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Improving the physical and oral health of people with severe mental illness: using Normalisation Process Theory to support new practices. The physical health of people with severe mental illness is extremely poor, often due to inadequate attention to their health needs by health professionals in primary care and the public mental health system. This project will focus on how practices can be changed to improve the health of this population and increase their access to preventative healthcare.
Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-ki ....Preventing Suicide: A psychological autopsy study of the last contact with a health professional before suicide. In Australia, 48% of all suicides in 2000 were by 35-64 year olds; an additional 13% were by 65 years and over. This study will examine the last clinical contact older suicide victims had with health professionals in order to determine whether this contact offers an opportunity for intervention. For the first time in Australia, GP's, health professionals, and the deceased's next-of-kin will be interviewed to determine the context surrounding the deceased's death, and the abilities of health professionals to identify warning signs and to intervene prior to suicide. Given our ageing population, the outcomes will be significant in educating all health professionals to identify suicidal signs, and to prevent premature death in the elderly.Read moreRead less
MOSAIC: A GP Cluster Randomised Trial To Reduce Partner Violence Among Pregnant Women And Women With Pre-school Children
Funder
National Health and Medical Research Council
Funding Amount
$432,250.00
Summary
Intimate partner abuse or domestic violence is common and damaging for women in the early childbearing years. It has a negative effect on the mental and physical health of women and their children. Because of poor health, victimised women and children are frequent attenders to family doctors (GPs), but doctors face many barriers in making an effective response. One of these barriers is the critical absence of evidence for what would help women attending GPs in dealing with partner abuse. This is ....Intimate partner abuse or domestic violence is common and damaging for women in the early childbearing years. It has a negative effect on the mental and physical health of women and their children. Because of poor health, victimised women and children are frequent attenders to family doctors (GPs), but doctors face many barriers in making an effective response. One of these barriers is the critical absence of evidence for what would help women attending GPs in dealing with partner abuse. This is vital to inform both GP training and clinical practice. There is sound evidence that home visiting or support by peers improves the health of disadvantaged mothers and children. Similarly, advocacy improves the health and wellbeing of abused women. The MOSAIC community intervention trial combines these two elements: home visiting-peer support and domestic violence advocacy and this strategy will be evaluated in a randomised trial. The trial aims to reduce partner abuse and depression among women pregnant or with children under 5 attending GPs. It also aims to strengthen mother-child bonds. Trained and supported GPs from 40 participating practices will identify 700 abused or at risk women over a 40 week period. Women in the intervention arm of the trial, identified as abused or at risk by their GPs will be offered the support of trained para-professional 'mentor mothers' for up to a year, while the comparison arm will be offered standard GP care. Recent funding allows a pilot study of mentor mother recruitment and training to be undertaken in 2003. The study will strengthen GP support for this difficult issue and build a 'critical mass' of GPs interested in partner abuse management in the 5 participating divisions. The MOSAIC study will assess the value to GPs and women of an enhanced support system for victims' care and provide much needed evidence of an intervention embedded in general practice to reduce partner abuse of pregnant women and women with young children.Read moreRead less
Musculoskeletal injuries sustained as a consequence of road traffic crashes are common and costly to the Australian community. Many people do not recover well after the injury but suffer ongoing pain and disability. The Centre for Research Excellence in Recovery Following Road Traffic Injury will target a clear need to improve health outcomes for injured individuals through research, capacity building and end-user engagement with a focus in primary care.
Designing An Evidence-based Intervention To Improve Australian General Practitioners' Management Of Work-related Mental Health Claims
Funder
National Health and Medical Research Council
Summary
Workplace-related mental health claims (MHCs) are an increasing reason for obtaining injury compensation in Australia. The aim of this study is to examine at a national level the knowledge, attitudes, and practices of GPs, workers’ compensation agents and mental health claimants in relation to MHC management. The outcomes from this study include a theoretically-informed and feasible intervention design that should improve the management of MHCs and increase rates of return to work.
An internet-based intervention program for distress associated with tinnitus in an industrial setting. This project involves a randomised controlled trial of an internet-based intervention for distress associated with tinnitus in an industrial setting. This study is significant because it is the first to investigate the effectiveness of an internet-based program for workers with tinnitus living in metropolitan, regional and rural areas of Australia and New Zealand. Changes will be assessed on wo ....An internet-based intervention program for distress associated with tinnitus in an industrial setting. This project involves a randomised controlled trial of an internet-based intervention for distress associated with tinnitus in an industrial setting. This study is significant because it is the first to investigate the effectiveness of an internet-based program for workers with tinnitus living in metropolitan, regional and rural areas of Australia and New Zealand. Changes will be assessed on work performance (e.g. job satisfaction), tinnitus-related distress, negative affect, and quality of life. It is expected that workers accessing the internet-based intervention will show significant improvements on all measures at post-intervention with improvements maintained at six-month follow up.Read moreRead less
The Diamond Cohort Study - Better Management Of Those At Risk Of Persistent And Disabling Depression
Funder
National Health and Medical Research Council
Funding Amount
$1,563,309.00
Summary
Diamond began in 2005 to follow over 500 people with depressive symptoms to document and describe the nature and course of depression and its’ management over a decade of a participant’s life. Our findings will help us to understand the factors associated with depression recovery, relapse and persistence. We will inform clinical practice by developing a tool to assist GPs to identify those at risk of persistent and disabling depression, to enable better treatments.
A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping ....A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping habits of children. Better sleep is expected to result in improved alertness, better life satisfaction, and improved weight status.Read moreRead less
Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parent ....Improving maternal and child health care for women experiencing violence: collaborative development, implementation and effectiveness of a good practice model. Maternal and child health services are universal community-based national services for Australia's mothers and babies. However, they are poorly researched, supported, resourced and lack evidence for managing the challenges of addressing intimate partner violence among their client populations. Partner violence is prevalent in early parenthood and imposes a heavy health burden on victims and infants and a significant cost to society. If effective, this innovative model of maternal child health nursing care for abused mothers and infants will inform the enhanced provision of early intervention services nationwide, contribute to community nursing scholarship and give children a healthier start to life.Read moreRead less
Regional Primary Health Care Organisations: Population Health Planning, Participation, Equity And The Extent To Which Initiatives Are Comprehensive
Funder
National Health and Medical Research Council
Funding Amount
$1,050,581.00
Summary
Medicare Locals are established to coordinate PHC delivery and tackle local health needs and service gaps. This study will examine the extent to which Medicare Locals consider and respond to health needs of those most in need e.g. Aboriginal/Torres Strait Islanders, new migrants/refugees and people with mental illnesses, and address the social factors affecting peoples’ life. The study will explore stakeholders’ perceptions to improve the capacity of Medicare Locals in achieving its goals.