Improving Population Health By A Multidisciplinary, Multi-method Focus Kindey Disease Of The Young, The Old And Of Indigen
Funder
National Health and Medical Research Council
Funding Amount
$2,625,261.00
Summary
Drawing together a multidisciplinary team of experts in their field (epidemiology, biostatistics, health services research, health economics, clinical medicine, and qualitative research) this grant will develop 8-10 promising young population researchers by a targeted program of research and training. Using data from multiple well funded, large scale studies the team investigators will engage in two types of research; methods research and applied research. The methods research will include socio ....Drawing together a multidisciplinary team of experts in their field (epidemiology, biostatistics, health services research, health economics, clinical medicine, and qualitative research) this grant will develop 8-10 promising young population researchers by a targeted program of research and training. Using data from multiple well funded, large scale studies the team investigators will engage in two types of research; methods research and applied research. The methods research will include socioeconomic determinants of disease, systematic reviews of tests and interventions, community and patient preference elicitation, cost effectiveness modeling, and monitoring to support intervention decisions in population health. The applied research will include quantifying the effect of kidney disease on non-kidney outcomes, modeling the effect of better kidney care on population health, and preventing kidney disease in the young, old and in Aboriginal and Torres Strait Islander people. Kidney disease has been chosen because it is the interest of many of the lead applicant team, because there are excellent existing population-based databases and because it is an example of chronic disease which has a much bigger impact than on just kidney-related health outcomes alone. The training program is structured and covers initial evaluation of the goals, skills and aspirations of the team investigators, development of personal training programs, modular coursework learning from units provided by the School of Public Health at the University of Sydney, mentoring, co-mentoring, rotational placement, skills and methods support, evaluation and limited direct research funding.Read moreRead less
This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and pol ....This proposal aims to build research capacity and methodological sophistication in economic evaluation and priority setting in health. An unprecedented critical mass of Australian experts in economic evaluation will be created who can then train a new generation of researchers. The proposal covers the following topics: Assessing the impact of economic evaluation and priority setting methods on resource allocation in Australia to better understand the methodological, conceptual, practical and political barriers to its use ('policy analysis'); Developing appropriate, valid and reliable utility measures that are culturally appropriate for Indigenous populations, children and carers ('utility measures'); Developing methods and tools for measuring non-health sector costs and benefits from a social perspective ('cost benefit'); Refining methods for adjusting cost-effectiveness results to reflect other values such as equity, applicability and feasibility ('second filter'); Exploring the usefulness and appropriateness of different modeling approaches used in economic evaluation ('modeling'); and Developing techniques to measure gains in overall health system efficiency from the adoption of cost-effective interventions ('efficiency'). The proposed outcomes are: An increased number of independent researchers with expertise in economic evaluation-priority setting who develop their own research programs; Establish a critical mass of researchers who can improve the standard and acceptance of economic evaluation and priority setting methods in health, including priority setting for Indigenous Australians and other groups with special needs; Value-adding to existing priority setting and economic evaluation projects by validating methods and developing new approaches; Effective linkages between researchers and policy makers, advocates and other stakeholders to increase appreciation of the use of economic evaluation and priority setting in health policy and clinical practice; and Research transfer through workshops, presentations and peer-reviewed publications.Read moreRead less
Nurition Promotion And Population Health: A Program Addressing Behavioural, Social And Environmental Determinants
Funder
National Health and Medical Research Council
Funding Amount
$1,210,140.00
Summary
Good nutrition is important for health well-being by reducing the risk of diseases like heart disease, cancer and diabetes. However, a significant number of Australians do not eat diets that are consistent with existing health recommendations. While the health consequences of poor nutrition have been well-documented and there is a substantial body of research that describes this problem, much less research has focused on coming up with solutions. This research will explore the influences on Aust ....Good nutrition is important for health well-being by reducing the risk of diseases like heart disease, cancer and diabetes. However, a significant number of Australians do not eat diets that are consistent with existing health recommendations. While the health consequences of poor nutrition have been well-documented and there is a substantial body of research that describes this problem, much less research has focused on coming up with solutions. This research will explore the influences on Australian's eating patterns by examining the role of a range of personal, social and environmental factors in children and adults. The research will also test the effectiveness of innovative strategies to promote healthy eating.Read moreRead less
A Solution Based Approach Developing Child Health Research With A Focus On Preventive Interventions For Common Childhood
Funder
National Health and Medical Research Council
Funding Amount
$2,599,538.00
Summary
