Dr Julia Dray

Dr Julia Dray

Senior Research Assistant

School of Psychology

Career Summary

Biography

Biography

Julia Dray is an early career researcher currently working as a post-doctoral researcher with the Physical Health in Mental Illness (PHiMI) team at the University of Newcastle, Australia. The primary interest of the PHiMI team is to reduce inequity in physical health for people with a mental helath condition,  in particular improved chronic disease prevention. The team is engaged in a variety of research projects across local and national community mental health orgaisations, telephone support services and other mental health service settings.

Links to more info on the work of PHiMI:

https://www.newcastle.edu.au/profile/jenny-bowman

https://preventioncentre.org.au/our-work/research-projects/mental-health/

https://www.newcastle.edu.au/newsroom/featured/preventing-chronic-disease-among-people-with-mental-illness

Julias previous role was as a post-doctorak researcher on an NHMRC partnership trial evaluating a practice change initiative to increase provivision of recommended care for alcohol consumption in pregnancy. Julias major role on the trial has largely focused on developing, implementing, monitoring and evaluating a multistrategy training programs for doctors, midwifery staff and other professions providing antental care to women.

Julia completed her PhD, in the School of Psychology, UoN (2018). Her postgraduate work was focused on resilience and mental health problems in children and adolescents, including prevalence during this time, differences in prevalence by socio-demographic factors, and the evaluation of a resilience-based intervention that is a component of a larger CRCT developed through collaboration between the UoN, HNEPH, & 32 high schools in the Hunter New England Region, NSW.

Julia recently presented her postraduate work at the 13th International Congress of Behavioural Medicine, Netherlands, 2014, and the  4th International Association for Youth Mental Health Conference, Dublin 2017. Additionally; was a University of Newcastle finalist for the 2015 3 minute thesis competition; and in 2016 was one of 20 (out of 150 international applicants) child and adolescent mental health early career researchers  awarded a position in the Donald J Cohen Fellowship Program at the 22nd International Association for Child and Adolescent Psychiatry and Allied Professions World Congress, Calgary, Canada, 2016.

Prior to commencing her PhD, Julia completed a Bachelor of Psychology (Honours I) with the University of Newcastle, and was awarded the J A Keats Award for the best honours thesis in cognitive and quantitative psychology, for her honours thesis on confidence and accuracy as they relate to recognition memory. In 2013, Julia was a recipient of an Australian Research Training Program Scholarship (2013-2017) and commenced her PhD. 

In her time outside of research she enjoys dancing, good food, wine and company, and the occasional weekend at the beach.

Julias most up to date research can be found on her:

Research Gate profile

ORCID account ID: 0000-0003-4613-2634

Publons Researcher and Reviewer Profile


Qualifications

  • Doctor of Philosophy, University of Newcastle
  • Bachelor of Psychology (Honours), University of Newcastle

Keywords

  • Alcohol
  • Child and adolescent
  • Clinician Education and Training
  • Health outcomes
  • Health promotion
  • Health risk behaviours
  • Implementation
  • Intervention
  • Maternal health
  • Mental Health
  • Meta-analyses
  • Physical activity
  • Population health
  • Program evaluation
  • Qualitative Research
  • Quantitative Research
  • Resilience
  • Smoking
  • Systematic Reviews

Languages

  • English (Mother)

Fields of Research

Code Description Percentage
111799 Public Health and Health Services not elsewhere classified 20
111714 Mental Health 50
170106 Health, Clinical and Counselling Psychology 30

Professional Experience

Professional appointment

Dates Title Organisation / Department
12/09/2019 - 31/12/2020 Postdoctoral Researcher

Postdoctral Researcher with the Physical Health in Mental Illness (PHiMI) research team implementing research with a goal of improving physical heath equity for people with a mental health condition, in particular improved chronic disease preventive care.

