The Impact Of Urban Design On Physical And Mental Health Building Capacity For Research Across The Life Course
Funder
National Health and Medical Research Council
Funding Amount
$2,194,515.00
Summary
In the last decade there has been growing recognition that the urban environment influences health. The design of neighborhoods and public open space design as well as transport planning is associated with levels of walking, cycling and use of public transport, as well as the sense of community, positive mental health, depression and asthma. Low-density, automobile dependent suburbs discourage the use of non-motorized forms of transport and public transport use, thereby reducing physical activit ....In the last decade there has been growing recognition that the urban environment influences health. The design of neighborhoods and public open space design as well as transport planning is associated with levels of walking, cycling and use of public transport, as well as the sense of community, positive mental health, depression and asthma. Low-density, automobile dependent suburbs discourage the use of non-motorized forms of transport and public transport use, thereby reducing physical activity and opportunities for casual contacts between neighbors. Nevertheless, how to optimize urban environment to meet the needs of different population groups (eg. Children and young people, older adults, as well as the general public) has been largely unexplored. While more walkable neighborhoods (i.e., those characterized by higher density, mixed use planning and enhanced connectivity) may encourage able-bodied adults to do more working, the impact on children, young people and older adults is unknown. For example, adults generally report there is more traffic in more walkable areas. Exposure to traffic decreases the likelihood of children walking. In addition, higher levels of traffic increase traffic pollution, thereby increasing the likelihood of asthma. Moreover, while some research suggests that social capital or sense of community is higher in more walkable neighborhoods; other research suggests that living on a busy road decreases one�s social networks. Thus, it is likely that there is an optimum level of walkability that encourages sense of community. The proposed research will build upon and strengthen and extensive program of research examining the impact of the urban environment on adults, by adding programs of work with children and older adults. It will build our group�s capacity for research in this area, by building expertise within the whole team for appropriate qualitative, statistical and geo-spatial methods which will assist our team to work in this complex, multi-disciplinary area. With input from consumers, practitioners and policy-makers a major focus of this applied research program will be designing research that can be translated into policy and practice with the aim of creating urban environments that promote good health.Read moreRead less
A Multilevel Study Of Socioeconomic Position And Physical Activity: Environmental And Individual-level Determinants
Funder
National Health and Medical Research Council
Funding Amount
$429,000.00
Summary
Regular physical activity offers many health benefits, whereas inadequate activity is a leading cause of premature death and disability and a major contributor to the increasing prevalence of overweight and obesity. Socioeconomically disadvantaged groups are least likely to be physically active, and they experience higher rates of death and morbidity for conditions directly linked to inactivity. Currently, our understanding of why socioeconomic groups differ in their physical activity is limited ....Regular physical activity offers many health benefits, whereas inadequate activity is a leading cause of premature death and disability and a major contributor to the increasing prevalence of overweight and obesity. Socioeconomically disadvantaged groups are least likely to be physically active, and they experience higher rates of death and morbidity for conditions directly linked to inactivity. Currently, our understanding of why socioeconomic groups differ in their physical activity is limited, and very little research has investigated this issue. This study will investigate why socioeconomic groups differ in their physical activity, by examining the influence of neighbourhood and individual-level factors. Neighbourhood factors include people's access to recreational facilities such as swimming pools, tennis courts, golf clubs, gyms, local parks, walking and bicycle paths; prices for entry to recreational facilities and opening hours; physical characteristics of the neighbourhood including public transport, presence of footpaths and street lighting, speed limits on local streets, availability of local services such as shops and schools, and; aesthetic characteristics, such as the presence and size of parks and green spaces, and traffic density. Individual factors include personal enjoyment, knowledge, confidence, type of occupation and hours worked, family responsibilities, age, health status, and whether other family member or friends engage in physical activity. A major aim of the study is to determine whether environmental or individual factors are more important in influencing participation in physical activity. The study will produce new knowledge to inform future public health strategies directed at increasing physical activity among socioeconomically disadvantaged groups, and these will have the potential to reduce socioeconomic health inequalities, as well as contribute to an overall reduction of the disease burden attributable to chronic conditions.Read moreRead less
Five Year Outcomes Of Care For Prostate Cancer In New South Wales
Funder
National Health and Medical Research Council
Funding Amount
$388,773.00
Summary
Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Stud ....Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Study is an already established research project that was established in 2000 with the aim of documenting the quality of life outcomes of 2000 men with prostate cancer to five years after diagnosis. The Department of Veterans Affairs funded the study between 2000 and 2005, to establish the cohort, collect patterns of care information from clinicians and quality of life information from participants to 3 years post diagnosis. We are now seeking funds to complete the quality of life follow up for each surviving participant at five years after diagnosis. We also will assess rate of recurrence of prostate cancer to five years and seek support to be able to undertake linkage with death certificate information to determine the vital status of each study subject and begin analysis of five-year survival rates. Five-year quality of life information will be the main endpoint for this part of the study. Initial analysis of the three-year data showed a continued improvement in outcomes related to urinary and sexual function. We wish to determine whether these improvements continue to five years and the extent of the difference, at that time, between men with prostate cancer and men without prostate cancer (controls), whom we are also studying. This information will be uniquely useful in helping men make decisions about treatment options when diagnosed with prostate cancer.Read moreRead less
A Cluster Randomised Controlled Trial Of Knowledge Translation Methods For Obesity Prevention
Funder
National Health and Medical Research Council
Funding Amount
$432,292.00
Summary
