Assessing Infrastructure And Contextual Factors In Relation To Cardiometabolic Outcomes In Remote Indigenous Communities: Evidence For Policy Change
Funder
National Health and Medical Research Council
Funding Amount
$1,113,005.00
Summary
Cardiometabolic diseases account for the major burden of morbidity and mortality for Indigenous populations. This study with 75 remote Indigenous communities will be the first to evaluate features of their social, built and physical environments in relation to cardiometabolic risks and diseases. Policy-relevant results will identify features of environments to be targeted to reduce chronic diseases for Indigenous peoples in remote communities.
Chronic Disease Outcomes And Enhanced Primary Care In Seniors: A Cross-Jurisdictional Linkage Project
Funder
National Health and Medical Research Council
Funding Amount
$1,077,766.00
Summary
This project will provide evidence on how best to use the efforts of Australian GPs to obtain better outcomes in patients aged 65+ years who suffer from chronic diseases such as diabetes, heart disease and high blood pressure, asthma and emphysema, seizures and stomach disorders. It will also examine the best way that GP visits can promote healthier ageing in all older seniors, aged 75+ years. For each disease and in older seniors, the study will be able to detect which of the following factors ....This project will provide evidence on how best to use the efforts of Australian GPs to obtain better outcomes in patients aged 65+ years who suffer from chronic diseases such as diabetes, heart disease and high blood pressure, asthma and emphysema, seizures and stomach disorders. It will also examine the best way that GP visits can promote healthier ageing in all older seniors, aged 75+ years. For each disease and in older seniors, the study will be able to detect which of the following factors are the most important for better patient health: (i) seeing a GP more times, (ii) seeing a GP at more even intervals, (iii) seeing the same GP, or (iv) seeing a GP with a lot of experience in chronic diseases. Separate investigations will be made in older people living in hostels and nursing homes, because their needs may be different. The study will also evaluate the benefits of a major change that occurred to Medicare in 1999, when GPs were paid to perform health assessments and to prepare health plans (with other health workers) for patients with chronic health problems. The results will enable this important initiative to be further improved. The study will use a unique and new Australian research facility, which has brought together health data on the entire population of WA from both the State and Commonwealth levels, including information on Medicare use, pharmaceuticals, hospital stays and deaths. The facility works in such a way as to preserve patient and GP privacy. A strong feature of this research will be the degree of involvement of a representative and voluntary group of older Australian patients who attend GP clinics, and the GPs themselves, in advising the researchers on what's important to consumers and GPs.Read moreRead less
Thai Health-Risk Transition: A National Cohort Study - Phase II
Funder
National Health and Medical Research Council
Funding Amount
$1,662,829.00
Summary
We are conducting a pioneering collaborative longitudinal study of population health in Thailand, following over time more than 80,000 adults living throughout the country. We repeatedly measure a wide array of health risks and outcomes. We capture information on the health-risk transition underway in Thailand as the population experiences the new burden of disease associated with economic development and modernisation. We team up with policy makers for national responses to lower the burden.
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.
Novel strategies in the design and development of antivirals against dengue virus. Globally, there are 50-100 million cases of dengue fever, with 500,000 cases of the more severe dengue haemorrhagic fever, each year. Australia has between 100 and 900 cases of dengue infection annually, often from travellers, but disease outbreaks occur in northern Australia. Effective anti-viral treatment will reduce disease burden. The project contributes to an evidence-based drug design program in collaboratio ....Novel strategies in the design and development of antivirals against dengue virus. Globally, there are 50-100 million cases of dengue fever, with 500,000 cases of the more severe dengue haemorrhagic fever, each year. Australia has between 100 and 900 cases of dengue infection annually, often from travellers, but disease outbreaks occur in northern Australia. Effective anti-viral treatment will reduce disease burden. The project contributes to an evidence-based drug design program in collaboration with Australia's leading biotechnology industries. As a biotechnology industry project developing treatments for an emerging disease, it contributes to the national research priorities of Frontier technologies for building and transforming Australian industries, Promoting and maintaining good health and Safeguarding Australia.Read moreRead less
Co-designing a Food Sovereignty Model with Indigenous Communities. Food sovereignty asserts the rights of people and communities to healthy and culturally appropriate foods through determination of their own food and agriculture systems. With food insecurity higher among Indigenous households; a food sovereignty approach offers the potential for sustainable long-term solutions that maintain human dignity and reinvigorate knowledge systems. Drawing on national and international perspectives and u ....Co-designing a Food Sovereignty Model with Indigenous Communities. Food sovereignty asserts the rights of people and communities to healthy and culturally appropriate foods through determination of their own food and agriculture systems. With food insecurity higher among Indigenous households; a food sovereignty approach offers the potential for sustainable long-term solutions that maintain human dignity and reinvigorate knowledge systems. Drawing on national and international perspectives and using Indigenous research methodologies, this project aims to co-design a food sovereignty model that will enable Indigenous communities to effectively address food insecurity according to their local contexts. Both the process and solutions will contribute to improvements in physical, mental and social wellbeing.Read moreRead less