School of Psychology, Faculty of Science & IT, University of Newcastle
Australia
1/07/2018 -  Postdoctoral Researcher

Post-doctoral researcher working on an NHMRC partnership trial evaluating a practice change inititiative to increase provision of recommended antentatal care for alcohol consumption during pregnancy. The primary outcomes of the trial are care related, with secondary prevalence and other related outcomes. Julias role on the trial has largely focused on developing, implementing, monitoring and evaluating a multistrategy training programs for doctors, midwifery staff and other professions providing antental care to women.

Faculty of Health and Medicine, University of Newcastle
School of Medicine and Public Health
Australia
16/10/2017 - 1/07/2018 Research Assistant

Research Assistant on an NHMRC partnership trial evaluating a practice change initiative to increase provision of recommended antenatal care for alcohol consumption during pregnancy. The primary outcomes of the trial are care related, with secondary prevalence and other related outcomes. Julias role on the trial has largely focused on developing, implementing, monitoring and evaluating a multistrategy training programs for doctors, midwifery staff and other professions providing antental care to women.

Faculty of Health and Medicine, University of Newcastle
School of Medicine and Public Health
Australia
1/01/2013 - 31/07/2013 Research Assistant

Research Assistant on the Healthy Schools Healthy Futures (HSHF) trial invesitgating the effect of a universal, resilience focused, school based intervention targeting protective factors on student health risk behaviours (alcohol, smoking, physical inactivity, nutrition, sexual health, bullying, pain) and mental health outcomes.

Faculty of Health and Medicine, University of Newcastle
School of Medicine and Public Health
Australia

Teaching appointment

Dates Title Organisation / Department
28/02/2014 - 30/06/2016 Tutor - Advanced Health Psychology

This course examines the relationship between mental and physical health. Students learn how physical illness can impact on mental well being, how individuals can improve their physical well being using behavioural change, and how organizations and psychologists can promote healthy behaviour in individuals and populations. Forms part of an Australian Psychological Society accredited sequence.

Faculty of Science and Information Technology, University of Newcastle
School of Psychology
Australia

Awards

Award

Year Award
2016 Donald J Cohen Fellow
22nd International Association for Child and Adolescent Psychiatry and Allied Professions World Congress

Prize

Year Award
2015 2015 University of Newcastle 3 minute Thesis Finalist
The University of Newcastle

Recipient

Year Award
2019 PhD2Postdoc Course Graduate Research Funded Position
The University of Newcastle

Research Award

Year Award
2013 J A Keats Award
Faculty of Science and Information Technology, University of Newcastle

Scholarship

Year Award
2016 Faculty of Science and IT RHD International Travel Scholarship
Faculty of Science and Information Technology, University of Newcastle
2012 Faculty of Science and IT Research Trainee Scholarship
Faculty of Science and Information Technology, University of Newcastle

Manuscript Reviews

Year Title Publication Type Publisher Description
2018 Addiction Refereed Article in a Scholarly Journal (HERDC) Addiction Peer reviewer for full journal article manuscripts
2018 Advances in Medical Education and Practice Refereed Article in a Scholarly Journal (HERDC) Advances in Medical Education and Practice Peer reviewer for full journal article manuscripts

Prestigious works

Year Commenced Year Finished Prestigious Work Role
2017 2018 World Health Organisation (WHO) Child Health Workers Systematic Reviews Project World Health Organisation Author
2015 2017 Systematic review of universal, resilience focussed interventions targeting child and adolescent mental health, JAACAP (2017 IF 6.25), publication of reviews by Editor Invite Only Journal of the American Academy of Child and Adolescent Psychiatry Author

Teaching

Code Course Role Duration
PSYC3500 Advanced Health Psychology
Faculty of Science and Information Technology, University of Newcastle
This course examines the relationship between mental and physical health. We look at how physical illness can impact on mental well being, how individuals can improve their physical well being using behavioural change, and how organizations and psychologists can promote healthy behaviour in individuals and populations. Forms part of an Australian Psychological Society accredited sequence.
Tutor - Advanced Health Psychology 28/02/2014 - 30/06/2016
Edit

Publications

For publications that are currently unpublished or in-press, details are shown in italics.