This study aims to increase the use of evidence in the development of programs for childhood obesity prevention by local government. There has been a lot of research to examine what works and what doesn't to increase healthy eating, physical activity and prevent childhood obesity, and programs conducted by local government have an important role to play. However, many who work in local government have not been trained in how to access research, nor do they have the time to search extensively for ....This study aims to increase the use of evidence in the development of programs for childhood obesity prevention by local government. There has been a lot of research to examine what works and what doesn't to increase healthy eating, physical activity and prevent childhood obesity, and programs conducted by local government have an important role to play. However, many who work in local government have not been trained in how to access research, nor do they have the time to search extensively for it, or interpret what the results from studies conducted elsewhere may mean for them in the local context. This study aims to examine what are the most effective and cost effective methods to increase access to evidence, and to increase the adoption of evidence by those working in local government (eg planners, maternal and child health nurses, family day care, environmental planners etc) to address environmental factors (playgrounds, walkability and active transport, policies for sporting events, community gardens, sporting events, street closures), health and social services (parent education, access to health promotion and prevention programs, education initiatives, environmental policies). Comparable research on what works for knowledge translation has only been conducted in the clinical context, for example, hospital clinics, and it is difficult to generalise these findings to the community based public health setting and relevant programs.Read moreRead less
Discovery Early Career Researcher Award - Grant ID: DE200101618
Funder
Australian Research Council
Funding Amount
$397,241.00
Summary
Reproducibility and transparency in the synthesis of research findings. This project aims to evaluate the reproducibility and transparency of systematic reviews and meta-analyses of the effects of health, social, behavioural and educational interventions. The project expects to determine how reliable, trustworthy, and reusable syntheses of research findings are, and provide critical insight into the education and technical infrastructure needed to improve them. Expected outcomes of the project i ....Reproducibility and transparency in the synthesis of research findings. This project aims to evaluate the reproducibility and transparency of systematic reviews and meta-analyses of the effects of health, social, behavioural and educational interventions. The project expects to determine how reliable, trustworthy, and reusable syntheses of research findings are, and provide critical insight into the education and technical infrastructure needed to improve them. Expected outcomes of the project include new methods to enhance open and reproducible research practices in research synthesis, regardless of discipline. This should provide significant benefits beyond the DECRA, such as more credible evidence to inform government policies and professional society guideline recommendations.Read moreRead less
A community-based approach to the problem of underage drinking. This project will aim to reduce the frequency and amount of alcohol consumption, and alcohol-related harms, among young people aged 12-17 years by addressing social norms regarding underage alcohol consumption. Using a multi-component intervention it will engage the Illawarra community in strategies to encourage and empower young people not to drink.
Parks for active living and social connectedness. This project aims to identify which characteristics attract visitors to parks and enhance park-based physical activity and social interactions among children, adolescents, adults and older adults. Parks are public places where people can be physically active and connect socially, but little is known about the best park design. This research will use interviews and photographs to identify the most important and appealing features of parks. These r ....Parks for active living and social connectedness. This project aims to identify which characteristics attract visitors to parks and enhance park-based physical activity and social interactions among children, adolescents, adults and older adults. Parks are public places where people can be physically active and connect socially, but little is known about the best park design. This research will use interviews and photographs to identify the most important and appealing features of parks. These results can be prioritised in the design of parks to enable and encourage use of these spaces by people of all ages, leading to improved physical and mental health and reduced health care costs.Read moreRead less
A Behavioural Intervention For The Adoption & Maintenance Of Physical Activity In Type 2 Diabetes
Funder
National Health and Medical Research Council
Funding Amount
$334,955.00
Summary
For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on ....For people with type 2 diabetes (T2DM) it is essential that blood glucose levels are managed well to reduce the risk of developing complications. Physical activity is essential for maintaining glucose levels because it helps make the muscles use glucose more effectively. In particular, being active through strength training not only improves blood glucose levels, but can be very effective for maintaining good physical functioning, which is known to be reduced by having T2DM. This study builds on our earlier research which demonstrated significantly improved blood glucose levels from a strength training program for older adults with T2DM. The strength training program is to be administered nationally in a research to practice trial (Lift for Life); however, the original research found that those who did not complete the program as it was intended (ie, poor adherence) did not show significant improvements in blood glucose levels. Furthermore, maintenance of strength training exercises after completion of the program was poor and resulted in return of blood glucose levels back to pre-starting levels. In people without diabetes, we have collected pilot data that shows that the use of behavioural strategies based on behavioural theories whereby each person's motivations and barriers are taken into consideration is more effective than the traditional one-treatment-fits-all approach. This study will evaluate the effectiveness of using behavioural strategies for improving adherence and maintenance to the Lift for Life strength training program (Enhanced L4L) for older adults with T2DM compared with the Standard L4L program. It will also follow-up participants 6 months later to determine the extent to which the changes in behaviour can be maintained. The study will provide information that will assist in the design, delivery and uptake of programs to improve treatment strategies in older adults with T2DM through the maintenance of healthier behaviours and lifestyles.Read moreRead less
Meals on Wheels: building towards a new social experiment for our times. This project contributes directly to the National Research Priority, promoting and maintaining good health: ageing well, ageing productively, through developing evidence-based knowledge on which to build future volunteer business models. With the rapid ageing of the Australian population, it is imperative that volunteer-based organisations, such as Meals on Wheels, innovate to continue to deliver essential community service ....Meals on Wheels: building towards a new social experiment for our times. This project contributes directly to the National Research Priority, promoting and maintaining good health: ageing well, ageing productively, through developing evidence-based knowledge on which to build future volunteer business models. With the rapid ageing of the Australian population, it is imperative that volunteer-based organisations, such as Meals on Wheels, innovate to continue to deliver essential community services in a sustainable and cost-effective way. Meals on Wheels is integral within community care for frail, older people and those with disabilities, keeping people in their own homes and out of institutional care. Using national and international examples, the research has the potential to be adopted by the broad community services sector in Australia.Read moreRead less