There is an increasing recognition that research into child health should focus not only on disease but also on common childhood disorders such as obesity, depression and poor literacy. In addition, such research should include solution-based activity. That is, child health research should have an active program of testing new interventions to prevent the onset of disorders, or to allow optimal early management. The Murdoch Childrens Research Institute, the largest Australian child health resear ....There is an increasing recognition that research into child health should focus not only on disease but also on common childhood disorders such as obesity, depression and poor literacy. In addition, such research should include solution-based activity. That is, child health research should have an active program of testing new interventions to prevent the onset of disorders, or to allow optimal early management. The Murdoch Childrens Research Institute, the largest Australian child health research institute, is in a very good position to develop Australia's capacity further with regard to a coordinated research program into preventative interventions in child health. This is because of: - the Institute's location at the Royal Children's Hospital, Melbourne, the largest paediatric health service provider in Australia - the many individual relevant research projects that are already occurring in MCRI - the strong existing teams of researchers with skills in many different fields of child health such as psychology, speech pathology, clinical-medical care, epidemiology and biostatistics, and laboratory science including genetics. This capacity building program will coordinate population health work to develop the knowledge and skills of eight population health researchers. This development will occur within the context of an internationally competitive research program with structured continuing education and training to promote public health leadership. The capacity building program will develop skills not only in study design, conduct and analysis, but also in collaboration and the translation of research findings into better health services, government policy and parental knowledge to prevent problems and improve the health and well being of children and their families. To care for children in the best way, parents, families, schools, health care providers, and government need the best evidence base possible on the prevention of common child disorders.Read moreRead less
Mathematical Modelling For Improved Planning Of Infectious Diseases Control Policy
Funder
National Health and Medical Research Council
Funding Amount
$2,750,000.00
Summary
We will develop high-level technical capacity in mathematical modeling of infectious disease transmission and control in Australia, with a focus on research that informs health policy. The aim is to assist Australia to have efficient and effective control strategies and help to prepare us against the threat of emerging infections. Priority areas are vaccination programs, HIV-AIDS, emerging infections and bio-terrorism. Six talented young researchers will be trained by the lead applicant team. To ....We will develop high-level technical capacity in mathematical modeling of infectious disease transmission and control in Australia, with a focus on research that informs health policy. The aim is to assist Australia to have efficient and effective control strategies and help to prepare us against the threat of emerging infections. Priority areas are vaccination programs, HIV-AIDS, emerging infections and bio-terrorism. Six talented young researchers will be trained by the lead applicant team. Together, we will develop a prominent and experienced research team capable of sustaining international quality research into the future. Their work will meet immediate, existing policy needs at state, national and global levels. The program includes the establishment of a Network of Infectious Diseases Modellers of Australia (NIDMA) as a research resource of national expertise, peer support and a means of ongoing communication and collaboration in infectious diseases control. The critical mass of modeling expertise that we create will be sustainable long-term, and will expand to support research concerned with chronic and other non-infectious diseases after the lifetime of the grant.Read moreRead less
Translating Population Based Mental Health And Ageing Research Into Evidence-based Prevention And Policy
Funder
National Health and Medical Research Council
Funding Amount
$2,370,357.00
Summary
Mental health problems and cognitive impairment are major causes of disability in Australia. To tackle these areas, we need to understand their causes, how to prevent them, and the best ways of using this information to improve health for all Australians. This project aims to develop six young researchers in five areas of need so that future relevant and responsive research in mental health and ageing is undertaken. In area 1, researchers will learn to develop and test Internet interventions tha ....Mental health problems and cognitive impairment are major causes of disability in Australia. To tackle these areas, we need to understand their causes, how to prevent them, and the best ways of using this information to improve health for all Australians. This project aims to develop six young researchers in five areas of need so that future relevant and responsive research in mental health and ageing is undertaken. In area 1, researchers will learn to develop and test Internet interventions that reduce anxiety, depression and drug use. People with no access to doctors or who wish to remain anonymous can then self-treat using these proven tools. Area 2 provides training so that researchers from different expert areas understand enough of each other's discipline to tackle the process of ageing - to understand how to stay healthy longer and how to avoid dementia. This area requires expertise and collaboration in genetics, biology, psychology, mathematical modelling and imaging (brain scans), to name just a few specialities required. Area 3 provides training in statistical methods. New methods are needed to analyse increasingly complex and large data sets. In Area 4 researchers are trained to conduct research that consumers (people with anxiety and depression) want to see done. Researchers with direct experience of anxiety and depression will be trained to produce high quality research that meets the needs of those who have these disorders. Finally, Area 5 provides training in getting the outcomes of the research understood by those who make decisions about health priorities and budgets. Many of the gaps in capacity we will address have come about by rapid developments in health and communication technologies and by the recognition that research needs to be more relevant and responsible. Because these gaps require the development of sophisticated knowledge, and the development of new techniques, knowledge and processes, long term stable funding is required.Read moreRead less
The Impact Of Urban Design On Physical And Mental Health Building Capacity For Research Across The Life Course
Funder
National Health and Medical Research Council
Funding Amount
$2,194,515.00
Summary
