The Poche Centre Research Program outlines three preliminary programs: 1) Healthy Pregnancy, Healthy Baby aims to improve antenatal, birthing, and postnatal care for Indigenous women and babies through testing an innovative care model. 2) Healthy Transition to Adulthood focuses on improving health services and promotion programs for urban Indigenous youth to prevent disease and develop healthy lifestyles. 3) Healthy Living, Healthy Ageing targets health services and promotion for urban Indigenous adults and elders to prevent chronic disease and related morbidity and mortality.

1. Poche Centre Research
Program
Preliminary directions

2. Program 1: HEALTHY PREGNANCY, HEALTHY BABY
• Goal
• Why?
• Activity to achieve
goal
• To improve the targeted delivery of antenatal, birthing and
postnatal care to Indigenous women to ensure a healthy
start to life for Indigenous babies
• We know what models of care reduce pre-term birth and
improve outcomes for mothers and babies but we don't
know how to implement them sustainably
• Through a UQ NHMRC partnership grant in collaboration
with the Institute for Urban Indigenous Health, the Mater
Mother’s Hospital and the Aboriginal and Torres Strait
Islander Community Health Service, a multiagency
partnership exists that is testing an innovative model of
care targeting pregnancy, birth and the first year of life.
• The Poche Centre will facilitate the rollout of this model
across South East Queensland and beyond

3. Program 2: HEALTHY TRANSITION TO ADULTHOOD
• Goal
• Why?
• to improve the delivery of targeted health services and health
promotion programs to urban Indigenous young people to prevent
excess morbidity and mortality in this vulnerable group, and reduce
risk factors contributing to the later development of chronic diseases
• There are major incentives to invest in the health of Aboriginal people
and Torres Strait Islanders who are adolescent or young adults. They
experience an excess burden of preventable and treatable disease,
injury and death at a life stage when opportunities for education,
employment, reproduction and independent living are reaching their
peak.
• Births to Indigenous teenagers represent about one-fifth of all births to
Australian Indigenous women;
• Indigenous young people have high rates of risk factors for the development
of lifestyle diseases in adulthood (obesity, and disease related to tobacco,
alcohol and other drug use); and
• the mortality gap between Indigenous and non-Indigenous Australians
widens during adolescence and persists into adulthood.

4. Program 2: HEALTHY TRANSITION TO ADULTHOOD
• Activity to achieve
goal
• There are currently several clusters of research, teaching
and service delivery within UQ’s orbit that are of
significance in improving health outcomes for young urban
Indigenous people. These include:
• UQ’s Centre for Youth Substance Abuse Research at the RBH
• the Queensland Alcohol and Drug Research and Education Centre
in UQ’s School of Population Health
• the Kids in Mind program at the Mater Hospital
• the School of Human Movement Studies
• the Deadly Choices program at IUIH, a schools and community
based healthy lifestyles education program
• The Poche Centre will drive extension and integration of
these programs bringing a collaborative cross-disciplinary
approach to service delivery, evaluation, health services
research and teaching. The program model will be one that
identifies, tests and trains professionals to deliver effective
interventions

5. Program 3: HEALTHY LIVING, HEALTH AGEING
• Goal
• Why?
• Activity to achieve
goal
• To improve the delivery of targeted health services and health promotion
programs to urban Indigenous adults and older people to prevent excess
morbidity and mortality, particularly from chronic diseases
• Through primary prevention efforts including tackling risk factors in the
adolescent and early years, we aim to reduce the number of Indigenous
people developing diseases of the circulatory system, endocrine disorders
and diabetes in the future. In older urban Indigenous people, our focus will
be on improving secondary and tertiary prevention of serious
complications or mortality due to chronic
• UQ is providing clinical training places for UQ health students from a range
of disciplines that have allowed for the development of innovative
multidisciplinary service delivery programs like the Work It Out program
which particularly targets symptom improvement in older Indigenous
people with chronic disease in suburban Brisbane.
• The Poche Centre will grow and extend these existing strengths and
develop relationships between them that integrate service delivery,
evaluation, and health services research and teaching into a program
model that identifies, tests and trains professionals to deliver effective
interventions

