The Development Of A Model Of Care For Haematology And Palliative Care
Funder
National Health and Medical Research Council
Funding Amount
$149,044.00
Summary
The aim of the multi-site partnership is to build on foundational work initiated by NH and MRC to establish a model for end-of-life care in adult Haematology and palliative care. Preliminary work indicates this diagnostic category does NOT presently receive palliative care. Consumer research indicates that end-of-life care in haematology is associated with the distress of escalating technology, post-traumatic stress and spiritual pain. This study seeks to address this situation by building on th ....The aim of the multi-site partnership is to build on foundational work initiated by NH and MRC to establish a model for end-of-life care in adult Haematology and palliative care. Preliminary work indicates this diagnostic category does NOT presently receive palliative care. Consumer research indicates that end-of-life care in haematology is associated with the distress of escalating technology, post-traumatic stress and spiritual pain. This study seeks to address this situation by building on the prior consumer researcher to develop a model of care through a multi-disciplinary consultation with haematology professionals and consumers.Read moreRead less
Renal Dialysis Abatement: Decision-making & Social Impact Of The Transition To Terminal Care
Funder
National Health and Medical Research Council
Funding Amount
$100,000.00
Summary
A study of the impact on patients and their families of the decision to stop kidney machine dialysis, and the transition to terminal care, either in an in-patient hospice-palliative care unit or domicillary service. The study will employ a combination of quantitative demographic and qualitative social science methodologies. There will be a special focus on the decision-making process, given that a dialysis cessation decision will usually lead to death within a few weeks.
Improving Identification And Treatment Of Early-onset Behaviour Disorders In Children
Funder
National Health and Medical Research Council
Funding Amount
$498,869.00
Summary
Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining s ....Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining subgroups of these children would have huge implications for early intervention for mental health problems in our community. This project proposes the first large scale analysis of genetic distributions through to behavioural and treatment factors that characterise and differentiate a large representative sample of children with conduct problems. The project will test a model of child psychopathology that links genotype, via environmental risk and emotion processing problems, to an improved diagnostic-phenotypic model for treatment of the major childhood disorder. Clinical research activities will be structured into three intersecting arms: first, identifying the genetic and behavioural subtypes of early-onset conduct problems; second, innovative treatments for these children, and third, the dissemination of findings to these children and their families via the health care system. The research will build new collaborations between established and internationally recognised clinical research teams in childhood mental health, biological psychiatry, genetics and the Child and Adolescent Mental Health Statewide Network (CAMHSNET). CAMHSNET have specific responsibilities to NSW Health for expert advice and input on the development of child mental health services directions, dissemination, training, and effectiveness research.Read moreRead less
Early Influences Of Obesity And Fat Patterning In Children:critical Periods, Environmental Determinants, And Socio-cultu
Funder
National Health and Medical Research Council
Funding Amount
$1,152,711.00
Summary
Childhood obesity is an escalating public health problem both internationally and within Australia. Rates of childhood obesity in Australia are at one of the highest amongst developed nations. 25% of Australian children are currently overweight or obese. Obesity is a strong risk factor for chronic disease. In children, obesity is of concern because it is highly likely to persist and, during childhood, contributes to serious physical and mental health problems. A quarter of Australian children ar ....Childhood obesity is an escalating public health problem both internationally and within Australia. Rates of childhood obesity in Australia are at one of the highest amongst developed nations. 25% of Australian children are currently overweight or obese. Obesity is a strong risk factor for chronic disease. In children, obesity is of concern because it is highly likely to persist and, during childhood, contributes to serious physical and mental health problems. A quarter of Australian children are now carrying excess body fat. Because of these factors, prevention of obesity is paramount because success of current treatment options is limited and does not last. Especially harmful forms of fatness may originate in early life - the tendency to store fat in the abdominal region and the tendency to accrete fat rather than muscle (at any body size). For this reason, the early life determinants of obesity deserve special attention, even in the presence of society-wide factors conducive to obesity. Professor Moore and a group of researchers from the University of Adelaide will test the proposition that pre-birth and infancy is a ‘critical period’ for the development of obesity. The group aims to investigate whether there is a distinct period in early life for acquiring the predisposition to harmful forms of fatness. The project also aims to identify practical opportunities for prevention, focusing on mothers and their infants.Read moreRead less
Injecting Drug Users: Social Networks And Molecular Epidemiology Of The Hepatitis C Virus
Funder
National Health and Medical Research Council
Funding Amount
$543,868.00
Summary
