A Prospective Study Of The Aetiology, Associations, Clinical Features And Outcomes Of Community-acquired Pneumonia In Children And Adults In Tropical Australia
Funder
National Health and Medical Research Council
Funding Amount
$106,937.00
Summary
Pneumonia is common in Australia and often requires hospital admission. The germs that cause pneumonia in tropical Australia are less well known than southern Australia and likely to be different. This study will identify which germs cause pneumonia in people in tropical Australia and will identify which people become more unwell. I aim to identify the best antibiotics to use, the differences between children and adults, Indigenous and non-Indigenous people and people living in different areas.
Health Outcomes Monitoring And Evaluation: Learning About Activity, Nutrition, Diet And Social Factors
Funder
National Health and Medical Research Council
Funding Amount
$7,486,989.00
Summary
Diabetes, Heart and Kidney disease occur in epidemic proportions among Indigenous Australians. Of particular concerns is the early age of onset of conditions that are to disease of older adulthood in the broader Australian community. While these chronic diseases are known to cause premature death and suffering in Aboriginal and Torres Strait Islander communities, there are gaps in our knowledge. For example, we know very little about how these conditionsdevelop over time in different populations ....Diabetes, Heart and Kidney disease occur in epidemic proportions among Indigenous Australians. Of particular concerns is the early age of onset of conditions that are to disease of older adulthood in the broader Australian community. While these chronic diseases are known to cause premature death and suffering in Aboriginal and Torres Strait Islander communities, there are gaps in our knowledge. For example, we know very little about how these conditionsdevelop over time in different populations. Probably the greatest knowledge gap is the area of effective intervention - both to prevent to prevent diabetes, kidney and heart disease in young people, and to treat existing cases effectivly. The main goal of this program is to bring together a multi skilled team of researchers to better understand the development of these chronic disease across the lifespan ( including differences between different populations), and to guuide the development of diet, lifestyle, and clinical interventions. Such interventions need to be simple, effective, acceptable to Indigenous people and able to be sustained over the long term. All interventions will be rigorously evaluated. The results will inform policies in ares such as quality and affordability of the food supply in remote communnities; infrastructure to promote physical activity; and provision of high quality primary health care focussing on early intervention and care of people at risk of chronic disease.Read moreRead less
Development And Evaluation Of A Primary Health Care Model To Prevent Dental Decay In Aboriginal Pre-school Children
Funder
National Health and Medical Research Council
Funding Amount
$1,482,000.00
Summary
Dental decay has been described as the most common disease of childhood that is not self-limiting or responsive to short-term pharmacological management. Regrettably, Australian Aboriginal children have, on average, twice as many teeth affected by decay as other Australian children. The disease is a particular burden for pre-school children who do not routinely have access to dental care provided by the state-territory programs. The goal of this project is to develop, implement and evaluate the ....Dental decay has been described as the most common disease of childhood that is not self-limiting or responsive to short-term pharmacological management. Regrettably, Australian Aboriginal children have, on average, twice as many teeth affected by decay as other Australian children. The disease is a particular burden for pre-school children who do not routinely have access to dental care provided by the state-territory programs. The goal of this project is to develop, implement and evaluate the effectiveness of a community-oriented, primary health care intervention to prevent dental decay among pre-school children in Aboriginal communities in the Northern Territory. The cluster randomized design provides a practical approach to the problem of small numbers of children living in remote communities. The results obtained from this research proposal would make an important contribution to the health care of Australian Aboriginal children and other disadvantaged children throughout the world.Read moreRead less
Making Fetal Alcohol Spectrum Disorders History In The Pilbara: An Evidence-based Prevention Intervention
Funder
National Health and Medical Research Council
Funding Amount
$1,703,824.00
Summary
This project creates and evaluates a community-oriented Fetal Alcohol Spectrum Disorder prevention program. Based on an internationally recognised model, the program will be delivered through the Pilbara’s Aboriginal Health Organisations and WA Country Health Service and will assist Aboriginal women, partners, community and health providers. Program success will result in a reduction in alcohol use during pregnancy, and increased community and health providers’ knowledge, attitudes and practice.
A Multi-centre Double-blind RCT On Community-acquired Pneumonia In Indigenous Children And A Developing Country: Improving Clinical Outcomes And Identifying Systemic Biomarkers
Funder
National Health and Medical Research Council
Funding Amount
$2,167,560.00
Summary
Young children of Indigenous communities and developing countries are often hospitalised for pneumonia and have high risk of subsequent chronic disease. Our international study will determine if a longer duration of antibiotics (compared to shorter duration) improves the short and long term clinical outcomes of children hospitalised for pneumonia. We will look for unique markers that may predict those who will develop chronic lung disease. Our study will influence future guidelines on pneumonia.
A Centre For Research Excellence: Building Indigenous Research Capacity To Find Solutions To Alcohol Problems
Funder
National Health and Medical Research Council
Funding Amount
$2,495,984.00
Summary
Aboriginal and Torres Strait Islander (Indigenous) Australians are up to eight times as likely to suffer death or illness as a result of alcohol use. Yet there is a critical shortage of Indigenous researchers with expertise in this field. This CRE helps build a strong and continuing network of Indigenous researchers with expertise in treating and preventing alcohol problems. The Centre will generate new knowledge, integrating efforts along the continuum of treatment and prevention.
Povidine-iodine Ear Wash And Oral Cotrimoxazole For Chronic Suppurative Otitis Media In Aboriginal Children: A 2x2 Factorial Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$2,261,802.00
Summary
Many Aboriginal children in remote communities have severe ear infection. Acute infection with eardrum perforation often leads to long term discharge of pus (chronic suppurative otitis media) usually causing significant hearing loss. This trial will determine the benefit of antiseptic ear washes and a long course of oral antibiotics. We will assess the impact on ear health and hearing.
WOmen's Action For Mums And Bubs (WOMB): A Pragmatic Trial Of Participatory Women's Groups To Improve Indigenous Maternal And Child Health
Funder
National Health and Medical Research Council
Funding Amount
$1,766,216.00
Summary
There is strong evidence elsewhere that involving community women in decision-making about strategies to improve the health of mothers and babies is a cheap and effective way of improving health. The WOMB study tests whether community women's groups improve the quality of maternal and child health care and outcomes in Aboriginal and Torres Strait Islander communities, the cost-effectiveness and how it works.
Supporting Knowledge Translation In Aboriginal And Torres Strait Islander Primary Health Care: A Developmental Evaluation Of A Stakeholder Engagement Process To Support Use Of Evidence In Systems And Policy Change
Funder
National Health and Medical Research Council
Funding Amount
$66,784.00
Summary
The research uses a developmental evaluation approach and mixed methods to evaluate a dissemination activity that engages stakeholders in Aboriginal and Torres Strait Islander primary health care in using aggregated quality improvement data to identify and address evidence-to-practice gaps in healthcare. Evaluation processes are being used to refine dissemination processes and materials. Findings will also offer insights about using developmental evaluation approaches in knowledge translation.