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Relationship Between Caregiver Time And Mental Health&well-being Of Mothers Caring For Children With Chronic Disability
Funder
National Health and Medical Research Council
Funding Amount
$355,127.00
Summary
The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabili ....The Australian Institute of Health and Welfare has calculated that the dollar value of unpaid caring labour is approximately double the total (monetary) welfare service expenditure in Australia. Furthermore, most authorities predict that the need for informal care will grow as the population ages and as government policies continue to emphasize de-institutionalisation and care in the community. A significant group of these informal caregivers are mothers caring for children with chronic disabilities. These mothers have long been known to have higher rates of psychosocial problems than other mothers. However, little is known about the mechanisms by which these problems arise. This is a significant omission, as the potential benefit of home-based care for children with chronic disabilities will only be realised if caregivers remain healthy. It seems unlikely that caregivers will be able to provide effective care for children if their own health has been compromised by the demands of caring for the children's disabilities. The present study will provide new information about the relationship between the caregiving time mothers must spend caring for children with chronic disability, and maternal psychological adjustment and health-related quality of life. A better understanding of the mechanisms which give rise to maternal psychosocial problems in this population is important for two reasons. First, information in this area is an essential prerequisite for the development of effective support to reduce the problems experienced by primary caregivers and ensure they can play an effective ongoing role in the care of children with chronic disability. Second, at a theoretical level there is a great need to obtain a better understanding of the mechanisms by which environmental stressors give rise to mental health problems, particularly depression, in the general population.Read moreRead less
A Population-based Survey Of Recent Mothers In South Australia And Victoria
Funder
National Health and Medical Research Council
Funding Amount
$1,098,661.00
Summary
This study involves a postal survey of women giving birth in SA and Victoria in 2007. The survey will be mailed to around 7,000 women by hospitals and home birth practitioners in early 2008, five months after women have given birth. All Indigenous women who give birth in SA and Victoria during 2008, approx. 900 women, will be invited to participate in the survey by completing the survey by mail or by interview. The study will investigate the childbirth and early postnatal experiences, physical a ....This study involves a postal survey of women giving birth in SA and Victoria in 2007. The survey will be mailed to around 7,000 women by hospitals and home birth practitioners in early 2008, five months after women have given birth. All Indigenous women who give birth in SA and Victoria during 2008, approx. 900 women, will be invited to participate in the survey by completing the survey by mail or by interview. The study will investigate the childbirth and early postnatal experiences, physical and emotional health of representative samples of women giving birth in each state. Women living in metropolitan, regional and remote areas, and women having first and subsequent births will be included. A major aim of the study will be to monitor the impact of maternity services strategies implemented in each State, and determine whether the expansion of midwife care and other models providing continuity of care have resulted in improvements in women's overall experiences of maternity care. The study will also investigate women's experiences of psychosocial inquiry and support, explore women's views of universal postnatal home visiting programs and monitor the impact of the continuing trend towards shorter length of postnatal hospital stay on women's health after childbirth, breastfeeding and infant readmission. The impact of organisational and policy changes in maternity care has not been subject to careful or rigorous evaluation. The conduct of population-based surveys of recent mothers in Victoria provides a unique and important source of information for monitoring the impact of policy changes on maternal health and well-being, and women's experiences of maternity care. Repeating the survey, extending the survey to include women giving birth in SA and a representative sample of Indigenous women will provide valuable evidence regarding the responsiveness of maternity services and the extent to which policy changes have led to improvements in maternity care.Read moreRead less
Regionalised Maternity Care - Is There Room For Improvement?
