From risk factor analysis to translation: multiple sclerosis and vitamin D deficiency. This research on multiple sclerosis will focus on its causes and lifestyle factors that affect it and will trial vitamin D supplementation as a treatment. Studies on vitamin D deficiency in healthy populations aim to develop new public health recommendations on sun exposure and vitamin D that balance risk of skin cancer against vitamin D deficiency.
Effective management of challenging behaviours in cognitively impaired aged care residents through a research-based nursing care model. Challenging behaviours associated with cognitive impairment, such as screaming and perseveration, marks a decisive turning point in the life situation for an older person, heralding a deterioration in their quality of life and placement in an aged care facility. Staff can promote the residents health and well-being through person-centred care approaches. The stu ....Effective management of challenging behaviours in cognitively impaired aged care residents through a research-based nursing care model. Challenging behaviours associated with cognitive impairment, such as screaming and perseveration, marks a decisive turning point in the life situation for an older person, heralding a deterioration in their quality of life and placement in an aged care facility. Staff can promote the residents health and well-being through person-centred care approaches. The study employs Dementia Care Mapping to achieve these goals for the resident through participatory action research. The expected outcomes are a significant reduction in contextual factors that trigger these challenging behaviours, an improvement in the residents health, well-being and quality of life, and increased knowledge, skills and empowerment in staff.Read moreRead less
A hands-free assistive control system for the severely disabled capable of operating under stressful and fatiguing conditions. The impact of severe disability like tetraplegia in daily living is substantial. Strategies are needed to improve their quality of life. One approach is to enhance their independence by providing 'hands free' control over their environment. However, few scientific studies have examined the efficacy of such technology. The aim of this research is to study the brain activi ....A hands-free assistive control system for the severely disabled capable of operating under stressful and fatiguing conditions. The impact of severe disability like tetraplegia in daily living is substantial. Strategies are needed to improve their quality of life. One approach is to enhance their independence by providing 'hands free' control over their environment. However, few scientific studies have examined the efficacy of such technology. The aim of this research is to study the brain activity of users of our "hands free" technology when they are operating under stressful and fatiguing conditions. The study should provide valuable data that will allow us to improve the efficacy of our existing brain signal based system (Mind Switch Assistive System). Read moreRead less
Early Intervention To Prevent Childhood Obesity Among A Disadvantaged Population: A Home-based Randomised Controlled Tri
Funder
National Health and Medical Research Council
Funding Amount
$675,082.00
Summary
This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early ....This intervention research will conduct a randomised controlled trial, of a community-based early childhood home visiting intervention designed to improve family and behavioural risk factors for childhood obesity and overweight. This intervention which will be developed in collaboration with the Health Promotion Unit, Child and Family Health Nurses, university academic experts and mothers in the community promises to deliver significant health and social benefits, in particular, preventing early onset of childhood obesity. It will result in a series of recommendations for policies and practical methods for promoting healthy feeding and physical activity of infants under two years of age with particular application to families who are socially and economically disadvantaged. These policies and practical methods for preventing childhood obesity could be used across Australia.Read moreRead less
Examining A Core Assumption Of Policy And Services For Older Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$133,387.00
Summary
In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous po ....In aged care service planning, the age 50 years or over is used for the Indigenous Australian population in the same way as the age 70 years is used for the non-Indigenous population. This is based on the lower life expectancy of the Indigenous population which is presumed to result in a need for aged care services at younger ages. The underlying assumption is that Australia's Indigenous population aged over 50 has the same set of age-associated conditions and care needs as the non-Indigenous population aged over 70. The evidence for this assumption is not established. It is well documented that the Indigenous population has worse health outcomes across all age groups relative to non-Indigenous Australians. However, our understanding of the details of the observed pattern is far from complete. This project seeks to compare the health status of the Indigenous population aged 50 years or over to the health status of the non-Indigenous population aged 70 years or over. The project will analyse a number of data sets to inform future directions in policy and service provision. A better understanding of these issues is fundamental to informed planning and allocation of resources, to identification of areas amenable to prevention strategies and to the development of approaches to care that meet the needs of Indigenous people.Read moreRead less
Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacist ....Innovative solutions to primary care management of back pain. Each year in Australia over $1billion is spent on low back pain treatment. Part of the reason for this massive expenditure is that back pain is extremely common. Most existing treatments involve highly skilled practitioners and considerable cost to the patient. This program of research will look at evaluating simple, low-cost care for patients with back pain. It will also consider the delivery of back pain care by community pharmacists, an approach not previously evaluated. Prevention of recurrent back pain will also be studied. Such methods of delivering care will provide enormous savings to the health system while still ensuring best practice care for the patient.Read moreRead less
