Indigenous Men Taking Their Rightful Place In Society?: A Participatory Action Research Process.
Funder
National Health and Medical Research Council
Funding Amount
$705,750.00
Summary
Men's health groups are increasingly being accepted as important strategies in improving health and wellbeing, especially in Indigenous communities. However, it is hard to find systematic documentation and evaluation of such initiatives in the literature. Since August 2001, we have been facilitating and analysing a Participatory Action Research (PAR) process designed to support members of a men's health group in Yarrabah, a rural Aboriginal community near Cairns (north Queensland), take greater ....Men's health groups are increasingly being accepted as important strategies in improving health and wellbeing, especially in Indigenous communities. However, it is hard to find systematic documentation and evaluation of such initiatives in the literature. Since August 2001, we have been facilitating and analysing a Participatory Action Research (PAR) process designed to support members of a men's health group in Yarrabah, a rural Aboriginal community near Cairns (north Queensland), take greater control and responsibility for the factors influencing their health and wellbeing. The PAR process is providing initial evidence indicating that the development of men's health groups in Indigenous settings can lead to social and behavioural change and that PAR is potentially a useful tool in working towards social change. The current proposal is a joint initiative between the academic partners and the men's group leadership and proposes among other things to: a) consolidate and extend the existing PAR initiative with members of the Yarrabah Men's Health Group and their community; b) adapt and pilot the PAR model in another north Queensland community; and c) undertake a systematic and comparative evaluation across the two sites to determine the medium -long term usefulness of men's health groups as health promotion strategies especially in rural-remote Indigenous settings. These types of micro-level studies have important implications for the way community development is perceived and approached in Indigenous settings.Read moreRead less
Empowerment As A Strategy For Wellbeing In Indigenous Settings: Developing Tools To Systematically Evaluate Outcomes
Funder
National Health and Medical Research Council
Funding Amount
$403,100.00
Summary
This project will add significant strength to one of Australia's key initiatives in the promotion of health and well-being, namely the Family Well Being Program . This program was developed by a group of Aboriginal people based in Adelaide in order to specifically address the effects of colonisation on the emotional health and wellbeing of Indigenous Australians. It is a nationally accredited course and has been delivered in a wide variety of settings and participating groups. Previous evaluatio ....This project will add significant strength to one of Australia's key initiatives in the promotion of health and well-being, namely the Family Well Being Program . This program was developed by a group of Aboriginal people based in Adelaide in order to specifically address the effects of colonisation on the emotional health and wellbeing of Indigenous Australians. It is a nationally accredited course and has been delivered in a wide variety of settings and participating groups. Previous evaluation using in-depth interviews, focus groups and course evaluation forms have revealed long lasting increases in participants' life skills and problem-solving capacity, thereby making them better able to help themselves and the young people around them to deal with emotions and life's challenges. Changes are particularly profound among individuals who have completed the full Four Stage Program (40 week course) and their families and communities. Up to now, the impact and outcome of the Family Well Being Program has not had a way of being objectively measured in the way that other health promotion programs have. This is partly due to the complexity of its aims; empowering people to take control of their lives, as opposed to trying to directly change behaviours that place them at risk of illness. It is also because the definition, pathway and results of becoming an empowered person, group and community are not completely understood and are likely to be expressed differently from one social and cultural group to another. This current project aims to gain a clearer understanding of the meaning, experience, outcomes and values people attach to empowerment; then use this information to design tools to help assess the effectiveness of programs that seek to stimulate empowerment. Activities will include further analysis of existing qualitative data, workshop discussions, piloting tools and implementing them within communities with ongoing Family Well Being programs.Read moreRead less
Evaluation Of Family Well Being Empowerment Program: A Participatory Action Research Initiative
Funder
National Health and Medical Research Council
Funding Amount
$487,920.00
Summary
We have shown that family well being empowerment training in Indigenous communities can significantly enhance program participants' sense of control and responsibility for the conditions affecting their health and well being (Tsey and Every, 2000a;Tsey and Every, 2000b). Following this, there has been a great deal of interest and demand for the family well being program not only in Indigenous Australia, but also among Maori people in New Zealand. Presently, we are involved in four collaborative ....We have shown that family well being empowerment training in Indigenous communities can significantly enhance program participants' sense of control and responsibility for the conditions affecting their health and well being (Tsey and Every, 2000a;Tsey and Every, 2000b). Following this, there has been a great deal of interest and demand for the family well being program not only in Indigenous Australia, but also among Maori people in New Zealand. Presently, we are involved in four collaborative initiatives with indigenous communities in response to growing interest and demand for the program. The current proposal is a joint initiative between University of Queensland, Apunipima Cape York Health Council and Gurriny Yealamucka Health Services which aims to: a. Consolidate and extend the existing family well being initiatives in Hopevale and Yarrabah to two other north Queensland communities (yet to be selected from several that have expressed an interest), using a participatory action research process b. Undertake a meta evaluation of outcomes across all four sites This proposal aims to increase our understanding about ways in which individuals and groups of people can be better supported in their efforts to bring about changes in personal and social life.Read moreRead less
