The HIV Prevention Revolution: Measuring Outcomes And Maximising Effectiveness
Funder
National Health and Medical Research Council
Funding Amount
$1,081,723.00
Summary
There have been extra-ordinary recent biomedical advances in HIV prevention. These present an opportunity to turn the HIV epidemic around. We will undertake implementation research to optimise the impact of the new tools at the population level. NSW has a detailed HIV strategy with explicit targets for reduction of HIV transmission over the period 2012 to 2020. Our research will guide optimum program delivery to drive new HIV infections down in Australia and other high income settings.
Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting ....Citizen engagement: Listening to citizens' views about Australia's health system and prevention. This project will yield new and important perspectives from citizens on preventive health and health promotion, which can be used to develop better targeted and more effective prevention and promotion policies and strategies. Citizens views will be investigated in relation to vexed issues such as: new approaches to financing and program delivery, reorienting the health insurance sector, reorienting the health system to focus more on prevention and health promotion, improving current approaches of consumer participation in prevention and chronic disease management, tackling broader issues in public policy trade-offs between health and non-health, diversifying workforce roles and involving health professionals in prevention and promotion.Read moreRead less
A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselve ....A prospective investigation of self-injury, suicidal ideation and psychological distress in Australian secondary school students. Suicide prevention has been a national priority for the past 10 years. Self-injury is a predictor of suicide, results in considerable distress for family and friends and is associated with significant health care expenditure. In addition the known correlates of self-injury, such as depression and substance use, also pose significant burden to society and are themselves predictors of suicide. Understanding the nature and extent of self-injury in Australian adolescents, and the causal relationships between self-injury, suicidal ideation and psychological distress, will improve the care given to those who self-injure, improve their well-being, decrease their chances of further self-injury, and decrease the chance they will die by suicide.Read moreRead less
Do perceptions of morality of alcohol, tobacco & cannabis use influence uptake in high school? In Australia, the cost of drug use was estimated at $34.4 billion in 1998-89. Preventing or delaying alcohol, tobacco and illicit drug use among adolescents is a way of reducing substance use among adults, and therefore, reduces the health, social and economic costs associated with substance use. This study will assess the protective/vulnerability effect of a range of variables on youth substance use i ....Do perceptions of morality of alcohol, tobacco & cannabis use influence uptake in high school? In Australia, the cost of drug use was estimated at $34.4 billion in 1998-89. Preventing or delaying alcohol, tobacco and illicit drug use among adolescents is a way of reducing substance use among adults, and therefore, reduces the health, social and economic costs associated with substance use. This study will assess the protective/vulnerability effect of a range of variables on youth substance use including morality and legitimacy concepts. These data will guide the development of curriculum components to enhance the effect of school-based interventions with respect to substance use, and provide practical recommendations for community interventions targeted at substance use.Read moreRead less
What works best for youth smoking prevention messages? In Australia, tobacco smoking is the leading cause of preventable death and disease, resulting in over 19,000 deaths annually. The morbidity and mortality associated with smoking costs the community over $21 billion a year. People who start smoking when they are young are more likely to smoke heavily as adults, to become more dependent on nicotine and to be at increased risk of smoking-related illness or death. This research study will provi ....What works best for youth smoking prevention messages? In Australia, tobacco smoking is the leading cause of preventable death and disease, resulting in over 19,000 deaths annually. The morbidity and mortality associated with smoking costs the community over $21 billion a year. People who start smoking when they are young are more likely to smoke heavily as adults, to become more dependent on nicotine and to be at increased risk of smoking-related illness or death. This research study will provide practical recommendations for future tobacco control television advertising targeted at youth in terms of the elements featured in tobacco control advertisements that increase advertising effectiveness. Read moreRead less
A mental health "thermometer" to monitor and prevent adverse treatment outcomes and self-harm among psychiatric inpatients. Our project stands to prevent adverse outcomes in psychiatric patients. An estimated 660 000 people are admitted to psychiatric hospitals each year; 99 000 of these people are worse off following treatment (assuming a deterioration rate of 15 per cent). Since monitoring can halve that rate, if this project can halve the deterioration rate again, then 24 750 inpatients acr ....A mental health "thermometer" to monitor and prevent adverse treatment outcomes and self-harm among psychiatric inpatients. Our project stands to prevent adverse outcomes in psychiatric patients. An estimated 660 000 people are admitted to psychiatric hospitals each year; 99 000 of these people are worse off following treatment (assuming a deterioration rate of 15 per cent). Since monitoring can halve that rate, if this project can halve the deterioration rate again, then 24 750 inpatients across the nation would not be worse off after treatment representing an annual saving of nearly $19.2 million per annum and reduce the number of patients who fall into a cycle of admission and readmission. Further, although suicide occurs in less than one per cent of admissions, if this research is able to predict and then reduce the suicide rate by as little as 10 per cent, then 660 lives can be saved each year.Read moreRead less
Improving Evidence-based Treatment Of Latent Tuberculosis Infection In Public-hospital Based Chest Clinics
Funder
National Health and Medical Research Council
Funding Amount
$176,250.00
Summary
The aim of this project is to implement an electronic decision support (EDS) tool for preventive tuberculosis treatment into clinical practice. Information needs of patients and physicians as well as practical concerns regarding the use of the EDS will be evaluated before performing pilot testing and evaluating the impact of the EDS tool on simulated doctor-patient interactions and clinical workflow.
Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine sa ....Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine safety surveillance as a case study to evaluate the effectiveness of data linkage (through linking Commonwealth immunisation data to state hospital data) and the methodologies and lessons learnt from cross jurisdictional data linkage can be transferred to other areas. Read moreRead less
Multi-dimensional Temporal Abstraction to Support Neonatal Clinical Research. Each year, the death of a baby causes grief for thousands of Australian parents, contributes to depression and considerable anxiety in the population. In this work we propose procedures that will significantly reduce this unhappy scenario. The availability of a complex trend and pattern analysis will give Neonatologists access to predictive clinical analysis that has not previously been available locally or internation ....Multi-dimensional Temporal Abstraction to Support Neonatal Clinical Research. Each year, the death of a baby causes grief for thousands of Australian parents, contributes to depression and considerable anxiety in the population. In this work we propose procedures that will significantly reduce this unhappy scenario. The availability of a complex trend and pattern analysis will give Neonatologists access to predictive clinical analysis that has not previously been available locally or internationally. Thus, significant benefits in terms of lower mortality rates and lower long-term disability rates among babies requiring special care is possible. This research will provide the basis for future projects that will support regional hospitals.Read moreRead less
The Effectiveness Of A Clinical Practice Change Intervention Increasing Community Mental Health Clinician Adherence To Preventive Care Guidelines
Funder
National Health and Medical Research Council
Funding Amount
$307,946.00
Summary
I am a Health Psychologist focused on the physical health needs of those with a mental illness. Four health risk behaviours - tobacco smoking, risky alcohol use, physical inactivity and inadequate fruit and vegetable consumption, constitute the primary behavioural risks for the most common cause of mortality for those with a mental illness – cardiovascular disease. This project seeks to improve assessment and treatment of these factors through the implementation of strategies to improve clinical ....I am a Health Psychologist focused on the physical health needs of those with a mental illness. Four health risk behaviours - tobacco smoking, risky alcohol use, physical inactivity and inadequate fruit and vegetable consumption, constitute the primary behavioural risks for the most common cause of mortality for those with a mental illness – cardiovascular disease. This project seeks to improve assessment and treatment of these factors through the implementation of strategies to improve clinical practice in community mental health services.Read moreRead less