Highlighted Publications

Year Citation Altmetrics Link
2017 Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder RK, et al., 'Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting', Journal of the American Academy of Child and Adolescent Psychiatry, 56 813-824 (2017) [C1]

© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems i... [more]

© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5-18 years). Subgroup analyses were conducted by age (child: 5-10 years; adolescent: 11-18 years), length of follow-up (short: post-=12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6; PROSPERO CRD42015025908.

DOI 10.1016/j.jaac.2017.07.780
Citations Scopus - 31Web of Science - 24
Co-authors Luke Wolfenden, Kate Bartlem, Megan Freund, Rebecca Hodder, John Wiggers, Christopher Oldmeadow, Jenny Bowman

Journal article (18 outputs)

Year Citation Altmetrics Link
2019 Doherty E, Wiggers J, Wolfenden L, Anderson AE, Crooks K, Tsang TW, et al., 'Antenatal care for alcohol consumption during pregnancy: Pregnant women's reported receipt of care and associated characteristics', BMC Pregnancy and Childbirth, 19 (2019)

© 2019 The Author(s). Background: Antenatal clinical guidelines recommend that during initial and subsequent antenatal visits all pregnant women: have their alcohol consumption as... [more]

© 2019 The Author(s). Background: Antenatal clinical guidelines recommend that during initial and subsequent antenatal visits all pregnant women: have their alcohol consumption assessed; be advised that it is safest not to consume alcohol during pregnancy and of the potential risks of consumption; and be offered referrals for further support if required. However, the extent to which pregnant women attending public antenatal services receive guideline recommended care at these visits, and the characteristics associated with its receipt, is unknown. The purpose of this study was to examine: 1) pregnant women's reported receipt of guideline recommended care addressing alcohol consumption during pregnancy; 2) characteristics associated with the receipt of care; and 3) pregnant women's acceptability of care. Methods: From July 2017 - February 2018 a survey (telephone or online) was undertaken with 1363 pregnant women who had recently visited a public antenatal service in one health district in Australia. Receipt and acceptability of recommended care were assessed via descriptive statistics and associations via logistic regression analyses. Results: At the initial antenatal visit, less than two thirds (64.3%) of pregnant women reported that they received an assessment of their alcohol consumption and just over one third (34.9%) received advice and referral appropriate to their self-reported level of alcohol consumption since pregnancy recognition. Less than 10% of women received such care at subsequent antenatal visits. Characteristics that significantly increased the odds of receiving all guideline elements at the initial antenatal visit included: less than university attainment (OR = 1.93; 95% CI:1.12, 3.34), not residing in an advantaged area (OR = 2.11; 95% CI:1.17, 3.79), first pregnancy (OR = 1.91; 95% CI:1.22, 2.99) and regional/rural service location (OR = 2.38; 95% CI:1.26, 4.48); and at subsequent visits: younger age (OR = 0.91; 95% CI:0.84, 0.99) and Aboriginal origin (OR = 3.17; 95% CI:1.22, 8.24). Each of the recommended care elements were highly acceptable to pregnant women (88.3-99.4%). Conclusions: Although care for alcohol consumption is both recommended by clinical guidelines and highly acceptable to pregnant women, its receipt in public antenatal services is suboptimal. There is a need and an opportunity for interventions to support antenatal care providers to routinely and consistently provide such care to all pregnant women.

DOI 10.1186/s12884-019-2436-y
Citations Scopus - 1
Co-authors Amy Anderson, A Dunlop, Luke Wolfenden, John Attia, John Wiggers
2019 Bailey JM, Bartlem KM, Wiggers JH, Wye PM, Stockings EAL, Hodder RK, et al., 'Systematic review and meta-analysis of the provision of preventive care for modifiable chronic disease risk behaviours by mental health services', Preventive Medicine Reports, 16 (2019)

© 2019 The Authors People with mental illness experience increased chronic disease burden, contributed to by a greater prevalence of modifiable chronic disease risk behaviours. Po... [more]