6. Prevention–primordial,primary,secondary,tertiary
Program Clinical Screening and
clinical
prevention
Health education Health Promotion Community
Development
HEALTHY
PREGNANCY,
HEALTHY BABY
reduce the rates of pre-term birth and
low birth weight infants
expand the availability of culturally safe
birthing practices
reduce perinatal depression and
maternal distress whilst increasing infant
attachment
reduce hospitalisation of infants in the
first year of life
reduce the rates of smoking and alcohol
consumption in pregnancy
reduce the rates of pre-term birth and
low birth weight infants
reduce perinatal depression and
maternal distress whilst increasing infant
attachment
reduce hospitalisation of infants in the
first year of life
reduce the rates of smoking and alcohol
consumption in pregnancy
reduce the rates of pre-term birth and
low birth weight infants
reduce perinatal depression and
maternal distress whilst increasing infant
attachment
reduce malnutrition by increasing the
knowledge and capacity of pregnant
mothers on infant health and wellbeing
practices
reduce the rates of smoking and alcohol
consumption in pregnancy
reduce malnutrition by increasing the
knowledge and capacity of pregnant
mothers on infant health and wellbeing
practices
reduce the rates of smoking and alcohol
consumption in pregnancy
reduce malnutrition by increasing the
knowledge and capacity of pregnant
mothers on infant health and wellbeing
practices
increase the Aboriginal and Torres Strait
Islander maternal infant health workforce
HEALTHY
TRANSITION TO
ADULTHOOD
Reduce self-harm and injury through
improving access to effective mental
health services and programs for urban
Indigenous adolescents and young adults
Increase access to culturally sensitive
sexual health and relationship services –
including for education, testing and
treatment of Sexually Transmitted
Infections – for young urban Indigenous
people
Reduce alcohol, tobacco and other drug
use in urban Indigenous adolescents and
young adults
Reduce self-harm and injury through
improving access to effective mental
health services and programs for urban
Indigenous adolescents and young adults
Increase access to culturally sensitive
sexual health and relationship services –
including for education, testing and
treatment of Sexually Transmitted
Infections – for young urban Indigenous
people
Reduce alcohol, tobacco and other drug
use in urban Indigenous adolescents and
young adults
Reduce self-harm and injury through
improving access to effective mental
health services and programs for urban
Indigenous adolescents and young adults
Increase access to culturally sensitive
sexual health and relationship services –
including for education, testing and
treatment of Sexually Transmitted
Infections – for young urban Indigenous
people
Reduce the risk of adult obesity by
improving nutrition and exercise
knowledge and practices among urban
Indigenous youth
Reduce alcohol, tobacco and other drug
use in urban Indigenous adolescents and
young adults
Reduce self-harm and injury through
improving access to effective mental
health services and programs for urban
Indigenous adolescents and young adults
Increase access to culturally sensitive
sexual health and relationship services –
including for education, testing and
treatment of Sexually Transmitted
Infections – for young urban Indigenous
people
Reduce the risk of adult obesity by
improving nutrition and exercise
knowledge and practices among urban
Indigenous youth
Reduce self-harm and injury through
improving access to effective mental
health services and programs for urban
Indigenous adolescents and young adults
Increase access to culturally sensitive
sexual health and relationship services –
including for education, testing and
treatment of Sexually Transmitted
Infections – for young urban Indigenous
people
Reduce the risk of adult obesity by
improving nutrition and exercise
knowledge and practices among urban
Indigenous youth
Increase the number of young urban
Indigenous people planning and
preparing for a career in health-related
disciplines, including sport science,
exercise physiology, physical education,
and nutrition
HEALTHY LIVING,
HEALTH AGEING
identify and treat early chronic disease,
and reduce the illness and disability
associated with established disease
Improve routine primary care service
delivery to older urban Indigenous
people
identify and treat early chronic disease,
and reduce the illness and disability
associated with established disease
provide better and more targeted
screening of Indigenous adults which will
improve the identification of risk factors
and facilitate the early diagnosis of illness
Improve routine primary care service
delivery to older urban Indigenous
people
Work it Out Work it Out Improve the integration between primary
care and hospital services which will
allow for better care co-ordination and
follow up
Improve partnerships required to ensure
care co-ordination and management of
complex needs
Design and deliver workforce
development and training for an ageing
Indigenous population

7. Comprehensive
prevention
example:
Metabolic
Syndrome
Individual: Nutrition
and exercise
counselling
Individual: Screening for
diabetes
Individual: Referral to
cardiac rehabilitation
clinics
Population: Built
environment
favourable for active
transport (walking,
bicycling rather than
using a car)
Population: Community
level weight loss and
exercise programs to
control metabolic
syndrome
Population:
Implementation of
multidisciplinary clinics

8. CreatingKnowledge
Knowledge Inquiry (1st
generation)
Evaluation research
Clinical auditing
Clinical and community
trials
Delphi studies
Knowledge synthesis (2nd
generation)
Syntheses of evidence for
lecturers, managers and
policy makers
Systematic reviews and
other meta-analyses
Knowledge tools or
products creation (3rd
generation)
Practice guidelines
Decision aids
Care pathways
Translational
Research:
Creating
Knowledge

9. Identifying the
problem, and
identifying,
reviewing and
selecting
knowledge
Adapting
knowledge to local
context
Assessing barriers
and facilitators to
knowledge use
Selecting, tailoring
and implementing
intervention to
address barriers to
knowledge use
Monitoring
knowledge use
Evaluating
outcome of
knowledge use
Developing
mechanisms to
sustain knowledge
use
Translational
Research:
Applying
Knowledge