Evaluation Of The Effectiveness Of Mobile Preschool For Child Health And Development In Remote Aboriginal Communities
Funder
National Health and Medical Research Council
Funding Amount
$456,369.00
Summary
This project is a retrospective study of the effectiveness of the NT Mobile Preschool Program using assessment data for children's emergent literacy, social and emotional competencies and health status. Effectiveness will be established by comparison with achievement and health status data for children not attending preschool and those in communities with no preschool service. The study will identify and describe the key factors influencing the health and learning outcomes of the three groups.
Improving Delivery Of Secondary Prophylaxis For Rheumatic Heart Disease: A Stepped-wedge, Community-randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,913,074.00
Summary
Rheumatic heart disease (RHD) is a major health problem in Indigenous communities. Continued progress in controlling RHD requires an understanding of how to improve delivery of regular injections of penicillin - secondary prophylaxis (SP). We will evaluate a systems-based approach to improving delivery of SP, using a stepped-wedge trial in 12 communities in NT and Qld. If successful, this model will provide a practical and transferable model.
A National Population-based Study Of Rheumatic Heart Disease In Pregnancy
Funder
National Health and Medical Research Council
Funding Amount
$877,826.00
Summary
Whilst overall a rare disease, Indigenous peoples have disproportionately high rates of rheumatic heart disease (RHD). This study explores the prevalence and distribution of RHD in pregnancy in Australia and New Zealand. It details current management, diagnostic and referral process and risk factors. Key attributes of culturally safe models of care for RHD in pregnancy are explored, particularly as they relate to Indigenous women. Findings will inform policy, guidelines and education resources.
Playing for Life: A Case Study in Childhood, Culture and Transition. This study will advance Australian research on identity formation in postcolonial societies; develop child-focused research in academic anthropology; align Australian Aboriginal Studies with recent international progress in the field of children's social imagination; innovate the analysis of transforming Indigenous worldviews; create a perspective for in-depth psychological research with Aboriginal Australians; build a rich res ....Playing for Life: A Case Study in Childhood, Culture and Transition. This study will advance Australian research on identity formation in postcolonial societies; develop child-focused research in academic anthropology; align Australian Aboriginal Studies with recent international progress in the field of children's social imagination; innovate the analysis of transforming Indigenous worldviews; create a perspective for in-depth psychological research with Aboriginal Australians; build a rich resource for comparative research and for teaching. It also offers distinct social benefits: fostering the understanding of Aboriginal children's social and mental needs in processes of cultural transformation; enhancing equality by identifying the positive potentials in children and Aboriginal society.
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Culture, context and Risk: socio-cultural influences on the sexual health of Indigenous young people. The health of Indigenous young people is a national priority, and it is clear in the area of sexual health that they suffer disproportionately when compared to the non-Indigenous population. Existing interventions are not acheiving the desired changes in sexual health. This project explores sexuality from the perspective of Indigenous youth in order to develop interventions that are appropriate ....Culture, context and Risk: socio-cultural influences on the sexual health of Indigenous young people. The health of Indigenous young people is a national priority, and it is clear in the area of sexual health that they suffer disproportionately when compared to the non-Indigenous population. Existing interventions are not acheiving the desired changes in sexual health. This project explores sexuality from the perspective of Indigenous youth in order to develop interventions that are appropriate and sustainable. Read moreRead less
The invisible parents project - exploring the barriers to effective parental and community involvement in three Northern Territory Schools. Education outcomes in the Northern Territory, particularly for Indigenous students, lag far behind those of other Australians, to the point that the situation can be considered a national emergency. This research program will explore ways to improve parental involvement. This will inform the Smith Family's efforts to undertake early intervention for children ....The invisible parents project - exploring the barriers to effective parental and community involvement in three Northern Territory Schools. Education outcomes in the Northern Territory, particularly for Indigenous students, lag far behind those of other Australians, to the point that the situation can be considered a national emergency. This research program will explore ways to improve parental involvement. This will inform the Smith Family's efforts to undertake early intervention for children who are at risk of education failure. It will provide benefits to the rural and regional communities who feed schools in Darwin and Katherine and provide national benefits through making a significant contribution of anthropologically-informed knowledge on the determinants of successful school outcomes.Read moreRead less
Achieving true representation of Indigenous people in nursing and midwifery. This project aims to address an absence of true representation of Aboriginal and Torres Strait Islander peoples and knowledges in nursing and midwifery. Significantly it intends to co-create an Aboriginal and Torres Strait Islander nurse and midwife theory and principles for practice. An anticipated goal of the research is to better understand how the theory and practice can be implemented in nurse and midwifery educati ....Achieving true representation of Indigenous people in nursing and midwifery. This project aims to address an absence of true representation of Aboriginal and Torres Strait Islander peoples and knowledges in nursing and midwifery. Significantly it intends to co-create an Aboriginal and Torres Strait Islander nurse and midwife theory and principles for practice. An anticipated goal of the research is to better understand how the theory and practice can be implemented in nurse and midwifery education (inclusive of clinical settings) in regional and urban areas. The intended outcome is to provide improved cultural safety in nursing and midwifery, greater cultural safety for health consumers and; stronger recruitment and retention of Indigenous nurses and midwives.
