Controlled Clinical Trial Of Desensitization To Chronic Pain
Funder
National Health and Medical Research Council
Funding Amount
$349,149.00
Summary
An estimated 17.1% of males and 20.0% of females in NSW report having chronic pain. Chronic pain sufferers are major users of health services, with frequent medical consultations and high pharmacological consumption. A recent NSW population-based study found that 78% of pain sufferers had consulted at least one healthcare practitioner in the previous 6 months about their pain, and 71% of those sampled were taking regular oral analgesic medications. Disability due to chronic pain is often associa ....An estimated 17.1% of males and 20.0% of females in NSW report having chronic pain. Chronic pain sufferers are major users of health services, with frequent medical consultations and high pharmacological consumption. A recent NSW population-based study found that 78% of pain sufferers had consulted at least one healthcare practitioner in the previous 6 months about their pain, and 71% of those sampled were taking regular oral analgesic medications. Disability due to chronic pain is often associated with higher levels of distress and use of healthcare services. Unfortunately, at present there are no lasting curative treatments for most chronic pain conditions and most people with these conditions are told they have to learn to live with their ongoing pain. One of the most effective ways of teaching chronic pain sufferers to live with their pain are known as cognitive behavioural therapy (CBT) interventions. But even though many find these methods helpful, a significant proportion of cases remain distressed by their pain. This places them at higher risk of relapse and further treatment seeking. If this group of pain sufferers could be taught more effective ways of minimising their pain-related distress, their overall functional and long-term quality of life goals could be maximised. The study has the potential to achieve a major improvement in outcomes for distressed patients with disabling chronic pain, traditionally a very intractable group. The study would also have important implications for the prevention of disability associated with persisting pain. If successful, it could alter the ways in which many health professionals advise patients to cope with their chronic pain, especially in relation to the use of the common modalities of relaxation and distraction techniques, as well as the use of pain reducing interventions. The study represents the first major clinical test of an alternative to these traditional modalities.Read moreRead less
Individual Differences In Coping With A Diagnosis Of ALS: Psychosocial Adjustment And Implications For Psychological Treatment Planning
Funder
National Health and Medical Research Council
Funding Amount
$101,523.00
Summary
A high proportion of patients with amyotrophic lateral sclerosis develop subtle personality and behavioural changes similar to those with behavioural variant frontotemporal dementia. Apathetic symptoms are the most commonly observed personality change. This project aims to establish the contribution of premorbid personality traits on the development and expression of apathy, and in turn, it’s implications for ALS patients’ psychological wellbeing and response to psychological intervention.
Referral Of Men Newly Diagnosed With Prostate Cancer To A Telephone-based Support Program
Funder
National Health and Medical Research Council
Funding Amount
$299,125.00
Summary
Cancer diagnosis and treatments are stressors of major proportions. There is compelling evidence that providing information, education and counselling services helps reduce emotional distress and improves quality of life among newly-diagnosed cancer patients. The public health challenge for improving the supportive care of cancer patients is to find a cost-effective way to deliver these services to this population. Our response to this challenge is to test an innovative program that involves the ....Cancer diagnosis and treatments are stressors of major proportions. There is compelling evidence that providing information, education and counselling services helps reduce emotional distress and improves quality of life among newly-diagnosed cancer patients. The public health challenge for improving the supportive care of cancer patients is to find a cost-effective way to deliver these services to this population. Our response to this challenge is to test an innovative program that involves the cancer specialist referring newly-diagnosed cancer patients to the Cancer Council Victoria's telephone information service staffed by nurse counsellors, as an integral part of the patient's treatment management. The program involves the nurse counsellor contacting patients and providing information and support at key times in the first six months after diagnosis. In this study, we will focus on prostate and male colorectal patients. The most common registrable cancers in males are prostate and colorectal cancer; male cancer patients are a group known to underutilise support services and among whom less research has been conducted on ways to improve adjustment to a cancer diagnosis and treatment. If effective, this program could provide a way for supportive care to be included among cancer patients, even those treated in rural centres, or where a multidisciplinary team is not yet available.Read moreRead less
Cognitive Impairments And Post Traumatic Stress Symptoms In Children With Traumatic Brain Injury: A Longitudinal Study
Funder
National Health and Medical Research Council
Funding Amount
$482,250.00
Summary
Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic ....Traumatic brain injury in children is common with more than 2000 new cases a year in Queensland and Victoria alone. Many children who experience a brain injury go on to have long-term difficulties such as significant educational and social problems. Post-traumatic stress occurs in children following traumatic physical injury. However it is not clear to what extent this is so for children who have received a traumatic brain injury. Furthermore, when there is a traumatic brain injury and traumatic stress, it is not clear how these interact, how they influence long-term outcomes, and what factors such as pre-injury functioning and family support and distress mediate outcomes. These issues are very important since effective rehabilitation of children following traumatic brain injury is essential to maximise long-term functioning and minimise disability. To be effective, rehabilitation must be guided by the knowledge about key factors that determine the recovery process. This study aims to provide answers to these questions by following two cohorts of children (aged 6-14) over 18 months after receiving a traumatic brain injury. In total 240 children will be recruited from Brisbane and Melbourne hospitals. They will be assessed at three, six, twelve and eighteen months post-injury using measures of cognitive, psychological and social functioning. Information on parent distress and behaviours will also be obtained. The information obtained will provide the basis for the development of a specific rehabilitation strategy for children with traumatic brain injury, including information on strategies to help prevent any confounding impact of post-traumatic stress on recovery.Read moreRead less
Talking The Walk: A Longitudinal Study Of Refugee Mens Health And Resettlement
Funder
National Health and Medical Research Council
Funding Amount
$440,450.00
Summary
Refugee men are commonly portrayed in negative contexts: domestic violence, unemployment, alcohol abuse. This study will follow up 242 adult refugee men to investigate their physical and mental health, and the social and cultural issues they face as they negotiate their settlement in a new country. The study will identify ways in which refugee men can best be assisted to ensure they are healthier, settle successfully, and develop their full potential as active members of the Australian community
Randomised Controlled Trial Of Early Intervention To Improve Sexual And Couple Functioning After Prostate Cancer
Funder
National Health and Medical Research Council
Funding Amount
$601,330.00
Summary
Treatment for localised prostate cancer has a long term negative impact on the sexuality and quality of life of Australian men and their intimate partners. This study will trial a remote access couples based sexuality intervention for this patient and carer group that has potential for broader translation.
Case-control Studies Of Completed And Attempted Suicide In Young People In NSW
Funder
National Health and Medical Research Council
Funding Amount
$819,000.00
Summary
Youth suicide rates have been increasing dramatically over the last three to four decades. The causes and determinants of these suicide rate changes remain unclear, as do the causes and determinants of the suicides themselves. Despite a range of risk factors being identified by researchers, predicting an individual suicide is difficult due to the range of factors involved and the complex interactions between them. This study will investigate associations between individual and environmental fact ....Youth suicide rates have been increasing dramatically over the last three to four decades. The causes and determinants of these suicide rate changes remain unclear, as do the causes and determinants of the suicides themselves. Despite a range of risk factors being identified by researchers, predicting an individual suicide is difficult due to the range of factors involved and the complex interactions between them. This study will investigate associations between individual and environmental factors for both completed suicides and suicide attempts in young people aged 18-34 years living in NSW. The study will be undertaken in Sydney, Newcastle and in identified rural areas. The study is embedded in existing treatment, counselling and support services and will aid their improvement and augmentation. Cases of suicide and attempted suicide will be compared with community controls, and also completed suicides with attempted suicides, to identify potentially modifiable risk factors associated with suicidal behaviour. This will provide more comprehensive information relating to how various risk factors interact and influence suicidal behaviour, including in rural areas with significant Aboriginal and Torres Strait Islander communities. Information from this study will improve prevention initiatives and assist with community strategic development and provide evidence to enhance current health service and coronial interventions.Read moreRead less
Determinants Of Health In Adolescence Of Extremely Low Birth Weight Or Extreme Prematurity
Funder
National Health and Medical Research Council
Funding Amount
$1,417,604.00
Summary
We will uniquely determine the health outcomes at age 16 years of 298 very tiny (birth weight <1000 g) or preterm (<28 weeks' gestational age) children born in Victoria in 1991-92, compared with 262 normal birthweight children. We will track the pathways to the various health outcomes from a combination of social, biological, genetic and environmental influences, some of which have been obtained from detailed assessments of the children earlier in life, at birth, 2, 5, and 8 years of age.
