The Development, Assessment And Treatment Of Early Indicators Of Psychopathy In Children
Funder
National Health and Medical Research Council
Funding Amount
$271,130.00
Summary
2.7 Significance - Lay description Conduct problems and antisocial behaviour cost Australian society millions of dollars every year directly through the mental health and criminal justice systems, indirectly through their association with substance abuse and other mental health problems, and associated disruptions to health, relationships, and personal and occupational functioning. Remediation is not effective once a chronic pattern has been established. Recently, research has shown that early s ....2.7 Significance - Lay description Conduct problems and antisocial behaviour cost Australian society millions of dollars every year directly through the mental health and criminal justice systems, indirectly through their association with substance abuse and other mental health problems, and associated disruptions to health, relationships, and personal and occupational functioning. Remediation is not effective once a chronic pattern has been established. Recently, research has shown that early signs of psychopathy in children predict chronic antisocial behaviour and lack of responsiveness to traditional treatments. The current research uses a combination of experimental, longitudinal, and treatment outcome studies to examine: the effectiveness with which early signs of a callous-unemotional temperamental style, hypothesised to be an early indicator of psychopathy, can be measured in children, causal factors and correlates of callous-unemotional traits, whether such traits pose a risk for chronic antisocial behaviour, the effects of callous-unemotional traits on responsiveness to traditional family-school based treatments, and the effectiveness of an innovative method for treating it in the early years. The project leads directly to a range of clinical assessment and treatment strategies for children at risk for chronic antisocial behaviour. The project has the potential to substantially improve the effectiveness of current treatment approaches to conduct problems in children that focus on family and school management.Read moreRead less
Design And Analysis Of Interrupted Time Series Studies In Health Care Research: Resolution Of Methodological Issues
Funder
National Health and Medical Research Council
Funding Amount
$307,125.00
Summary
An interrupted time series (ITS) study involves a population observed on multiple occasions before and after the implementation of an intervention program. However, methods for statistical analysis and designing such studies have not been well developed and many statistical analyses of such studies are flawed. This proposal will investigate appropriate methods for design and analysis, and develop guidelines and software for its implementation by health researchers.
Understanding And Influencing Physical Activity To Improve Population Health
Funder
National Health and Medical Research Council
Funding Amount
$4,668,376.00
Summary
Three of Australia's leading researchers on physical activity and population health will use new NHMRC program grant funding to consolidate and extend their already internationally-recognised studies. Doing regular physical activity is very important for maintaining good health. It helps to prevent weight gain, type 2 diabetes, heart disease and breast and colon cancer. Unfortunately, most Australian adults are not active enough for health benefits. Rates of overweight and obesity are increasing ....Three of Australia's leading researchers on physical activity and population health will use new NHMRC program grant funding to consolidate and extend their already internationally-recognised studies. Doing regular physical activity is very important for maintaining good health. It helps to prevent weight gain, type 2 diabetes, heart disease and breast and colon cancer. Unfortunately, most Australian adults are not active enough for health benefits. Rates of overweight and obesity are increasing rapidly; more than 50% of Australian adults are above the healthy weight range. Rates of type 2 diabetes have doubled in the past 20 years. New ideas and practical tools are therefore needed to tackle these serious ‘diseases of inactivity’. To this end, Professors Neville Owen, Adrian Bauman and Wendy Brown will bring together innovative and practically useful scientific approaches drawn from psychology, epidemiology and exercise physiology. The approach is interdisciplinary – it combines theories and methods from their individual disciplines in an innovative manner, within a public health framework. Their research to date has developed better methods for measuring people’s exercise habits and has provided new insights into how personal, social and environmental circumstances can make people less active. They have also shown how to design and deliver wide-reaching programs for different social groups and evaluated their effectiveness. Their new research program will build on and significantly extend these ideas and approaches into new areas.For example, they will develop new measures of incidental physical activity and sedentary behaviour and will develop and test new, complex community interventions.Their new program will involve in-depth study of some of the most challenging researchproblems in an important and under-researched area of public health. They will further combine their disciplines and the skills of their research team in new, creative and practical ways, to answer important research questions about physical activity and population health. These ideas and approaches will be used to identify practical ways to help more people to be more physically active.Read moreRead less
Adolescent Alcohol And Tobacco Use/abuse: The Efficacy Of A Brief Motivational Interviewing And Skills Training Program
Funder
National Health and Medical Research Council
Funding Amount
$153,610.00
Summary
