Assessing the effectiveness of a Community Reinforcement and Family Training intervention for alcohol misuse with Indigenous Australians. A national benefit will be the contribution of evidence about the feasibility, utility and potential effectiveness of individual and family-based interventions for reducing alcohol-related harms and improving family functioning among Indigenous Australians. Community level benefits will include, firstly, the strengthened role and capability of participating he ....Assessing the effectiveness of a Community Reinforcement and Family Training intervention for alcohol misuse with Indigenous Australians. A national benefit will be the contribution of evidence about the feasibility, utility and potential effectiveness of individual and family-based interventions for reducing alcohol-related harms and improving family functioning among Indigenous Australians. Community level benefits will include, firstly, the strengthened role and capability of participating health services and staff to utilise evidence based approaches to support Indigenous individuals and families dealing with alcohol problems. Secondly, Indigenous individuals and families participating in the Community Reinforcement and Family-based Training intervention will acquire the requisite skills and knowledge to manage the alcohol problems affecting them.Read moreRead less
Development and evaluation of computer assisted survey technology as an adjunct to the professional consultation. The project aims to test the effectiveness of computer technology as an adjunct to the client-provider interaction in General Medical Practice. An innovative system for generating dietary assessment and advice will be developed, supporting both local software and multi media industries and providing data on population based interventions for prevalent lifestyle disease (obesity, diab ....Development and evaluation of computer assisted survey technology as an adjunct to the professional consultation. The project aims to test the effectiveness of computer technology as an adjunct to the client-provider interaction in General Medical Practice. An innovative system for generating dietary assessment and advice will be developed, supporting both local software and multi media industries and providing data on population based interventions for prevalent lifestyle disease (obesity, diabetes). The study involves developing the technology, evaluating its use in practice and researching the opinions of key stakeholders (consumers, GPs dietitians) on the position of this technology in the client-provider interaction.Read moreRead less
Improving health and lifestyle of indigenous Australians in the Western Desert. This program aims to develop knowledge, skills and attitudes, whilst providing a supportive environment, to better the health of the Martu people though the provision of activities and services and strengthening of partnerships between service agencies and the local community. By developing the Indigenous workforce and building the community capacity to self-manage health, a reduction in the discrepancy in health ind ....Improving health and lifestyle of indigenous Australians in the Western Desert. This program aims to develop knowledge, skills and attitudes, whilst providing a supportive environment, to better the health of the Martu people though the provision of activities and services and strengthening of partnerships between service agencies and the local community. By developing the Indigenous workforce and building the community capacity to self-manage health, a reduction in the discrepancy in health indicators between Indigenous and other Australians can be achieved. The findings from this research will provide important information regarding methods to provide for better health for Indigenous Australians and develop a template for intervention design in other remote communities.Read moreRead less
Examination of the integration and diffusion of Aboriginal voices in public health collaboratives. Does the integration of Aboriginal voices in governance processes of public health collaboratives influence equity of access in service delivery? Improving access to services is a key priority in order to improve the wellbeing of Aboriginal people. However there is no rigorous scientific evidence base driving current integration reforms. This project will use innovative methodologies (mathematical, ....Examination of the integration and diffusion of Aboriginal voices in public health collaboratives. Does the integration of Aboriginal voices in governance processes of public health collaboratives influence equity of access in service delivery? Improving access to services is a key priority in order to improve the wellbeing of Aboriginal people. However there is no rigorous scientific evidence base driving current integration reforms. This project will use innovative methodologies (mathematical, visual, and vocal) which will lead to a performance indicator framework of the relationships between integration, collaboration, equity and access to services within a social model of health. This is a way to move from assessments of Aboriginal participation processes as 'bad, poor and no' to 'good, green and go'.Read moreRead less
After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, ....After the questions: outcomes of routine screening for domestic violence in NSW Health services. Recent research indicates that domestic violence is the leading contributor to death, disability and illness in women aged 15-44 in Australia and leads to health costs of $314 m annually (VicHealth 2004, Access Economics 2004). Routine screening is a low cost measure aimed at prevention and early intervention for domestic violence, which has been successfully introduced for women entering antenatal, early childhood, mental health and drug and alcohol services operated by NSW Health. The research will be the first study of its size to consider the outcomes of routine screening for domestic violence in public health settings in the Australian context.Read moreRead less
A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompas ....A Model of Integrated Care for Dependant Older People Living in the Community. This research offers significant economic, health and social benefits. Promoting and maintaining good health and ageing well, ageing productively are national priority areas. Case management and telemedicine are both recognised strategies to support chronic disease self-management. Early intervention can offer significant benefits in morbidity and mortality. Enhanced service delivery using an integrated model encompassing general practitioners, practice nurses and community carers, could improve chronic and complex disease management and reduce health costs.Read moreRead less
Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health servic ....Strengthening Indigenous adolescent mental health and wellbeing. Using Continous Quality Improvement processes, the research will collaboratively conceptualise, design, implement and evaluate the effectiveness of new approaches to mental health service delivery for adolescents aged 10-24 in three regionally diverse Indigenous Primary Healthcare Services. Expected research outcomes are a rigorous assessment of the impact and economic benefits of making quality improvements to mental health services for Indigenous adolescents, Key benefits are 1) A locally-responsive adolescent mental health screening instrument; 2) Comprehensive evidence-informed service model in adolescent mental healthcare; 3) Best practice protocol for developing and managing adolescent mental health as a service delivery stream. Read moreRead less
The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the co ....The impact and cost of short-term health staffing in remote communities. This project aims to examine the impact of the increasing levels of short-term health staffing in remote communities upon service acceptability to patients, workload and attitudes of long-term resident primary health care staff, and the effectiveness and cost of health services. There is a dearth of information about this 'fly in/fly out' (FIFO) workforce in remote communities, which have the worst health outcomes in the country. The project aims to inform consumers, health practitioners, health service planners and policy-makers about the impact of FIFO, as well as to contribute to the development of strategies designed to stabilise the remote health workforce.Read moreRead less
Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-asses ....Indigenous young people's resilience and wellbeing. This project aims to identify factors related to, and those which predict, the development of resilience and wellbeing in Indigenous youth. Resilience protects the social and emotional wellbeing of youth exposed to high levels of adversity, and reduces the likelihood of substance misuse, violence, and risky behaviour. This project will examine the development of resilience and wellbeing in Indigenous youth; compare Indigenous youth’s self-assessment of their resilience and wellbeing between low and high risk cohorts; and study how community services develop youth wellbeing and resilience. The expected benefit of this research is a better understanding of connections among age, cultural identity, resilience, wellbeing and risky behaviours in Indigenous youth.Read moreRead less
Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the po ....Staffing practices in Aboriginal primary health care services. This project aims to generate new knowledge about the impact of short-term staffing in remote Aboriginal Community Controlled Health Services on service acceptability to patients, workload and attitudes of long-term staff and the effectiveness and cost of services. The project intends to compare these results to recent findings about the impact of short-term staffing in government-run clinics, in order to quantify and describe the potential positive effect of community control. Expected outcomes include rigorous evidence about the 'fly in/fly out' workforce and the impact of community control which can inform new policy that will stabilise the remote health workforce, save money and contribute to 'closing the gap' in health outcomes.Read moreRead less