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The Centre will enhance Australian clinical immunisation research and training, focussing upon clinical questions with translatable outcomes not easily addressed by industry. Optimal immunisation and interventions to maximise uptake of existing and new vaccines in high risk patient groups, such as children with cancer, immigrants, children with chronic diseases and adolescents will be studied. New vaccine trials, innovative use of existing vaccines, systematic collection of vaccine failure data, ....The Centre will enhance Australian clinical immunisation research and training, focussing upon clinical questions with translatable outcomes not easily addressed by industry. Optimal immunisation and interventions to maximise uptake of existing and new vaccines in high risk patient groups, such as children with cancer, immigrants, children with chronic diseases and adolescents will be studied. New vaccine trials, innovative use of existing vaccines, systematic collection of vaccine failure data, and targeted epidemiology and disease modelling vaccine preventable disease will also allow a broad program of research, enabling training and mentoring of young clinical nurse and physician researchers. Collaborations with existing national immunisation, infectious diseases and research institutions will allow maximal effectiveness of clinical studies.Read moreRead less
A New Model For The Pathogenesis Of Rheumatic Fever: Superantigen Priming Of The Immune Response To Group A Streptococci
Funder
National Health and Medical Research Council
Funding Amount
$248,820.00
Summary
Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, c ....Acute rheumatic fever (ARF) is now rare in developed countries. However, it remains a major problem in Aboriginal Australians in the NT where the rate of ARF is the highest in the world. This leads to high rates of rheumatic heart disease (up to 3% of individuals in some communities) and a premature mortality of over four times that for developing countries. Immunisation and improved living conditions offer a long-term solution but these remain a distant prospect. In the short and medium term, control of this ARF will partly depend on new and better treatment and prevention strategies. To achieve these goals a deeper understanding of the immune mechanisms underlying this disease is urgently needed. It is known that ARF is caused by an abnormal immune response following streptococcal infection. This leads to the production of cells called T cells that attack the body s own tissues rather than the bacteria itself. This autoimmune disease is responsible for the heart damage that underlies ARF. It is believed that this proces only occurs when susceptible individuals are infected with specific rheumatogenic strains of streptococci. However there are a number of deficiencies in this model and it is proposed that there is an additional factor responsible for the abnormal immune response in ARF. This project will explore the possibility that bacterial toxins called superantigens are the critical missing factor , by studying the immune response in ARF. Superantigens are produced by certain streptococci and staphylococci, and are potent in minute quantities causing widespread activation of the immune system. They have been found to play an important role in a number of autoimmune diseases and the type of immune response found in ARF fits well with that expected if superantigens were involved. If superantigens play an important role in causing the abnormal immune response in ARF then a number of new avenues would open for the treatment and prevention of this disease.Read moreRead less
Special Research Initiatives - Grant ID: SR120100005
Funder
Australian Research Council
Funding Amount
$3,198,392.00
Summary
National Indigenous Research and Knowledges Network. The National Indigenous Research and Knowledges Network will capacity build and increase Indigenous higher degree, early and mid career researchers to develop new approaches to undertaking research and producing outcomes. NIRAKN's members include a number of universities, AIATSIS, and partner organisations.