© 2019 The Authors People with mental illness experience increased chronic disease burden, contributed to by a greater prevalence of modifiable chronic disease risk behaviours. Policies recommend mental health services provide preventive care for such risk behaviours. Provision of such care has not previously been synthesised. This review assessed the provision of preventive care for modifiable chronic disease risk behaviours by mental health services. Four databases were searched from 2006 to 2017. Eligible studies were observational quantitative study designs conducted in mental health services, where preventive care was provided to clients for tobacco smoking, harmful alcohol consumption, inadequate nutrition, or inadequate physical activity. Two reviewers independently screened studies, conducted data extraction and critical appraisal. Results were pooled as proportions of clients receiving or clinicians providing preventive care using random effects meta-analyses, by risk behaviour and preventive care element (ask/assess, advise, assist, arrange). Subgroup analyses were conducted by mental health service type (inpatient, outpatient, other/multiple). Narrative synthesis was used where meta-analysis was not possible. Thirty-eight studies were included with 26 amenable to meta-analyses. Analyses revealed that rates of assessment were highest for smoking (78%, 95% confidence interval [CI]:59%¿96%) and lowest for nutrition (17%, 95% CI:1%¿35%); with variable rates of care provision for all behaviours, care elements, and across service types, with substantial heterogeneity across analyses. Findings indicated suboptimal and variable provision of preventive care for modifiable chronic disease risk behaviours in mental health services, but should be considered with caution due to the very low quality of cumulative evidence. PROSPERO registration: CRD42016049889.

DOI 10.1016/j.pmedr.2019.100969
Co-authors Jenny Bowman, Kate Bartlem, John Wiggers, Rebecca Hodder, Richard Clancy
2018 Hodder RK, Homer S, Freund M, Bowman JA, Lecathelinais C, Coly-Vas K, et al., 'The association between adolescent condom use and individual and environmental resilience protective factors', Australian and New Zealand Journal of Public Health, 42 230-233 (2018) [C1]

© 2018 The University of Newcastle. Objective: Individual and environmental resilience protective factors are suggested to be associated with adolescent condom use; however, previ... [more]

© 2018 The University of Newcastle. Objective: Individual and environmental resilience protective factors are suggested to be associated with adolescent condom use; however, previous studies have not comprehensively examined such associations. This study aimed to determine the associations between condom use, and numerous individual and environmental resilience protective factors in sexually active Australian adolescents. Methods: Participants were Grade 10 students attending 28 Australian government high schools (n=1,688). An online survey (2011) collected data regarding: sexual intercourse (past year), condom use and 14 individual and environmental resilience protective factors. Multivariable backward stepwise logistic regression models examined associations between student condom use and protective factors (total, subscale). Results: Only total environmental protective factors remained in the final total score model; students with higher total environmental protective factors scores were 2.59 times more likely to always use a condom(95%CI:1.80-3.74). Only three of 14 protective factor subscales were associated with a higher likelihood of always using a condom in the final subscale model (individual: goals/aspirations; environmental: community participation, pro-social peers). Conclusions: Total environmental and three protective factor subscales demonstrated prominent associations with consistent use of condoms in sexually active adolescents. Implications for public health: Consideration of particular resilience protective factors in adolescent sexual risk behaviour prevention, such as condom use, is warranted.