The hepatitis C virus (HCV) continues to spread among injecting drug users (IDUs) in Australia at a very high rate, despite success in preventing the spread of HIV in the same groups; the complete reasons for this remain unclear. There is an urgent need for the HCV epidemic among IDUs to be contained. To do so, we must better understand the ways in which it is spreading among IDUs. Much is known about risk behaviours of individual IDUs and how they contribute to HCV transmission; much less is kn ....The hepatitis C virus (HCV) continues to spread among injecting drug users (IDUs) in Australia at a very high rate, despite success in preventing the spread of HIV in the same groups; the complete reasons for this remain unclear. There is an urgent need for the HCV epidemic among IDUs to be contained. To do so, we must better understand the ways in which it is spreading among IDUs. Much is known about risk behaviours of individual IDUs and how they contribute to HCV transmission; much less is known about how these behaviours are modified by the influence of the IDUs peer group, especially their immediate and intimate social networks. Despite its importance in influencing attitudes and behaviours, and therefore HCV transmission, this has never been studied in Australia, nor, in relation to HCV, in the world. We hope that by studying social and risk networks of IDUs we shall discover new ways in which control of the HCV epidemic can be achieved in Australia. We intend to do this among two groups of young IDUs, one of Vietnamese ethnicity, located in the one suburb of Melbourne. By using field techniques for gathering information (ethnography), and sophisticated analytic techniques to understand how these networks are formed and influence behaviours, we hope to be able to identify interventions which work at the level of the social group rather than the individual in bringing about the behaviour change necessary to prevent HCV transmission. To ensure that the risk networks we describe are as influential as they appear, and to discover more about the variability of HCV, we will also be investigating the relationship between the various strains of HCV in members of the IDU networks, particularly as another measure of the connectedness of networks and network members. This will be done using sophisticated genetic analysis of the HCV obtained from network members by blood test.Read moreRead less
Enhancing Mental Health In Aboriginal People: Reducing Violence And Developing Resilience
Funder
National Health and Medical Research Council
Funding Amount
$1,771,151.00
Summary
This project aims to determine the best ways to improve the Social Emotional Well Being (SEWB) of the Aboriginal people of Broken Hill, Menindee and Wilcannia. This project will develop a culturally appropriate and evidenced based intervention to break the cycle of ongoing grief, mental illness, alcohol and other drugs and violence. The project will proceed in a number of interrelated phases including extensive community consultations and a baseline survey. The project will then implement and ev ....This project aims to determine the best ways to improve the Social Emotional Well Being (SEWB) of the Aboriginal people of Broken Hill, Menindee and Wilcannia. This project will develop a culturally appropriate and evidenced based intervention to break the cycle of ongoing grief, mental illness, alcohol and other drugs and violence. The project will proceed in a number of interrelated phases including extensive community consultations and a baseline survey. The project will then implement and evaluate an intervention program that provides a community and individual program that adopts evidence-based approaches and modifies them to be acceptable within Aboriginal communities. These interventions aim to break the cycle of violence and mental health problems by teaching adaptive skills to reduce violent behaviours and by providing mental health interventions that reduce disorders that contribute to violence.Read moreRead less
A Comprehensive Regulatory Strategy For Obesity Prevention In Australia
Funder
National Health and Medical Research Council
Funding Amount
$810,696.00
Summary
This research aims to develop regulatory approaches to obesity prevention and the reduction of socio-economic inequalities in obesity prevalence. Laws related to the provision, marketing, and labelling of food, urban planning, transportation, taxes and subsidies and so on will be comprehensively analysed and prioritised, and options proposed for legislative reform. The evidence-base and the implementation pathways will be developed contemporaneously and will be widely promoted to governments. A ....This research aims to develop regulatory approaches to obesity prevention and the reduction of socio-economic inequalities in obesity prevalence. Laws related to the provision, marketing, and labelling of food, urban planning, transportation, taxes and subsidies and so on will be comprehensively analysed and prioritised, and options proposed for legislative reform. The evidence-base and the implementation pathways will be developed contemporaneously and will be widely promoted to governments. A significant portion of time will be devoted to working closely with those within the bureaucracy who administer the law and legislators who together make the relevant policy decisions so that they may gain an understanding of the rationale behind each recommendation.Read moreRead less
Changing Patterns Of Work: Impacts On Physical And Mental Health And The Meditating Role Of Resiliency And Social Capital
Funder
National Health and Medical Research Council
Funding Amount
$1,140,342.00
Summary
This project will provide, for the first time in Australia, a detailed understanding of the impact of the changing forms of employment and unemployment on overall health. It will provide original insights into what aspects of the employment relation help or harm health, and on what enables some people to escape the harm that others experience. This will provide vital information to underpin policies designed to gain the benefits of a flexible workplace, with minimum harm to workers.