Phcred Evaluation Essay
To describe and evaluate a six-session program provided to parents of children with Autism in rural Australia. The program was designed to improve parent's knowledge and understanding of Autism, improve their confidence in managing their child and decrease parental anxiety.
A self-constructed questionnaire administered pre- and post-intervention.
An early intervention centre in a large town in rural Victoria.
Ninety-eight parents (or family members) of young children primarily aged 2–6 years of age, diagnosed with Autism.
A ‘multi-stranded content’ program was offered over six evenings. Ten programs were conducted over six years.
The pre- versus post-session analysis using a paired t-test on matched person-to-person parental responses (n = 92) showed significant increases in parental understanding of Autism and understanding of their own child (P < 0.001), and in understanding the communication, sensory, social, learning and behavioural features of Autism (P < 0.001). Significant increases in parental confidence and a significant reduction in parental anxiety were also shown (P < 0.001). Qualitative data indicated that parents valued learning about the general nature of Autism and sensory processing, and reported feeling less alone.
The six-week program was successful in terms of its aims. Parent feedback indicated that ongoing parent education sessions at regular intervals would enhance the impact of the program.
- The operating environment 2010-2014
- Framework for phase three of the PHCRED Strategy
- Phase three of the PHCRED Strategy
- Previous Phases of the PHCRED Strategy
1. PurposeThis document provides information for the primary health care research community and others about the Primary Health Care Research, Evaluation and Development PHCRED) Strategy. It provides some contextual background and outlines the future directions for the Strategy. Underpinning primary health care policy, the Australian Government will maintain its commitment to primary health care research both through funding for research capacity and through the use of research-based evidence to inform policy and practice. Top of page
2. IntroductionThe Australian Government Department of Health and Ageing has invested in the order of $135 million since 2000 for the Strategy.
Building on the foundations of the Strategy’s previous phases, there are three broad elements that:
- continue to build capacity in the primary health care research sector
- add to the body of knowledge and evidence of primary health care research and
- actively promulgate primary health care research to engender effective knowledge exchange.
Over the period 2010-2014 the PHCRED Strategy will focus on the following broad primary health care priority areas:
- Improving access and reducing inequity
- Better management of chronic conditions
- Increasing the focus on prevention
- Improving quality, safety, performance and accountability
Primary health care research that addresses core primary health care priorities and harnesses expertise across disciplines and institutions will be supported by the PHCRED Strategy. This underpins the strategic intent to build strong teams of multi-disciplinary research in the primary health care research sector. Top of page
3. The operating environment 2010-2014A mechanism known as the PHCRED Strategy Advisory Committee will be developed to provide oversight of phase three of the Strategy and it will include selected representatives of stakeholder groups and organisations.
The two key organisations under the Strategy, the Australian Primary Health Care Research Institute (APHCRI) and the Primary Health Care Research and Information Service (PHC RIS) will continue with their programs of work to lead primary health care research and to ensure its dissemination. APHCRI will additionally administer centres of research excellence (CREs) that will produce relevant research and continue building the capacity of the primary health care sector.
The Research Capacity Building Initiative (RCBI) grants will continue until 31 December 2011 as a transitional strategy. Capacity building funding will be redirected into a competitive grants program delivered via CREs which will commence in 2012.
Details about CREs are available at the ANU websiteTop of page
4. Framework for phase three of the PHCRED Strategy
Text version of Framework for phase three of the PHCRED StrategyAt the top of this diagram is PHCRED Strategy, Department of Health and Ageing.
Below this is PHCRED Strategy Advisory Committee.
Below the PHCRED Strategy Advisory Committee are:
- APHCRI and its Research Advisory Board - excellence in academic research that informs policy and system improvement, and managing research collaborations
- PHC RIS and its Strategic Advisory Group - excellence in knowledge exchange
Within PHCRED Research Collaborations are
- Six boxes labelled Centre of Research Excellence.
- Three research streams, for 2011, 2012 and 2013. Top of page
5. Phase three of the PHCRED StrategyThe National Primary Health Care Strategy provides a clear program for change to improve health outcomes as described in the building blocks for reform and the key directions. The PHCRED Strategy is one of several mechanisms to help achieve those over-arching goals.
There are two organisations funded under the Strategy which fulfil complementary roles. They are APHCRI at the Australian National University and PHC RIS at Flinders University in South Australia.
In 2010 under the Strategy the Department of Health and Ageing reached a five year funding agreement with APHCRI. The Institute’s role includes being a leader in primary health care research in Australia. It will take a central role in phase three of the PHCRED Strategy, including administering and coordinating a new network of centres of research excellence. This role builds on APHCRI’s success in administering a competitive grants program and of establishing links between primary health care researchers across Australia and internationally.
Also in 2010 under the Strategy a five year funding agreement was made with PHC RIS. This organisation continues its role in collecting, synthesising and sharing information and knowledge about primary health care, and in supporting networking. PHC RIS will have a key role in information management for phase three of the PHCRED Strategy, building a robust communication strategy and processes that will assist in knowledge transfer between researchers, primary health care practitioners, policy makers and consumers.
The third element of the PHCRED Strategy is capacity building, delivered through the RCBI to 26 university departments of general practice or rural health. During 2011 the RCBI will enter its last year of operation, which is designed to provide a transitional step to a competitive grants program of CREs.
The CREs will start in the 2012 academic year. They provide the means to pursue collaborative high quality primary health care research and develop research capacity. It is expected that the broad area of academic excellence for a CRE will fall under the core areas for change as described in the National Primary Health Care Strategy. Top of page
6. Previous Phases of the PHCRED StrategyThe Australian Government established the PHCRED Strategy in 2000 to address a gap in high quality research on Australian primary health care. The PHCRED Strategy builds and communicates an evidence base to support decision making in the primary health care sector, and is funded by the Australian Government Department of Health and Ageing.
The Strategy has operated over two phases since 2000, with phase three extending the period to the 2014-15 financial year.
Phase OnePhase one of the PHCRED Strategy focused on building the capacity for primary health care research through development of researchers and research infrastructure, and on promoting evidence based practice in primary health care.
Since 2000, the PHCRED Strategy has funded primary health care researchers through:
- APHCRI, which is tasked with providing leadership in primary health care research
- The RCBI, which funds university departments of general practice and rural health to provide training and support in primary health care research for early career and novice researchers
- A subset of the RCBI being the Researcher Development Program which focuses on primary health care workers, graduates of other disciplines working in primary health care and consumers and
- A program of training awards and investigator-driven and priority-driven clinical research grants mainly administered by the National Health and Medical Research Council. Top of page
Phase TwoFollowing a 2005 evaluation of the Strategy, a second phase was announced. In response to the recommendations of the evaluation, the goals of phase two were to achieve:
- An expanded pool of primary health care researchers
- More research relevant to practice and policy and
- In collaboration with other relevant organisations, well informed primary health care practice and policy.
All information in this publication is current as of October 2010.
Information about this publicationPrimary Health Care Research Education and Development (PHCRED) Strategy
Online ISBN: 978-1-74241-330-3
Publications Number: D0057 Top of page
Paper-based publications� Commonwealth of Australia 2010
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This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given the specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the Online, Services and External Relations Branch, Department of Health, GPO Box 9848, Canberra ACT 2601, or by email to copyright.