DOI 10.1111/1753-6405.12744
Citations Scopus - 1Web of Science - 1
Co-authors Megan Freund, Jenny Bowman, Kim Colyvas, Rebecca Hodder, John Wiggers
2018 Fehily C, Bartlem K, Wiggers J, Wolfenden L, Regan T, Dray J, et al., 'Systematic review of interventions to increase the provision of care for chronic disease risk behaviours in mental health settings: review protocol', SYSTEMATIC REVIEWS, 7 (2018)
DOI 10.1186/s13643-018-0735-4
Co-authors Luke Wolfenden, Jenny Bowman, John Wiggers, Kate Bartlem
2018 Milner S, Sherker S, Clinton-McHarg T, Dray J, Zukowski N, Gonzalez S, et al., 'Cluster randomised controlled trial of a multicomponent intervention to support the implementation of policies and practices that promote healthier environments at junior sports clubs: study protocol', BMJ OPEN, 8 (2018)
DOI 10.1136/bmjopen-2017-018906
Citations Scopus - 2Web of Science - 1
Co-authors John Wiggers, Tara Clinton-Mcharg, Luke Wolfenden
2018 Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Differential intervention effectiveness of a universal school-based resilience intervention in reducing adolescent substance use within student subgroups: Exploratory assessment within a cluster-randomised controlled trial', BMJ Open, 8 (2018) [C1]
DOI 10.1136/bmjopen-2017-021047
Co-authors Rebecca Hodder, Christopher Oldmeadow, Megan Freund, John Wiggers, John Attia, Jenny Bowman, Luke Wolfenden
2017 McLaren N, Kamper SJ, Hodder RK, Wiggers JH, Wolfenden L, Bowman J, et al., 'Increased Substance Use and Poorer Mental Health in Adolescents With Problematic Musculoskeletal Pain', Journal of Orthopaedic and Sports Physical Therapy, 47 705-711 (2017) [C1]
DOI 10.2519/jospt.2017.7441
Citations Scopus - 5Web of Science - 5
Co-authors Luke Wolfenden, Christopher M Williams, Jenny Bowman, Rebecca Hodder, John Wiggers
2017 Dray J, Bowman J, Campbell E, Freund M, Hodder R, Wolfenden L, et al., 'Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents', Journal of Adolescence, 57 74-89 (2017) [C1]

© 2017 The Authors Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach... [more]

© 2017 The Authors Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12¿16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).

DOI 10.1016/j.adolescence.2017.03.009
Citations Scopus - 4Web of Science - 4
Co-authors John Wiggers, Megan Freund, Rebecca Hodder, John Attia, Christopher Oldmeadow, Jenny Bowman, Luke Wolfenden
2017 Hodder RK, Freund M, Wolfenden L, Bowman J, Nepal S, Dray J, et al., 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit substance use: A meta-analysis', Preventive Medicine, 100 248-268 (2017) [C1]

© 2017 Elsevier Inc. Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systema... [more]

© 2017 Elsevier Inc. Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systematic reviews have not examined the effectiveness of such an intervention approach. A systematic review was undertaken to 1) assess whether universal school-based ¿resilience¿ interventions are effective in reducing the prevalence of tobacco, alcohol or illicit substance use by adolescents, and 2) describe such effectiveness per intervention characteristic subgroups. Eligible studies were peer-reviewed reports (1994¿2015) of randomised controlled trials including participants aged 5¿18¿years that reported adolescent tobacco, alcohol or illicit substance use, and implemented a universal school-based ¿resilience¿ intervention (i.e. those addressing both individual (e.g. self-esteem) and environmental (e.g. school connectedness) protective factors of resilience). Trial effects for binary outcomes were synthesised via meta-analyses and effect sizes reported as odds ratios. Subgroup (by intervention type, prevention approach, setting, intervention duration, follow-up length) and sensitivity analyses (excluding studies at high risk of bias) were conducted. Nineteen eligible studies were identified from 16,619 records (tobacco: n¿=¿15, alcohol: n¿=¿17, illicit: n¿=¿11). An overall intervention effect was found for binary measures of illicit substance use (n¿=¿10; OR: 0.78, 95%CI: 0.6¿0.93, p¿=¿0.007,Tau2¿=¿0.0, I2¿=¿0%), but not tobacco or alcohol use. A similar result was found when studies assessed as high risk of bias were excluded. Overall intervention effects were evident for illicit substance use within multiple intervention characteristic subgroups, but not tobacco and alcohol. Such results support the implementation of universal school-based interventions that address ¿resilience¿ protective factors to reduce adolescent illicit substance use, however suggest alternate approaches are required for tobacco and alcohol use. PROSPERO registration: CRD42014004906.