Pride, resilience and identity: reimagining Aboriginal sport history. This project aims to investigate the largely invisible history of sport for Aboriginal people who were institutionalised during the 19th and 20th centuries. Sport is central to Indigenous communities, identities and cultures. This project aims to engage Australian Aboriginal communities in the history-making process by combining the passion for sport with culturally appropriate digital technologies. The project will expand our ....Pride, resilience and identity: reimagining Aboriginal sport history. This project aims to investigate the largely invisible history of sport for Aboriginal people who were institutionalised during the 19th and 20th centuries. Sport is central to Indigenous communities, identities and cultures. This project aims to engage Australian Aboriginal communities in the history-making process by combining the passion for sport with culturally appropriate digital technologies. The project will expand our understanding of the complexity of Aboriginal existence during their institutionalisation under the State Protection Acts. Using innovative digital technologies, this project will generate a comprehensive body of scholarship and an archive of artefacts about Aboriginal sport, developing capacities in Aboriginal communities to reclaim their history and enhance their cultural identities through digital storytelling.Read moreRead less
Lifespan learning and literacy for young adults in remote Indigenous communities. Engagement with learning across the lifespan and increased literacy skills among early school leavers and other young adults will have direct benefits to remote Indigenous communities and to the nation. These include the increased ability of this next generation of Indigenous adults to develop the skills and confidence required to actively build stable and self-reliant institutions, improve social and economic circ ....Lifespan learning and literacy for young adults in remote Indigenous communities. Engagement with learning across the lifespan and increased literacy skills among early school leavers and other young adults will have direct benefits to remote Indigenous communities and to the nation. These include the increased ability of this next generation of Indigenous adults to develop the skills and confidence required to actively build stable and self-reliant institutions, improve social and economic circumstances and enhance the health of their families and communities. Additional benefits will flow from the enhanced capacity of individuals to participate effectively in the national economy and from more positive spending of public funds on evidence-based programs that work rather than ongoing problem alleviation.Read moreRead less
The David Unaipon Award: Shaping the literary and cultural history of Aboriginal writing in Australia. The David Unaipon Award has fostered a rich lode of Aboriginal writing and is a vital site for the study of Aboriginal literature in the twentieth and twenty-first centuries. This project uses the Award to critically analyse Aboriginal writing and cultural expression in the historical and political context of post-bicentenary Australia. In 2014 the award reaches its 25th year. Now is the time t ....The David Unaipon Award: Shaping the literary and cultural history of Aboriginal writing in Australia. The David Unaipon Award has fostered a rich lode of Aboriginal writing and is a vital site for the study of Aboriginal literature in the twentieth and twenty-first centuries. This project uses the Award to critically analyse Aboriginal writing and cultural expression in the historical and political context of post-bicentenary Australia. In 2014 the award reaches its 25th year. Now is the time to review and explore the established canon of Aboriginal literature. The book produced from this project will model an historically broader, more nuanced and culturally sensitive paradigm for reading, reviewing, engaging with and teaching Aboriginal literature in the twenty-first century.Read moreRead less
From the Desert to the Sea: Managing Rock Art, Country and Culture. This Project will expand our understanding of Aboriginal settlement and land-use in north-west Australia by investigating how the mythological narratives of Australia’s deserts enable the transmission of knowledge in water-limited environments. Combining traditional ecological knowledge and novel scientific approaches (e.g. anthracology, remote sensing, oxygen-isotopes) will provide new insights into human behaviours at rock art ....From the Desert to the Sea: Managing Rock Art, Country and Culture. This Project will expand our understanding of Aboriginal settlement and land-use in north-west Australia by investigating how the mythological narratives of Australia’s deserts enable the transmission of knowledge in water-limited environments. Combining traditional ecological knowledge and novel scientific approaches (e.g. anthracology, remote sensing, oxygen-isotopes) will provide new insights into human behaviours at rock art site complexes. It will develop management regimes and formal certification for Indigenous rangers while building heritage capacity in these partner communities: enabling intergenerational, culturally appropriate knowledge transfer protocols are in place to ensure sustainable economic heritage futures.Read moreRead less