Funder
National Health and Medical Research Council
Funding Amount
$467,752.00
Summary
A central dilemma in the provision of maternity care is that some mothers and babies need access to expertise and sophisticated technologies, but most do not. In Australia regionalised maternity care aims to ensure the provision of the appropriate level of care to all women, via antenatal identification of at-risk pregnancies and subsequent transfer to risk-appropriate settings, should the need arise. Furthermore, delayed childbearing and increasing rates of caesarean section are increasing the ....A central dilemma in the provision of maternity care is that some mothers and babies need access to expertise and sophisticated technologies, but most do not. In Australia regionalised maternity care aims to ensure the provision of the appropriate level of care to all women, via antenatal identification of at-risk pregnancies and subsequent transfer to risk-appropriate settings, should the need arise. Furthermore, delayed childbearing and increasing rates of caesarean section are increasing the pool of women with existing medical conditions and risk factors for adverse pregnancy outcomes. There is an urgent need to identify risk-appropriate levels of maternity care based on women's antenatal conditions and risk factors that can be identified early or during pregnancy. The project will use existing population health data sets to determine to what extent regionalised maternity care is delivering women and their babies in risk-appropriate settings or whether there is room for improvement through increased transfer of at-risk pregnancies to higher levels of care. Variations in outcomes for mothers and babies may be due to factors that occur before or during pregnancy, or may be due to differences in the level of maternity care provided. We need to take account of maternal factors to fairly assess the role of the level of maternity care. To do this our project will develop and utilise innovative statistical techniques to look at the risk factors associated with poor outcomes (severe illness or death) for mothers and their babies. We will then be able to 'predict' outcomes and see if differences between levels of maternity care are real or not. If variations are explained by different levels of care then there is enormous potential for improvement in the provision of maternity services. Results could be applied to direct health services policy and organisational changes to improve maternity care and optimise pregnancy outcomes for a healthy start to life.Read moreRead less
Determinants of children's physical activity and sedentary behaviour: a follow-up study from early childhood. This project investigates changes in preschool children's physical activity and sedentary behaviour, and influences on these changes, during the important period of transition to school. It will provide important information on how we might assist children to be more active, thereby avoiding the detrimental health and social outcomes of inactivity.
Child health and developmental inequities: Evidence for precision policy. The project aims to use cutting edge analytic approaches applied to existing data to identify how policy interventions related to parents’ mental health, preschool programs, and the built environment can be optimised to reduce inequities in children’s mental, academic, and physical health outcomes. The project will be informed by our partners and advisers from across government portfolios and service delivery, ensuring tha ....Child health and developmental inequities: Evidence for precision policy. The project aims to use cutting edge analytic approaches applied to existing data to identify how policy interventions related to parents’ mental health, preschool programs, and the built environment can be optimised to reduce inequities in children’s mental, academic, and physical health outcomes. The project will be informed by our partners and advisers from across government portfolios and service delivery, ensuring that the evidence generated has contemporary policy relevance. The project expects to identify clear and actionable policy pathways to reduce child inequities in Australia, which can benefit decision makers by helping them to direct limited public funds towards intervention opportunities that will have the greatest impact.Read moreRead less
Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of earl ....Development of a comprehensive model and programmed intervention for emotion processing deficits in childhood-onset mental health problems. This research is in the National Research Priority, promoting and maintaining good health. Mental health problems cost Australia millions of dollars every year as well as creating immeasurable social adversity for individuals and families. The proposed research represents a significant step towards reducing these costs and improving the effectiveness of early intervention and prevention. The research will lead to improvements in methods for early detection of child psychopathology with potential for implementation in both community health and educational services nation-wide. The research partnership will build Australia's capacity for innovative research in the development, early intervention and treatment of mental health problems.Read moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less
Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. ....Maternal mental health and anaemia as determinants of infant health and development in resource constrained settings. A healthy start to life is an explicit Australian priority. Maternal health is a major determinant of the health and development of infants. This international collaborative project will contribute evidence about two maternal health conditions: mental disorders and anaemia, and their effects on infant health and development, through research in Vietnam where both are prevalent. The findings will inform interventions to improve the health of mothers and infants in all resource-constrained settings, including among indigenous and refugee groups in Australia. It will advance Australia's international relations by strengthening a partnership with Viet Nam and contributing to a World Health Organization priority area. Read moreRead less
Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australia ....Childhood obesity, physical activity and wellbeing: Discovering the influence of children's understandings and experiences of places, spaces and communities. The study aims to discover 3-13 yr old children's understandings, perceptions & experiences of physical activity & associated places & spaces. Childhood obesity is a modern 'epidemic' & governments agree that low physical activity levels contribute significantly. Epidemiological & clinical research has been undertaken, but we lack Australian studies that systematically listen to & understand the pivotal voices of children themselves. Failure to develop such theoretically sound, practice-based understandings may mean ineffective interventions that misunderstand children's worlds. This collaborative study unites highly experienced researchers, practitioners & policy makers who will actively involve children in creating & using new knowledge.Read moreRead less