DOI 10.1016/j.ypmed.2017.04.003
Citations Scopus - 9Web of Science - 8
Co-authors Luke Wolfenden, Megan Freund, John Wiggers, Serene Yoong, Rebecca Hodder, Jenny Bowman
2017 Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: cluster-randomised controlled trial', BMJ OPEN, 7 (2017) [C1]
DOI 10.1136/bmjopen-2017-016060
Citations Scopus - 5Web of Science - 6
Co-authors Megan Freund, John Wiggers, Rebecca Hodder, Christopher Oldmeadow, John Attia, Jenny Bowman, Luke Wolfenden
2017 Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder RK, et al., 'Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting', Journal of the American Academy of Child and Adolescent Psychiatry, 56 813-824 (2017) [C1]

© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems i... [more]

© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5-18 years). Subgroup analyses were conducted by age (child: 5-10 years; adolescent: 11-18 years), length of follow-up (short: post-=12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6; PROSPERO CRD42015025908.

DOI 10.1016/j.jaac.2017.07.780
Citations Scopus - 31Web of Science - 24
Co-authors Luke Wolfenden, Kate Bartlem, Megan Freund, Rebecca Hodder, John Wiggers, Christopher Oldmeadow, Jenny Bowman
2016 Dray J, Bowman J, Freund M, Campbell E, Hodder RK, Lecathelinais C, Wiggers J, 'Mental health problems in a regional population of Australian adolescents: association with socio-demographic characteristics.', Child and adolescent psychiatry and mental health, 10 (2016)
DOI 10.1186/s13034-016-0120-9
2016 Hodder RK, Freund M, Bowman J, Wolfenden L, Gillham K, Dray J, Wiggers J, 'Association between adolescent tobacco, alcohol and illicit drug use and individual and environmental resilience protective factors.', BMJ Open, 6 e012688 (2016) [C1]
DOI 10.1136/bmjopen-2016-012688
Citations Scopus - 6Web of Science - 6
Co-authors John Wiggers, Rebecca Hodder, Megan Freund, Jenny Bowman, Luke Wolfenden
2016 Dray J, Bowman J, Freund M, Campbell E, Hodder R, Lecathelinais C, Wiggers J, 'Mental health problems in a regional population of Australian adolescents: association with socio-demographic characteristics', Child and Adolescent Psychiatry and Mental Health, 10 32-43 (2016) [C1]
DOI 10.1186/s13034-016-0120-9
Citations Scopus - 7Web of Science - 5
Co-authors John Wiggers, Jenny Bowman, Megan Freund, Rebecca Hodder
2015 Dray J, Bowman J, Wolfenden L, Campbell E, Freund M, Hodder R, Wiggers J, 'Systematic review of universal resilience interventions targeting child and adolescent mental health in the school setting: Review protocol', Systematic Reviews, (2015) [C3]

© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience ma... [more]

© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience may act as a protective mechanism towards the development of mental health problems. Resilience refers to the ability to employ a collection of protective factors to return to or maintain positive mental health following disadvantage or adversity. Schools represent a potential setting within which protective factors of all children and adolescents may be fostered through resilience-focussed interventions. Despite this potential, limited research has investigated the effectiveness of universal school-based resilience-focussed interventions on mental health outcomes in children and adolescents. The objective of the present review is to assess the effects of universal school-based resilience-focussed interventions, relative to a comparison group, on mental health outcomes in children and adolescents. Methods/design: Eligible studies will be randomised (including cluster-randomised) controlled trials of universal interventions explicitly described as resilience-focussed or comprising strategies to strengthen a minimum of three internal protective factors, targeting children aged 5 to 18 years, implemented within schools, and reporting a mental health outcome. Screening for studies will be conducted across six electronic databases: MEDLINE, PsycINFO, Educational Resources Information Center (ERIC), Excerpta Medica database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL). Two reviewers will retrieve eligible articles, assess risk of bias, and extract data. Where studies are sufficiently homogenous and reported outcomes are amenable for pooled synthesis, meta-analysis will be performed. Narrative description will be used to synthesise trial outcome data where data cannot be combined or heterogeneity exists. Discussion: This review will aid in building an evidence base for the effectiveness of universal school-based resilience-focussed interventions and in doing so provide an opportunity to better inform the development of interventions to potentially prevent mental health problems in child and adolescent populations. Systematic review registration: PROSPERO CRD42015025908