Improving Identification And Treatment Of Early-onset Behaviour Disorders In Children
Funder
National Health and Medical Research Council
Funding Amount
$498,869.00
Summary
Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining s ....Most mental health problems begin in childhood and adolescence. Of these, oppositional-defiant and conduct problems in childhood are the most common precursor of all types of adult mental health problems. These children are the most common referral to child mental health clinics but little is known about which of these children will go in which direction i.e., good health, chronic antisocial behaviour, depression and anxiety, substance abuse, the psychoses. Progress in more accurately defining subgroups of these children would have huge implications for early intervention for mental health problems in our community. This project proposes the first large scale analysis of genetic distributions through to behavioural and treatment factors that characterise and differentiate a large representative sample of children with conduct problems. The project will test a model of child psychopathology that links genotype, via environmental risk and emotion processing problems, to an improved diagnostic-phenotypic model for treatment of the major childhood disorder. Clinical research activities will be structured into three intersecting arms: first, identifying the genetic and behavioural subtypes of early-onset conduct problems; second, innovative treatments for these children, and third, the dissemination of findings to these children and their families via the health care system. The research will build new collaborations between established and internationally recognised clinical research teams in childhood mental health, biological psychiatry, genetics and the Child and Adolescent Mental Health Statewide Network (CAMHSNET). CAMHSNET have specific responsibilities to NSW Health for expert advice and input on the development of child mental health services directions, dissemination, training, and effectiveness research.Read moreRead less
Understanding Foster Carers' Motivations: Personal, Political & Historical Perspectives on Care Provision in Australia. Due to the increasing number of children in care nationally, and the declining number of available foster care placements, there is current considerable interest in understanding the most appropriate means to recruit and retain foster carers. This project involves a national interview study of carers from several Australian States to understand the factors that most strongly mo ....Understanding Foster Carers' Motivations: Personal, Political & Historical Perspectives on Care Provision in Australia. Due to the increasing number of children in care nationally, and the declining number of available foster care placements, there is current considerable interest in understanding the most appropriate means to recruit and retain foster carers. This project involves a national interview study of carers from several Australian States to understand the factors that most strongly motivate people to become carers. Based on interviews with carers and other important stakeholders, the results will help us to understand the nature of the foster-carer role within the current political and social climate and help inform future national recruitment strategies.
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Working Longer: Policy Reforms And Practice Innovations
Funder
National Health and Medical Research Council
Funding Amount
$2,162,805.00
Summary
A popular response to increased longevity is to suggest that older workers should work longer. But working longer involves changes to established policies, practices, and institutions, which are currently built around retiring earlier. The project will forecast demographic and health transition in Australia and develop capacity to analyze the likely economic and workplace adjustments that population ageing will generate. It will examine the extent to which ñworking longerî is an appropriate resp ....A popular response to increased longevity is to suggest that older workers should work longer. But working longer involves changes to established policies, practices, and institutions, which are currently built around retiring earlier. The project will forecast demographic and health transition in Australia and develop capacity to analyze the likely economic and workplace adjustments that population ageing will generate. It will examine the extent to which ñworking longerî is an appropriate response to this transition, and analyze how the labour market for older workers might evolve, taking account of individual circumstances (health, financial status, dependant care) and institutional practices (age discrimination, employment conditions, work organization), as well as regulatory and policy impacts. The overall objective of the program is to develop a multi-disciplinary knowledge base to inform integrated policy and institutional (or practice) improvement in the labour market for the elderly. Its contribution will be to improve the institutional and policy framework within which households and firms operate, with the aim of modifying workplace practices and policy and institutional constraints to encourage a more vibrant labour market for older workers. Specifically the program of research will: Assess the demographic and economic impacts of working longer under alternative policy and institutional (practice) scenarios; Provide alternative pension, superannuation, finance and taxation designs to encourage labour force participation of older people; Identify employment strategies to enhance the health and safety of older workers; Develop strategies to facilitate workforce re-entry of older workers, including gender-specific considerations; and Provide an integrated set of recommendations to create policy and practice partnerships which facilitate a labour market conducive to increased mature-age participation.Read moreRead less