A Randomised Trial Of An Early Parenting Intervention To Reduce Maternal Mood Disorder And Infant Behavior Disturbance
Funder
National Health and Medical Research Council
Funding Amount
$390,503.00
Summary
Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and ....Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and social policy focuses on assisting families including those with parental mental health and early parenting problems and children at risk of developmental difficulties. Australia's residential early parenting services are unique, offering brief treatment to mothers with difficulties and infants with unsettled behaviour. Parents are educated in infant care and provided with emotional support and assistance to adjust to the demands of parenting. In past studies by CIA and CIB women reported marked improvements in emotional distress, maternal confidence and infant manageability after completing this treatment and six months later. The education and emotional support were rated as acceptable and very effective. This project is a randomized controlled trial that will evaluate whether brief admission to a residential early parenting service has sustainable benefits for mild to moderate maternal mental health problems and for infant behaviour disturbance. Mothers with a diagnosable mental health condition and with four-month-old infants reported to have unsettled infant behaviour will be randomly assigned to a residential treatment program at an early parenting service or to routine care. Mothers and infants will be assessed with standardized psychological measures one month after treatment and when the baby is one year old. An effective and acceptable intervention will provide an important alternative to available treatments for postnatal psychological disturbance.Read moreRead less
Predicting And Promoting Improved Long Term Adjustment For Men With Localised Prostate Cancer: ProsCan
Funder
National Health and Medical Research Council
Funding Amount
$307,407.00
Summary
In the western world prostate cancer is the most common male cancer and the second most common cause of cancer death. Currently, the most contentious public health issue regarding prostate cancer is uncertainty about the benefits of diagnosing and treating prostate cancer at a localised stage. Prostate cancer is heterogeneous and the risk of morbidity and mortality from localised disease is difficult to quantify owing to the cancer's relatively slow growth rate. Thus, after the diagnosis of loca ....In the western world prostate cancer is the most common male cancer and the second most common cause of cancer death. Currently, the most contentious public health issue regarding prostate cancer is uncertainty about the benefits of diagnosing and treating prostate cancer at a localised stage. Prostate cancer is heterogeneous and the risk of morbidity and mortality from localised disease is difficult to quantify owing to the cancer's relatively slow growth rate. Thus, after the diagnosis of localised prostate cancer it is recommended that all men be advised of three possible treatment options at a minimum: watchful waiting, radiation therapy, or radical prostatectomy. Most men prefer active involvement in the treatment decision, however many find this difficult due to uncertainty about the likely survival gain; significant treatment side effects and ambiguous risk probabilities for these effects. While prostate cancer is common, mortality is low with most men surviving 10 years. This means quality of life after prostate cancer is a critical issue. Survivorship concerns for this patient group include fears about cancer recurrence; managing physical effects of treatments; and social effects such as disruption to daily living. Men seek help less for psychological difficulties than do women. Accessible and well targeted support services for men are critical. This project aims to identify men who after the diagnosis of localised prostate cancer are at risk of poorer psychosocial adjustment over the long term and to assess the effectiveness of a psychosocial and decision support intervention in improving their long term outcomes. Identification of predictors of men's adjustment over time and of effective ways to promote optimal long term outcomes are important research questions that are as yet unanswered. The present research will be the first of its kind internationally to address these questions.Read moreRead less