Can Self-management Education Programs Improve Outcomes Of People With Osteoarthritis?
Funder
National Health and Medical Research Council
Funding Amount
$343,874.00
Summary
Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Tre ....Arthritis is a very common disease associated with pain, disability and poor quality of life. An important way that people with arthritis can deal with the disease is through using a variety of self-management behaviours and coping strategies as well as becoming well informed about the best available treatments. A specific course was developed in he US to help people self-manage. It has been available in Australia for 20 years through Arthritis Foundations and has become their core business. Treatment guidelines used by doctors to treat people with arthritis regularly recommend that patients should be referred to such courses. Although the course is widely distributed, the evidence scientific evidence regarding its effectiveness is patchy, and some overviews suggest it is not useful at all. Confusion exists regarding the value of the course. While treatment guidelines advise doctors to refer patients to the program by very few GPs, Rheumatologist or Orthopaedic surgeons do refer. The proposed study is a large controlled trial which will provide essential evidence to inform patients, doctors and policy makers on the benefits of the course. It will involve people with well defined moderate to severe arthritis who have consulted a surgeon or rheumatologist. People will be randomised to receive the intervention (two hours per week, six session course including an 'arthritis self-help' book) will be compared with people in a control group (who only receive the book without instruction). People will be followed for 1 year to see if the course improves quality of life, health behaviours, and whether less health care resources (ie attendance at doctors or less medication use) are used. The results of this study will be influential in determining government policy as the number of people with chronic diseases like arthritis is rapidly growing and the acute healthcare system, including hospitals, are poorly equipped to deal with this growing problem.Read moreRead less
Do People's Environments Influence Their Habitual Physical Activity?
Funder
National Health and Medical Research Council
Funding Amount
$196,650.00
Summary
People seem to prefer to drive to the corner shop rather than walking. Or, they will drive the car to work instead of walking to the bus or train. Or, they send off e-mails instead of walking down the corridor at work. The result is that people are not using up the energy that they should and they get fatter. The average weight of many groups of Australians has gone up by several kilograms in the past 10 years. Active people not only have healthier weights. They are less likely to get heart dise ....People seem to prefer to drive to the corner shop rather than walking. Or, they will drive the car to work instead of walking to the bus or train. Or, they send off e-mails instead of walking down the corridor at work. The result is that people are not using up the energy that they should and they get fatter. The average weight of many groups of Australians has gone up by several kilograms in the past 10 years. Active people not only have healthier weights. They are less likely to get heart disease, diabetes and some cancers. But too many people do no exercise at all. Only about 10% of Australians adults do fitness and sporting activities three or more times a week. More than half do not walk, cycle or do anything moderately active on any regular basis. To get people to be regularly active and to stay active, promoting deliberate 'exercise' is not the answer. Making it easier for people to choose to be more active as they go about their daily lives will be more effective. Road transport researchers and geographers have a lot to offer to health researchers. They have found that where there are footpaths and cycle ways, where shops and businesses are close by or where the roads make it easy and safe to get from place to place, people are much more likely to walk or ride bikes. We can now use large, complex computerised databases (called Geographic Information Systems) to put together this type of information on peoples' local environments. We will combine these 'geographic' data with other information from surveys on people's physical activity, exercise and transport habits. Starting our research in this way, we will be able to work out whether there are factors in people's local environments that really do make them less active. Governments, health planners and local councils will use this information to find ways to create communities that are more activity-friendly. This will have real health benefits.Read moreRead less
Enabling Safe Leisure Activity Participation For Young Hearing Aid Wearers
Funder
National Health and Medical Research Council
Funding Amount
$47,537.00
Summary
There is community concern that exposure to loud sound during everyday activities, (such as, using iPods,MP3 players), may be damaging young peopleÍs hearing, and researchers around the world are investigating this issue. There is little information about how exposure to loud sound affects young people who already have permanent hearing loss, so the National Acoustic Laboratories (NAL) is conducting a study (iHEAR2) to find out whether loud sound exposure is affecting young hearing aid wearers.
Online Pornography And Sexual Risk Behaviour, Health And Wellbeing: An Evidence-informed And Needs-based Approach To Health Promotion And Sex Education For Young People
Funder
National Health and Medical Research Council
Funding Amount
$81,361.00
Summary
Young people have unprecedented access to online pornography. To date, little is known about it's actual impact on sexual risk behaviours, negative or violent attitudes towards women, mental health and body image. There is a need for better evidence about young people’s online pornography usage and its impact on their health and wellbeing, to inform the development of evidenced based health promotion strategies.
Advanced Non-invasive Cardiovascular Risk Screening In The Community: Practical And Cost Effective?
Funder
National Health and Medical Research Council
Funding Amount
$287,321.00
Summary
This research focuses on the practicalities and cost of mobile, advanced, non-invasive cardiovascular assessments to determine the extent of CVD and clinical risk factors and its likely impact on patterns of treatment and care to “disadvantaged” individuals living in rural and remote regions and Indigenous Australians. The advantage of directly acquiring risk profile information has not been fully explored and its potential to address an “epidemic” of CVD world-wide cannot be overstated.
Mobile Intervention For Drinking In Young People (MIDY): Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$403,378.00
Summary
Binge drinking is a significant health and social issue in Australia. In this innovative trial, we will communicate with young people via their mobile phones while they are on a night out. Young people will send hourly information about their drinking and will receive a relevant message in response, encouraging them to slow down or avoid harmful activities. The methods and the messages were developed in partnership with young people and have been tested in real drinking situations.
Understanding The Impacts Of Vaporised Nicotine Products On Smoking In Australia
Funder
National Health and Medical Research Council
Funding Amount
$1,603,159.00
Summary
Vaporised nicotine products (e.g., e-cigarettes) are widely used in Australia, even though possession of the nicotine fluid without a permit is an offence. They are primarily used by smokers as a means of quitting. However, there is concern about their potential attractiveness and uptake by non-smokers. The aim is to identify how these products might be used to both maximise smoking cessation and minimise nicotine use, especially smoking uptake by non-smokers.
Embedding Sustainable Physical Activity Into The Everyday Life Of Adults With Intellectual Disability
Funder
National Health and Medical Research Council
Funding Amount
$601,613.00
Summary
Adults with intellectual disability are much less physically active than the general community. In Australia, only around half the proportion of adults with intellectual disability compared with the general community meet national guidelines for physical activity. The overarching aim of the project is to sustainably increase physical activity in everyday life among adults with intellectual disability, at least to the level of the general community, to significantly improve their fitness and well ....Adults with intellectual disability are much less physically active than the general community. In Australia, only around half the proportion of adults with intellectual disability compared with the general community meet national guidelines for physical activity. The overarching aim of the project is to sustainably increase physical activity in everyday life among adults with intellectual disability, at least to the level of the general community, to significantly improve their fitness and well-being.Read moreRead less
A Multi-setting Intervention To Reduce Sedentary Behaviour, Promote Physical Activity And Improve Childrens Health
Funder
National Health and Medical Research Council
Funding Amount
$860,343.00
Summary
Sedentary behaviours and physical inactivity play a major role in the rising prevalence of obesity among children in Australia. This intervention study will take place in the school and family settings which play a critical role in shaping children's health behaviours. The objective is to determine whether a 2-year behavioural intervention reduces sedentary behaviour and promotes physical activity and results in improved health among 8-9 year old children.