Evaluation Of The Effectiveness Of Mobile Preschool For Child Health And Development In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$456,369.00
Summary
This project is a retrospective study of the effectiveness of the NT Mobile Preschool Program using assessment data for children's emergent literacy, social and emotional competencies and health status. Effectiveness will be established by comparison with achievement and health status data for children not attending preschool and those in communities with no preschool service. The study will identify and describe the key factors influencing the health and learning outcomes of the three groups.
A Case-control Study Of Rotavirus Vaccine Effectiveness Against Gastroenteritis Hospitalisation Of Children In The NT
Funder
National Health and Medical Research Council
Funding Amount
$465,859.00
Summary
Almost 1 out of 5 children in remote Aboriginal communities are hospitalised with diarrhoea caused by rotavirus. This study will evaluate the impact of rotavirus vaccination in preventing these hospitalisations. In addition to making sure that vaccination works and that those at highest risk are receiving the benefits, it will assess the indirect impact against other causes of diarrhoea providing, critical information relevant to the vaccine's broader introduction in developing country settings.
Cross-cultural institution-building and development interventions: linking applied and critical approaches. This project will examine cross-cultural institutions created in the context of development, planning and management interventions. The proposed collaboration will support two APAI scholars to research the social and cultural processes whereby such institutions engage local communities in resource mapping, planning and decision-making. One scholar will work in East Timor, the other in the ....Cross-cultural institution-building and development interventions: linking applied and critical approaches. This project will examine cross-cultural institutions created in the context of development, planning and management interventions. The proposed collaboration will support two APAI scholars to research the social and cultural processes whereby such institutions engage local communities in resource mapping, planning and decision-making. One scholar will work in East Timor, the other in the Northern Territory. A key objective is to combine applied and critical approaches in expanding our understanding of the interactions that takes place between external agencies and local communities. The research will contribute to the improved design and implementation of initiatives for managing local resources.Read moreRead less
Exploring the impact and implementation of family group conferencing for Aboriginal children. This ground-breaking study aims to transform child protection services and improve the safety and wellbeing of vulnerable Aboriginal children. This project will explore new models to assist compliance with child safety plans developed through family group conferences in child protection matters in Alice Springs.
A Randomised Placebo-controlled Trial Of Antibiotics To Prevent Urinary Tract Infection In Children
Funder
National Health and Medical Research Council
Funding Amount
$735,000.00
Summary
This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this ....This study is needed to determine whether a common clinical practice long-term antibiotic treatment for children following urinary tract infection (UTI) - is safe and effective in preventing further UTI and if so, whether all appropriate children are being treated. UTI will affect about 10% of Australian children by high school age (88,000 children per year). Because UTI may damage the kidneys, the management priority for children with UTI has been prevention of further infection. Currently this means the identification of children thought to be most at risk of recurrent UTI by renal tract imaging. Those found to have reflux of urine from the bladder to the kidney (present in about 30% of those with UTI) are then placed on antibiotics fro 2-5 years. Unfortunately there has never been a properly designed trial to test whether antibiotics do really prevent UTI and if so, whether children with reflux are the appropriate and only group requiring treatment. Long term antibiotics may in fact do more harm than good because of side effects like skin, bowel and blood problems and because resistant bacteria may develop. The design of this study involves the random allocation of placebo or antibiotic (cotrimoxazole, the usual antibiotic given in this case) to about 800 children after their first symptomatic UTI. These children are treated and followed for one year to determine the rate of futher UTI in both groups. Any difference in outcome between the two groups of children will be because of the antibiotic treatment. This study may prove long-term antibiotics are ineffective and therefore should not be routinely used. In this case investigation of children to detect vesicoureteric reflux would serve little purpose and should be abandoned. Alternatively antibiotic treatment may be shown as effective treatment for preventing further UTI and in this case the study will clearly identify those children who will benefit.Read moreRead less
Cycle Aware: Driving with Bikes. This project focuses on the education and training required by drivers to interact safely with cyclists. It uses two ontologically diverse methodologies to examine how Australian drivers become cyclist aware and the education and training necessary to foster safe driver–cyclist interactions. The project aims to provide a critical knowledge base for state and territory driver education policies and a cycle-aware module for learner drivers. These outcomes are inten ....Cycle Aware: Driving with Bikes. This project focuses on the education and training required by drivers to interact safely with cyclists. It uses two ontologically diverse methodologies to examine how Australian drivers become cyclist aware and the education and training necessary to foster safe driver–cyclist interactions. The project aims to provide a critical knowledge base for state and territory driver education policies and a cycle-aware module for learner drivers. These outcomes are intended to reduce cyclist road trauma and on-road tensions between cyclists and drivers, and to improve opportunities for active travel to tackle the growing issue of inactivity.Read moreRead less
Does monitoring and evaluation improve joint management? The case of national parks in the Northern Territory. Joint Indigenous/government management is to be mainstreamed in 30 national parks and reserves in the Northern Territory over the next few years including some of Australia's iconic natural wonders. This project will identify how participatory monitoring and evaluation enhances the realisation of benefits from joint management, how it can be done cost effectively, and how it can be scal ....Does monitoring and evaluation improve joint management? The case of national parks in the Northern Territory. Joint Indigenous/government management is to be mainstreamed in 30 national parks and reserves in the Northern Territory over the next few years including some of Australia's iconic natural wonders. This project will identify how participatory monitoring and evaluation enhances the realisation of benefits from joint management, how it can be done cost effectively, and how it can be scaled up from six pilot areas to areas across the NT and Australia wide. The project will build capacity of Indigenous Traditional Owners to participate in monitoring and evaluation for improved management and livelihood outcomes for the benefit of not just the residents of these natural areas, but for all Australians. Read moreRead less
A Behavioural Intervention For The Adoption & Maintenance Of Physical Activity In Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$334,955.00
Summary
For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on ....For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on our earlier research which demonstrated significantly improved blood glucose levels from a strength training program for older adults with T2DM. The strength training program is to be administered nationally in a research to practice trial (Lift for Life); however, the original research found that those who did not complete the program as it was intended (ie, poor adherence) did not show significant improvements in blood glucose levels. Furthermore, maintenance of strength training exercises after completion of the program was poor and resulted in return of blood glucose levels back to pre-starting levels. In people without diabetes, we have collected pilot data that shows that the use of behavioural strategies based on behavioural theories whereby each person's motivations and barriers are taken into consideration is more effective than the traditional one-treatment-fits-all approach. This study will evaluate the effectiveness of using behavioural strategies for improving adherence and maintenance to the Lift for Life strength training program (Enhanced L4L) for older adults with T2DM compared with the Standard L4L program. It will also follow-up participants 6 months later to determine the extent to which the changes in behaviour can be maintained. The study will provide information that will assist in the design, delivery and uptake of programs to improve treatment strategies in older adults with T2DM through the maintenance of healthier behaviours and lifestyles.Read moreRead less