In the last decade there has been growing recognition that the urban environment influences health. The design of neighborhoods and public open space design as well as transport planning is associated with levels of walking, cycling and use of public transport, as well as the sense of community, positive mental health, depression and asthma. Low-density, automobile dependent suburbs discourage the use of non-motorized forms of transport and public transport use, thereby reducing physical activit ....In the last decade there has been growing recognition that the urban environment influences health. The design of neighborhoods and public open space design as well as transport planning is associated with levels of walking, cycling and use of public transport, as well as the sense of community, positive mental health, depression and asthma. Low-density, automobile dependent suburbs discourage the use of non-motorized forms of transport and public transport use, thereby reducing physical activity and opportunities for casual contacts between neighbors. Nevertheless, how to optimize urban environment to meet the needs of different population groups (eg. Children and young people, older adults, as well as the general public) has been largely unexplored. While more walkable neighborhoods (i.e., those characterized by higher density, mixed use planning and enhanced connectivity) may encourage able-bodied adults to do more working, the impact on children, young people and older adults is unknown. For example, adults generally report there is more traffic in more walkable areas. Exposure to traffic decreases the likelihood of children walking. In addition, higher levels of traffic increase traffic pollution, thereby increasing the likelihood of asthma. Moreover, while some research suggests that social capital or sense of community is higher in more walkable neighborhoods; other research suggests that living on a busy road decreases one�s social networks. Thus, it is likely that there is an optimum level of walkability that encourages sense of community. The proposed research will build upon and strengthen and extensive program of research examining the impact of the urban environment on adults, by adding programs of work with children and older adults. It will build our group�s capacity for research in this area, by building expertise within the whole team for appropriate qualitative, statistical and geo-spatial methods which will assist our team to work in this complex, multi-disciplinary area. With input from consumers, practitioners and policy-makers a major focus of this applied research program will be designing research that can be translated into policy and practice with the aim of creating urban environments that promote good health.Read moreRead less
Australian Health Inequities Program: A Program Addressing Social And Economic Determinants Of Health
Funder
National Health and Medical Research Council
Funding Amount
$2,444,000.00
Summary
The Australian Health Inequities Program, AHIP, is an exciting new program which brings together researchers from a range of disciplines including sociology, public health, labour market economics, housing and geography to research health inequities and analyse policy and program responses to reduce these inequities. This will be done by addressing ways in which our housing, employment, the availability and quality of our social connections, the locations we live in, and perceptions of our envir ....The Australian Health Inequities Program, AHIP, is an exciting new program which brings together researchers from a range of disciplines including sociology, public health, labour market economics, housing and geography to research health inequities and analyse policy and program responses to reduce these inequities. This will be done by addressing ways in which our housing, employment, the availability and quality of our social connections, the locations we live in, and perceptions of our environments, affect health. The researchers, based at Flinders University in Adelaide and La Trobe University in Melbourne, will identify how the physical and social characteristics of local environments impact on health. The research conducted in this program will provide guidance to government, service providers and community groups about how to improve the quality of people's local environments and reduce the health differences between different groups of Australians. Policy makers will be engaged fully with the AHIP.Read moreRead less
Addressing Injury In A Population Health Framework: An Integrated Approach To Prevention, Acute Care And Rehabilitation
Funder
National Health and Medical Research Council
Funding Amount
$2,351,750.00
Summary
In Australia, injury is the leading cause of death and disability in people aged under 55 years. It is also a major cause of morbidity and mortality in older persons and, overall, accounts for a substantial proportion of acute hospital services and long-term rehabilitation needs. This grant will build an internationally competitive research team focused on reducing the public health burden of injury.
Capacity Building In Childhood And Adolescent Obesity Prevention
Funder
National Health and Medical Research Council
Funding Amount
$2,080,191.00
Summary
As obesity prevalence in children and adolescents continues to climb, there is an urgent need to build Australia's ability to undertake solutions-orientated research across several fronts. This program covers the four areas of greatest need for building research capacity in obesity prevention.Whole-of-community intervention programs: These evaluate what works and what does not work in the real world of trying to get integrated action at the community level and how to get the maximum uptake by ch ....As obesity prevalence in children and adolescents continues to climb, there is an urgent need to build Australia's ability to undertake solutions-orientated research across several fronts. This program covers the four areas of greatest need for building research capacity in obesity prevention.Whole-of-community intervention programs: These evaluate what works and what does not work in the real world of trying to get integrated action at the community level and how to get the maximum uptake by children and adolescents, their families, schools and other community settings.Assessing the cost-effectiveness of interventions: This research combines existing and emerging evidence with new modeling techniques to estimate the costs, population impacts, and cost-effectiveness of a variety of interventions.Socio-cultural contexts for obesity prevention: This research seeks to understand the various attitudes, beliefs, perceptions and values relating to food, physical activity and body size perception so that social marketing messages and intervention programs are socially and culturally appropriate and resonate with the variety of communities involved.Analysing policy processes and interventions: Policy changes are important early and powerful drivers of creating environments where the health choices are the easy choices, and the evidence base for such changes in obesity prevention is urgently needed.The four Lead Applicants in the team are all highly experienced researchers across the range of disciplines involved and are already working on a number of combined projects which will provide the research platform for the seven Team Investigators to build their skills. The Team Investigators are at various stages in their research careers and are already contributing to a significant extent. This capacity building grant will substantially boost this critical area of research by developing a team of cross-disciplinary researchers of international standing.Read moreRead less