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Step Up: A Technology-enhanced Stepped Psychological Intervention For Strengthening Adaptive Capacity And Treating Post-traumatic Comorbidities In Refugees
Funder
National Health and Medical Research Council
Funding Amount
$318,768.00
Summary
There is a major translational gap in rolling out psychotherapeutic treatments into readily accessible public health interventions for refugees. This project examines the feasibility and effectiveness of a technology-enhanced stepped psychological intervention designed to build resilience (Step 1) and manage traumatic stress symptoms and related comorbidities in traumatized refugees to ensure they have an enhanced capacity to adapt to the new environment post trauma.
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
Reducing Cancer Patients Psychosocial Needs. A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$452,025.00
Summary
With 345,000 cases of cancer diagnosed each year, cancer is one of the nation's health priority areas. Although significant improvements in the early detection and treatment of cancer have increased survival, these advancements may have added to the psychological, physical and resource burdens placed on patients by increasing the time between diagnosis and definitive outcome. Addressing the physical and psychological needs of cancer patients throughout the course of their illness has become an i ....With 345,000 cases of cancer diagnosed each year, cancer is one of the nation's health priority areas. Although significant improvements in the early detection and treatment of cancer have increased survival, these advancements may have added to the psychological, physical and resource burdens placed on patients by increasing the time between diagnosis and definitive outcome. Addressing the physical and psychological needs of cancer patients throughout the course of their illness has become an important component care. A potential mechanism for reducing the psychological morbidity associated with cancer is to intervene to reduce a patient's level of unmet needs. This proposal intends to test the cost-effectiveness of an innovative intervention to reduce the level of unmet needs among colorectal patients. The study involves recruiting patients diagnosed with colorectal cancer within the past 3 months through the cancer registry and assessing their level of unmet needs at four points-at entry into the study: 6-, 12- and 18- months post diagnosis. Experimental subjects will be assigned a specially trained volunteer worker attached to the cancer council to aid the patient in identifying resources to address their unmet needs. The volunteer will act as an information resource and emotional support person. The volunteer will access information about the patients unmet needs from study questionnaires, and work with patients to devise a plan for addressing their unmet needs. The study will determine whether the level of unmet needs among cancer patients can be reduced in this manner and whether this strategy also reduces psychological distress. The proposed research is unique as it could highlight mechanisms that could be utilised by all cancer councils in Australia. The intervention has the additional benefit of being able to reach all cancer patients in a particular state regardless of their geographic location or where they receive treatment.Read moreRead less
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
Psychiatric Morbidity, Quality Of Life And Coping Styles Of Patients With Early Stage & Advanced Prostate Cancer
Funder
National Health and Medical Research Council
Funding Amount
$281,018.00
Summary
Prostate cancer affects thousands of men each year. Advances in treatment are continuing, but side-effects frequently create disruptions to daily living. If the quality of care for prostate cancer patients is to be further improved, there is much to be learned about the psychosocial impact of the disease and its treatment across its different phases. There has not been a systematic prospective study of psychosocial adjustment in men with prostate cancer. In this study, we longitudinally follow t ....Prostate cancer affects thousands of men each year. Advances in treatment are continuing, but side-effects frequently create disruptions to daily living. If the quality of care for prostate cancer patients is to be further improved, there is much to be learned about the psychosocial impact of the disease and its treatment across its different phases. There has not been a systematic prospective study of psychosocial adjustment in men with prostate cancer. In this study, we longitudinally follow two separate groups of men with prostate cancer, those with early disease and those with advanced illness. We focus on the particular side-effects of urinary incontinence, impotence and bowel symptoms and the potential these have to affect the patient's sense of wellbeing. We use a standardised interview and questionnaires to assess for the presence of psychiatric disorders and psychological problems, overall quality of life and coping styles in these men. We seek to recognise the predictors of men who may have coping problems. A statistical approach termed pathway analysis will help us understand the relative contributions of different factors associated with these problems. The outcome of this systematic, longitudinal study will be a body of knowledge concerning risk factors for poorer psychosocial adjustment and optimum coping strategies for managing the impact of prostate cancer and its treatment, thereby empowering a range of targeted interventions to be developed to enhance the wellbeing and quality of life of these men.Read moreRead less
Right Care, Right Time, Right Place: Improving Outcomes For People With Spinal Cord Injury Through Early Intervention And Improved Access To Specialised Care
Funder
National Health and Medical Research Council
Funding Amount
$1,095,436.00
Summary
This novel study’s purpose is to improve the care and quality of life of people afflicted by spinal cord injury. The study will map the early clinical journey from injury to specialized spinal care, identifying factors which impact on health and quality of life up to a year after injury. The focus will be on whether a delay of more than 24 hours to specialized care worsens the outcomes. This will be the first Australian study examining the early care of patients with a spinal cord injury.
Treatment Of Asymptomatic Candidiasis In Pregnant Women For The Prevention Of Preterm Birth: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,120,373.00
Summary
Being born too early is a leading cause of perinatal death and morbidity. This trial seeks to determine whether screening for and treating candidiasis in pregnancy reduces the risk of this serious health problem. The trial will discover whether a simple treatment in pregnancy can reduce preterm birth. If positive, the results will be relevant to the management of every pregnancy.