Alcohol abuse (regular and episodic heavy drinking) and tobacco use are common and increasing amongst young Australians. Around 49% of adolescents are regular drinkers, and 15.5% of females and 33% of males are occasional binge drinkers. Between 17.5% and 35.5% of adolescents smoke and this has increased from 1987. While the majority of young Australians moderate their drinking and smoking over time, about 5% will become heavy drinkers and 20% will become regular smokers. The public health conse ....Alcohol abuse (regular and episodic heavy drinking) and tobacco use are common and increasing amongst young Australians. Around 49% of adolescents are regular drinkers, and 15.5% of females and 33% of males are occasional binge drinkers. Between 17.5% and 35.5% of adolescents smoke and this has increased from 1987. While the majority of young Australians moderate their drinking and smoking over time, about 5% will become heavy drinkers and 20% will become regular smokers. The public health consequences of heavy drinking and smoking are now well documented. There are many studies exploring the effectiveness of universal prevention programs designed to reduce the chance of alcohol and tobacco problems in high school students. These are associated with short term reductions in the chance of smoking and heavy drinking, however it is unclear whether these programs work for adolescents who are at high risk of alcohol problems and sustained smoking. We know a lot about the sorts of risk factors associated with these problems. They include early onset of use, parental involvement and use, particular personality traits, poor marks, peer use, and poor social skills. There is no research that clearly evaluates prevention programs for adolescents who show these risk factors. In this research, a program tailored for high-risk adolescents will be compared to an educational program similar to what is often received in Australian high schools. It is expected that high-risk students will not show changes in the educational program, but will show long-term improvements after completing the enhanced program. If these results hold, the research will have very important implications for detecting high-risk students and modifying the ways in which these adolescents are treated so that we minimise the chance of further development of alcohol and tobacco problems. This could result in large health cost savings in the future.Read moreRead less
Building Capacity For Physical Activity Research In Population Health
Funder
National Health and Medical Research Council
Funding Amount
$2,118,560.00
Summary
The program will focus on the 'diseases of inactivity' and will look at factors like obtaining accurate statistics on rates of inactivity and better statistics on which social groups are least active. It will look at: • the types of activity that are best for different people; • what the best types of exercise programs are; • the types of information campaigns that will be most effective; and • how community amenities and local environments might be used to help people to be active in ways that ....The program will focus on the 'diseases of inactivity' and will look at factors like obtaining accurate statistics on rates of inactivity and better statistics on which social groups are least active. It will look at: • the types of activity that are best for different people; • what the best types of exercise programs are; • the types of information campaigns that will be most effective; and • how community amenities and local environments might be used to help people to be active in ways that are more convenient and enjoyable.Read moreRead less
A Multisite Randomised Controlled Trial Of The Adolescent Cannabis Check-up
Funder
National Health and Medical Research Council
Funding Amount
$211,250.00
Summary
Recent Australian surveys cannabis use is more common than tobacco use among 14-19 year old (24.6% vs. 20.2%). More than 200,000 14-19 year olds have used cannabis in the last month and 7.1% report daily use. The population prevalence of cannabis dependence increases throughout adolescence, with a rate of 30% among those who use cannabis more than five times per year. Although experimentation is a normal part of adolescent development, regular cannabis use by young people exposes them to the neg ....Recent Australian surveys cannabis use is more common than tobacco use among 14-19 year old (24.6% vs. 20.2%). More than 200,000 14-19 year olds have used cannabis in the last month and 7.1% report daily use. The population prevalence of cannabis dependence increases throughout adolescence, with a rate of 30% among those who use cannabis more than five times per year. Although experimentation is a normal part of adolescent development, regular cannabis use by young people exposes them to the negative effects of cannabis at a time of rapid development and transitions in life roles. There have been no studies reported of interventions suitable for adolescents with cannabis problems who are not seeking treatment but are causing great concern for their families, schools and communities. The Adolescent Cannabis Check-up (ACCU) fills this serious gap by providing adolescents with an opportunity to objectively assess their cannabis use and develop strategies for change in a non-judgemental environment. The ACCU is a 2 session intervention: assessment and a follow-up session of personalised feed-back and brief skills-based therapy. Recruitment may be either direct or via a concerned family member. This novel approach provides parents with telephone coaching, and supporting booklets, on techniques to encourage their young person to participate. A feasibility study of 80 families has found more than 50% were able to do so. That study of 55 adolescents found a significant reduction in levels of cannabis use and an abstinence rate of 24.2% 3 months following participation in the ACCU. This project wll involve a multi-site RCT to compare the impact of the ACCU with a delayed treatment control group, on levels of cannabis use, dependence, and cannabis-related problems. This project would fill a gap in treatment service models and involve families in an initiative to assist young people to develop motivation and skills to abstain from problematic cannabis use.Read moreRead less