Advancing Population-based Approaches To Physical Activity Participation In Rural Communities
Funder
National Health and Medical Research Council
Funding Amount
$443,964.00
Summary
Nationally the public health burden of inactive lifestyle is increasing; yet no research is being conducted in rural areas. My research will contribute new knowledge on best-practice physical activity programs designed to reach and meet the needs of people in rural areas. This is an innovative extension of my previous research that has produced programs that reduce the burden of chronic disease risk factors, by helping people to achieve optimal health and well-being through physical activity.
Reducing Alcohol-related Harm In Rural Communities
Funder
National Health and Medical Research Council
Funding Amount
$265,000.00
Summary
In 1992 in Australia, there were an estimated 3,660 alcohol-related deaths and 71,593 alcohol-related hospital episodes, resulting in a total economic cost of $4,031.9 million, 84% of which was avoidable. In 1998, about half of all males and a third of all females drank at least once a month at levels that placed them at risk of harm. In NSW, alcohol was estimated as being a causal factor in about one-quarter of all road traffic deaths in 1995 and was associated with a 58% increase in hospital u ....In 1992 in Australia, there were an estimated 3,660 alcohol-related deaths and 71,593 alcohol-related hospital episodes, resulting in a total economic cost of $4,031.9 million, 84% of which was avoidable. In 1998, about half of all males and a third of all females drank at least once a month at levels that placed them at risk of harm. In NSW, alcohol was estimated as being a causal factor in about one-quarter of all road traffic deaths in 1995 and was associated with a 58% increase in hospital utilistion rates between 1988-89 and 1990-91. The burden of suffering appears disproportionately higher in rural areas of NSW: per capita rate of convictions associated with a prescribed alcohol concentration in rural towns was approximately double that in metropolitan areas in 2000. The rate of attendances at hospital accident and emergency departments was also higher in rural areas. These data suggest a need for additional effort to reduce alcohol-related harm in rural, relative to metropolitan, areas. In Australia, there have been no well-controlled, community-based, attempts to reduce alcohol-related harm by simultaneously implementing a range of interventions. The conduct of a large-scale randomised controlled trial (RCT) to investigate the effectiveness of this approach is difficult to justify, due to the substantial costs associated with such a rigorous design. However, a less rigorus, though equally valid, design, such as a stepped wedged approach, would likely provide good evidence to justify the subsequent conduct of an RCT. If the expected outcomes are not achieved, the conduct of an RCT can be postponed until reasonable preliminary evidence regarding the types of community-based interventions most likely to be effective is obtained. In either case, this study will provide valuable information as to which community-based interventions, and in what combination, are most likely to reduce the occurrence of alcohol-related harm in rural communities in Australia.Read moreRead less
Womens Ways: An Exploratory Qualitative Study Of Ways In Which Rural Women Achieve Health
Funder
National Health and Medical Research Council
Funding Amount
$87,926.00
Summary
Despite overall rural health disadvantage, lack of services and harsh environmental conditions, studies in Australia have found that rural women rate their overall health positively. The purpose of this study is to explore the factors which influence this perception of good health and find out more about the ways in which rural women achieve health and wellbeing. This will help to ensure that health policies and services meet the needs of rural women.
A Multi-component Supermarket Intervention To Promote Healthy Eating
Funder
National Health and Medical Research Council
Funding Amount
$547,005.00
Summary
Most food in Australia is bought in supermarkets, and so there is a public health imperative for supermarkets to encourage healthy food purchases. This proposal is to conduct a randomised-controlled trial in 10 supermarkets to test the impact of a package of interventions that improve the healthiness of the supermarket environment. Intervention components were chosen by the retail, government and academic partners based on feasibility, sustainability and positive results from our pilot studies.
Harnessing The Power Of Elite Sport Sponsorship To Promote Healthy Eating By Young Adults
Funder
National Health and Medical Research Council
Funding Amount
$304,220.00
Summary
Concerns have been raised about the role of unhealthy food sponsorship of elite sport in promoting unhealthy diets to vast numbers of the public, including young adults who are avid spectators of sport. This innovative project consists of two studies which systematically investigate the utility of alternative, health-oriented sport sponsorship models and counter-advertising strategies in promoting healthier diets among young adults.
Improving Adolescent Gate-keeping And Help-seeking For Risky Drinking And Depression: A Cluster Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$655,495.00
Summary
Young people with mental health and substance use problems are reluctant to seek help. There is a significant gap in health promotion activities which specifically target help-seeking skills, particularly teaching friends to help friends to access treatment early. This project seeks to demonstrate the efficacy of a school-based intervention that focuses on improving adolescent gate-keeping and help-seeking skills for risky drinking and depression, using a cluster randomised controlled design.
A Randomised Trial Assessing A Shade Development Intervention In Secondary Schools For Adolescent Skin Cancer Prevention
Funder
National Health and Medical Research Council
Funding Amount
$709,615.00
Summary
Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and ....Skin cancer is a significant burden to health costs, and morbidity and mortality in Australia. Reduction of exposure to ultraviolet radiation (UVR) in sunlight, particularly during childhood and adolescence is an important strategy for preventing skin cancer in later life. Adolescents have been particularly resistant to skin cancer prevention messages. Despite a high knowledge of skin cancer, the majority of Australian adolescents report a reliance on sunscreen, a resistance to hat wearing, and commonly experience sunburn, an important indicator of increased risk of skin cancer. Psycho-social interventions have shown limited influence on adolescents' sun protective behaviours to date. The current research proposal explores an alternative approach to psycho-social interventions for adolescents. The study will assess the effect of increasing available shade at secondary schools. In a randomised control trial study design, the change in the number of students using certain outdoor areas at intervention schools will be observed 'before' and 'after' the installation of built shade sail structures. Our main hypothesis states that the number of students using these newly shaded areas in intervention schools will increase compared with use of equivalent unshaded areas in control schools. Shade development is increasingly becoming an issue for secondary schools and given both the high cost of providing shade structures and adolescents' resistance to other forms of sun protection it is important to establish that adolescents will use this form of sun protection. This study will determine whether adolescents actively avoid or seek shade and so provide evidence for informing decisions about further investment in shade provision in schools.Read moreRead less
Exploring The Potential For Built Environment Intervention To Improve Adult And Child Physical Activity And Health
Funder
National Health and Medical Research Council
Funding Amount
$309,428.00
Summary
Health-promoting behaviours - such as physical activity - that are maintained from childhood to adulthood have a positive effect on health status. My research will examine aspects of the built environment associated with child behaviour, health and development and use these findings to formulate recommendations to key stakeholders for the design of user-friendly, active-living environments for children and interventions targeting adults.