Evaluation Of Family WellBeing Empowerment Program: A Follow-up Study
Funder
National Health and Medical Research Council
Funding Amount
$82,940.00
Summary
Although relative powerlessnes resulting from colonisation has long been recognised as a major factor shaping Indigenous health, it is difficult to find tested and validated empowerment programs in the Indigenous health literature. The current project will follow-up a previous evaluation of a Family WellBeing empowerment training course which was implemented in Alice Springs in 1998-9. The aim is to find out the extent to which course participants have been able to sustain the high levels of per ....Although relative powerlessnes resulting from colonisation has long been recognised as a major factor shaping Indigenous health, it is difficult to find tested and validated empowerment programs in the Indigenous health literature. The current project will follow-up a previous evaluation of a Family WellBeing empowerment training course which was implemented in Alice Springs in 1998-9. The aim is to find out the extent to which course participants have been able to sustain the high levels of personal empowerment demonstrated at the time of the original evaluation on the medium-long term basis. Among other things, this study will provide valuable insights and understandings about the pathways and conditions under which individuals and groups of people might use personal empowerment skills, especially better analytical and problem-solving skills to achieve greater control in life.Read moreRead less
Orexins As Neuroendocrine Integrators Between Nutrition And Reproduction Control Systems
Funder
National Health and Medical Research Council
Funding Amount
$332,036.00
Summary
Studies on humans and a range of animal species have shown that the effects of nutrition on reproduction are mediated at least partly by changes in the secretion of gonadotrophin releasing hormone (GnRH) and thus gonadotrophins. A number of metabolic signals must also be involved but those tested to date (glucose, insulin, leptin) do not seem to play major roles. Two exciting new candidates are orexin-A and orexin-B, a recently discovered pair of peptides that stimulate feeding behaviour. They a ....Studies on humans and a range of animal species have shown that the effects of nutrition on reproduction are mediated at least partly by changes in the secretion of gonadotrophin releasing hormone (GnRH) and thus gonadotrophins. A number of metabolic signals must also be involved but those tested to date (glucose, insulin, leptin) do not seem to play major roles. Two exciting new candidates are orexin-A and orexin-B, a recently discovered pair of peptides that stimulate feeding behaviour. They are synthesized in the brain and, in rodents, they either stimulate or inhibit gonadotrophin secretion, depending on the presence of sex steroids. In this project, we will investigate the roles of the orexins as integrators of signals about gonadal activity, nutrition and body condition, all of which affect the activity of the reproductive control centres in the brain. We will use the mature male sheep because it shows clear and repeatable reproductive responses to changes in nutrition. We will locate the orexin-producing cells and the cells that respond to the orexins, and show how orexin production is affected by diet. We will also study the ways in which the orexins affect, and are affected by, the hormone systems that control reproduction and metabolism. Finally, we will try to find out why there are two orexins by looking at how their actions differ. Ultimately, the orexin system might explain the brain processes that are behind many of the reproductive problems that are associated with metabolic disorders, such as appetite loss, excessive exercise, undernutrition, polycystic ovarian syndrome, and insulin-dependent diabetes.Read moreRead less
Respiratory Modulation Of RVLM Premotor Neurons: Role In The Sympathetic Over-activity Of Hypertension.
Funder
National Health and Medical Research Council
Funding Amount
$338,605.00
Summary
Hypertension is a common health disorder in all societies and is a major risk factor for the development of life threatening cardiovascular diseases, including heart failure and stroke. Whilst some effective therapies are available, many patients are not adequately treated or have reduced quality of life due to serious side effects. There is a great need for alternative therapies. The central nervous system is clearly involved in hypertension although the level of that involvement is not well un ....Hypertension is a common health disorder in all societies and is a major risk factor for the development of life threatening cardiovascular diseases, including heart failure and stroke. Whilst some effective therapies are available, many patients are not adequately treated or have reduced quality of life due to serious side effects. There is a great need for alternative therapies. The central nervous system is clearly involved in hypertension although the level of that involvement is not well understood- i.e. is it a causal factor or just a contributor to the maintenance of established hypertension? The experiments outlined in this application are based on the observation that modulation of nervous activity to blood vessels is more influenced by the respiratory system in people with high blood pressure, than in normotensive people. We aim to test whether this increased respiratory modulation might be involved in the generation of the high blood pressure.Read moreRead less