A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.
Understandings Of Food And Weight Gain In Pregnant Women: A Qualitative Study
Funder
National Health and Medical Research Council
Funding Amount
$83,256.00
Summary
At a time when the incidence of obesity and associated chronic diseases such as type 2 diabetes continues to rise and public health interventions are struggling to make an impact, this proposal has the potential to generate new insights. By using in-depth interviews to explore practices and understandings leading to excess weight gain during pregnancy this project addresses potential obesity in women and potential predisposition to obesity in their children.
Understanding Current And Future Opportunities To Promote Healthy Maternal Weight During Pregnancy And The Postpartum Period
Funder
National Health and Medical Research Council
Funding Amount
$75,620.00
Summary
The PhD will document clinical management of maternal weight gain during and post pregnancy, across a range of antenatal care providers and deliver a nine month pilot intervention study for first time mothers, aimed at reducing post pregnancy weight retention and promoting healthy nutrition and physical activity behaviours. Findings from this PhD will inform important future development of healthy weight interventions across the reproductive years.
Improving Health Promotion Through Continuous Quality Improvement
Funder
National Health and Medical Research Council
Funding Amount
$82,421.00
Summary
This research will investigate the impact of a continuous quality improvement (CQI) model on health promotion practice for chronic disease prevention in Indigenous communities. The aim is to improve health promotion practice by assisting health services improve their systems for providing and supporting the delivery of health promotion and chronic disease prevention strategies.
A RCT Of An Innocative Supportive Care Program Designed To Reduce Perceived Needs & Psychological Distress & Enhance
Funder
National Health and Medical Research Council
Funding Amount
$111,043.00
Summary
The diagnosis of incurable lung cancer is a very distressing event, and patients have a high level of psychological and informational needs. An innovative evidence-based program has been designed to address these unmet needs in an emotionally supportive environment at this critical time. This study tests whether the program meets the needs of these people, reduces their psychological distress and enhances their quality of life. If successful, it will be integrated into the standard care to impro ....The diagnosis of incurable lung cancer is a very distressing event, and patients have a high level of psychological and informational needs. An innovative evidence-based program has been designed to address these unmet needs in an emotionally supportive environment at this critical time. This study tests whether the program meets the needs of these people, reduces their psychological distress and enhances their quality of life. If successful, it will be integrated into the standard care to improve the experience of this large and under-supported group.Read moreRead less
Improving Consumer Knowledge And Access To Health Care
Funder
National Health and Medical Research Council
Funding Amount
$110,447.00
Summary
All health care services aim to provide the right care, at the right time in the right place. There is growing evidence to suggest that a person’s ability to obtain and understand basic information about their health condition, defined as their level of health literacy, impacts on how they access health care. This study aims to determine whether health literacy impacts on some people’s decision to utilise emergency department care instead of their general practitioner for non-emergency condition ....All health care services aim to provide the right care, at the right time in the right place. There is growing evidence to suggest that a person’s ability to obtain and understand basic information about their health condition, defined as their level of health literacy, impacts on how they access health care. This study aims to determine whether health literacy impacts on some people’s decision to utilise emergency department care instead of their general practitioner for non-emergency conditions.Read moreRead less
Reducing The Gap Right From The Start: Translating Effective Approaches To Prevent Child Obesity In Disadvantaged Families Into Primary Health Care Policy And Routine Practice.
Funder
National Health and Medical Research Council
Funding Amount
$108,376.00
Summary
The aim of this fellowship is to identify effective primary health care (PHC) based approaches to prevent obesity amongst children from disadvantaged families and understand the factors influencing the uptake of such approaches into routine PHC policy and practice. The findings will inform practice and policy decisions about the implementation of child obesity prevention programs within the Australian PHC system.
Why Do Australian Teenagers Fall Pregnant? Exploring The Antecedents Of Teenage Pregnancy.
Funder
National Health and Medical Research Council
Funding Amount
$542,100.00
Summary
Teenage pregnancy is a major health, social and economic issue for Australia. The teenage birth rate in Australia is higher than many other developed countries and of additional concern is the very high pregnancy and termination rate. Teenage pregnancy places the mother and child at greater risk of lifelong adverse outcomes. Despite research over more than 3 decades, we have only a simplistic understanding of what are likely complex mechanisms leading to early pregnancy. This is thought to be th ....Teenage pregnancy is a major health, social and economic issue for Australia. The teenage birth rate in Australia is higher than many other developed countries and of additional concern is the very high pregnancy and termination rate. Teenage pregnancy places the mother and child at greater risk of lifelong adverse outcomes. Despite research over more than 3 decades, we have only a simplistic understanding of what are likely complex mechanisms leading to early pregnancy. This is thought to be the reason for the failure of nearly all teenage pregnancy prevention efforts worldwide. In addition, there has been little study of this issue in Australian teenagers, and none in Aboriginal teenagers for whom pregnancy is more common and carries worse outcomes. This 2-stage project seeks to elucidate complex biological, psychological, and social pathways to unplanned pregnancy in the teenage years. In Phase 1, perceptions, values and beliefs will be explored in a qualitative study. Aboriginal and non-Aboriginal teenagers attending antenatal, termination and family planning clinics will be interviewed. Data from these interviews will generate new hypotheses regarding pregnancy risk in this age group. In Phase 2, 600 teenagers from schools, antenatal and termination clinics will be surveyed using computerised questionnaires. They will be asked about beliefs (identified in phase 1) and a range of other individual, family, and environmental factors identified in other studies to be risk factors for early pregnancy. Statistical analysis will be used to determine how multiple risk factors interact or combine to shape sexual and childbearing behaviour. This study will lead to new understandings of teenage pregnancy in Australia, and more effective teenage pregnancy intervention programs. Because few researchers in Australia, or elsewhere, have taken such a comprehensive approach to data collection and analysis, the results will be of international significance.Read moreRead less
Understanding The Socio-cultural Dimensions Of Tuberculosis In Papua New Guinea: Knowledge To Optimise Public Health Solutions
Funder
National Health and Medical Research Council
Funding Amount
$727,410.00
Summary
Papua New Guinea has among the highest TB incidence rates in the world, with rates in particular areas considerably higher. This three-year qualitative study will examine the socio-cultural contexts of TB control programs. The project outcome will be better contextualised solutions to improve the effectiveness of TB control programs and therefore the spread of TB and its drug resistant forms.