Building on Our Strengths (BOOSt): Developing and Evaluating Birthing On Country Primary Maternity Units
Staff: Professor Lesley Barclay
The project, led by The University of Queensland’s Professor Sue Kildea and researchers from the University of Sydney and the Institute for Urban Indigenous Health, will implement Birthing on Country on a number of sites with a view to an Australia-wide roll out.
Optimal healthcare during the year before and after birth can provide benefits for a lifetime. Our project will deliver this optimal care by implementing and evaluating Birthing on Country Service Delivery Models in urban, regional and remote sites. Birthing on Country combines Indigenous knowledge and governance, culturally safe care, continuity of midwifery carer, birth in an Indigenous birth centre and development of the Indigenous maternal and infant workforce.
Aboriginal and Torres Strait Islander Community Health Service (ATSICHS) Brisbane, the Waminda South Coast Women’s Health and Welfare Aboriginal Corporation, the Australian College of Midwives, the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives, and the Rhodanthe Lipsett Indigenous Midwifery Charitable Fund.
NHMRC Project Grant $1,090,701.00
Developing evidence-based strategies for addressing childhood vaccination rejection.
Staff: Professor Lesley Barclay
Led by Associate Professor Julie Leask, University of Sydney, parental rejection of vaccines is a global concern that threatens to undermine disease control. A lack of evidence hampers the responses to this complex and persistent problem. We will interview parents who don’t vaccinate their children to learn what influences their decisions. We will then hold community juries and a public engagement process to refine strategies for responding to vaccination rejection that is acceptable to a well-informed citizenry, practical and ethically justified.
NHMRC Centre of Research Excellence in Immunisation in Understudied and Special-Risk Populations
NHMRC Project Grant $743,927
Do Aboriginal Australians have a lower incidence of low-impact neck of femur fractures compared to Non-Aboriginal Australians?
Staff: Dr Sabrina Pit, Dr Margaret Rolfe
NNSWLHD (Dr James Wheeler, Craig Knox), Falls, Balance and Injury Research Centre at Neuroscience Research Australia (Professor Jacqui Close).
Establishing pathways to implement and sustain evidence-based fall prevention in primary care: The iSOLVE project. Integrated SOLutions for sustainable fall preVEntion (iSOLVE)
Staff: Dr Sabrina Pit
This project, led by Professor Lindy Clemson from the Ageing, Work & Health Research Unit at the University of Sydney, aims to implement and evaluate a pathways model to facilitate practice change by general and allied health professionals to achieve evidence-based fall prevention outcomes.
The model will be integrated within one region, the Northern Sydney Medicare Local and also partners with the Clinical Excellence Commission (Falls Prevention). The implementation project includes the development of pathways, integration of evidence-based falls prevention, facilitating training of health professionals, educational detailing of GPs, application of risk management algorithm to identify fallers into GP practices, embedding referral strategies within GP practices and establishing pathways to fall prevention services. The iSOLVE project incorporates a hybrid evaluation design including a cluster randomised trial, and a process and an ecological evaluation. The aim is to implement a sustainable area-wide fall prevention model.
Northern Sydney Medicare Local; Clinical Excellence Commission (Falls Prevention)
NHMRC Partnerships. Partnership Project for Better Health $1,132,720.00
Birthing in our Community
Staff involved: Associate professor Megan Passey; Led by University of Queensland
This study aims to improve maternal and infant health (MIH) outcomes for Aboriginal and Torres Strait Islander Australians. A maternity care model integrating best practice MIH care which is culturally tailored to the needs and preferences of Indigenous women will be implemented and rigorously evaluated.
Key components include: a multi-agency Steering Committee; shared clinical governance with Indigenous cultural guidance and oversight; an enhanced community-based midwifery group practice for continuity of care through pregnancy, birth and up to six weeks postnatally; and an innovative smoking cessation program using incentives. This research will provide high-level evidence to inform both policy and practice in providing innovative best-evidence MIH care. The UCRH is leading the smoking cessation component, which will include the ‘Stop Smoking in its Tracks’ program previously developed.
University of Queensland, the Institute of Urban Indigenous Health, the Mater Mothers Hospital, and the Brisbane Aboriginal and Torres Strait Islander Community Health Service.
NHMRC Partnership Grant $1,297,911
Diagnosing Potentially Preventable Hospitalisations (DaPPHne) Project
Staff involved: Associate Professor Megan Passey; Dr Jo Longman; Dr Jennifer Johnston; Associate Professor Geoff Morgan; Professor Lesley Barclay; Dr Sabrina Pit; Dr Margaret Rolfe; Dr Liz Rix; Ms Elayne Mitchell
The number of potentially preventable hospitalisations (PPH) continues to grow. Although hospital funding is tied to rates of PPH, the validity of PPH as an indicator of effectiveness or access to care has not been confirmed, and the proportion of PPH admissions that is deemed to be preventable is unknown. Furthermore, the factors contributing to PPH admission are unclear, limiting our ability to develop and target appropriate interventions.
This project aims to generate an evidence base identifying modifiable factors driving PPH admissions for chronic conditions, in order to improve measures of health system performance and develop effective interventions to reduce preventable admissions.
University of NSW, North Coast Primary Health Network, Mid North Coast Local Health District, Western Sydney Local Health District, NSW Agency for Clinical Innovation.
Mid North Coast Local Health District $140,000 (2014-2015)
North Coast Primary Health Network $95,000 (2014-2015)
NSW Agency for Clinical Innovation $65,000 (2014-2015) and $135,000 (2015-2018)
Western Sydney LHD $180,570 (2015-18)
Improving Implementation of Smoking Cessation Guidelines in Antenatal Care
Smoking during pregnancy causes significant health problems for both mother and baby. This study explores the barriers and enablers for clinicians in implementing antenatal smoking cessation guidelines in public antenatal clinics across NSW. It then uses the findings to develop interventions to overcome these barriers while leveraging the enablers.
The study uses the Theoretical Domains Framework to ensure a systematic and robust approach to identifying the barriers and enablers. It then uses the Behaviour Change Wheel approach to identify and develop appropriate intervention components. The findings will improve support for smoking cessation among pregnant women through the identification of interventions and strategies to enhance smoking cessation guideline implementation and will inform the design of an implementation trial.
Nursing & Midwifery Directorate, Northern NSW Local Health District.
NHMRC Early Career Research Fellowship (Passey), $334,596 (2014-2017);
Cancer Institute NSW Early Career Fellowship (Passey), $447,824 (2014-2017)
Cancer Institute NSW Innovations Grant (Northern NSW LHD), $72,000 (2017-2018)
Improving decision making on health interventions: factoring in the long-term economic impacts of informal (unpaid) caring
Staff involved: Associate Professor Megan Passey
This research program, led by Prof Schofield at the NHMRC Clinical Trials Centre at the University of Sydney, estimated the impact of caring for people with long-term conditions on the employment and finances of informal carers.
Clinical Trials Centre, University of Sydney; NATSEM, University of Canberra; University of Queensland; Pfizer Australia; Carers Australia.
NHMRC Partnership Grant (1055037), $609,900; Pfizer Australia, $505,398 plus in-kind; Carers Australia (in-kind)
Rural birthing services
This project provided a detailed description of the evolution of two small rural birthing services in Northern NSW over the last 10 years using both qualitative and quantitative data.
The project directly involved a number of medical students in the data collection, analysis and writing up, who have learned a significant amount about research practice in the process.
The project is now investigating the closure of a rural birthing service in Northern NSW and how this has impacted on the local community including women and their families.
Northern NSW LHD
Internal UCRH funding. (2011-2014)