environmental and health-related factors impact on healthy workforce participation among older Australians. It will identify ways to prevent people having to retire early because of ill-health and will inform policy makers and health program developers about how best to maintain or increase a healthy workforce participation.