DOI 10.1186/s13643-015-0172-6
Citations Scopus - 11Web of Science - 11
Co-authors Rebecca Hodder, Luke Wolfenden, Megan Freund, Jenny Bowman, John Wiggers
2014 Dray J, Bowman J, Freund M, Campbell E, Wolfenden L, Hodder RK, Wiggers J, 'Improving adolescent mental health and resilience through a resilience-based intervention in schools: study protocol for a randomised controlled trial.', Trials, 15 289 (2014) [C3]
DOI 10.1186/1745-6215-15-289
Citations Scopus - 13Web of Science - 11
Co-authors Rebecca Hodder, Megan Freund, Luke Wolfenden, Jenny Bowman, John Wiggers
2014 Hodder RK, Dray J, Freund M, Wolfenden L, Bowman J, Gillham K, Wiggers J, '.', BMJ Open, 4 (2014)
2014 Hodder RK, Freund M, Wolfenden L, Bowman J, Gillham K, Dray J, Wiggers J, 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit drug use: review protocol.', BMJ Open, 4 e004718 (2014) [C3]
DOI 10.1136/bmjopen-2013-004718
Citations Scopus - 6Web of Science - 7
Co-authors Jenny Bowman, Rebecca Hodder, Luke Wolfenden, Megan Freund, John Wiggers
Show 15 more journal articles

Conference (13 outputs)

Year Citation Altmetrics Link
2019 Dray J, Doherty E, Tully B, Williams B, Curtin S, Licata M, et al., 'Development and monitoring of a multi-layered clinician training program towards practice change', WOMEN AND BIRTH (2019)
DOI 10.1016/j.wombi.2019.07.294
2017 Dray J, Bowman J, Campbell E, Freund M, Wiggers J, Wolfenden L, et al., 'Exploring the Potential Effectiveness of a School-based Intervention on Mental Health Problems and Resilience in Australian Adolescents', The 22nd International Association for Child and Adolescent Psychiatry and Allied Professions World Congress, Calgary, Canada (2017)
Co-authors Luke Wolfenden, Jenny Bowman, John Wiggers, Rebecca Hodder, Megan Freund
2017 Dray J, Bowman J, Freund M, Campbell E, Hodder R, Lecathelinais C, et al., 'Investigating Differences in Prevalence of Risk of Current Mental Health Problems of Australian Adolescents by Socio-demographic Characteristic', The 22nd International Association for Child and Adolescent Psychiatry and Allied Professions World Congress, Calgary, Canada (2017)
Co-authors Megan Freund, Jenny Bowman, Rebecca Hodder, John Wiggers
2016 Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder R, et al., 'Systematic review of the effect of school-based, resilience-focussed interventions on child and adolescent mental health', The 22nd International Association for Child and Adolescent Psychiatry and Allied Professions World Congress, Calgary, Canada (2016)
Co-authors Megan Freund, Rebecca Hodder, Jenny Bowman, Luke Wolfenden, John Wiggers, Kate Bartlem
2016 Hodder RK, Freund N, Wolfenden L, Bowman J, Nepal S, Dray J, et al., 'ARE UNIVERSAL SCHOOL-BASED PROTECTIVE FACTOR INTERVENTIONS EFFECTIVE IN REDUCING ADOLESCENT SUBSTANCE USE? RESULTS FROM A SYSTEMATIC REVIEW', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors John Wiggers, Luke Wolfenden, Serene Yoong, Jenny Bowman, Rebecca Hodder
2016 Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'EFFECTIVENESS OF A SCHOOL-BASED PROTECTIVE FACTOR INTERVENTION IN REDUCING ADOLESCENT TOBACCO, ALCOHOL AND ILLICIT SUBSTANCE USE', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors Jenny Bowman, Rebecca Hodder, John Attia, Christopher Oldmeadow, Luke Wolfenden, John Wiggers
2016 Hodder RK, Freund M, Bowman J, Campbell E, Wolfenden L, Dray J, et al., 'EFFECTIVENESS OF A UNIVERSAL SCHOOL-BASED INTERVENTION IN REDUCING ADOLESCENT TOBACCO, ALCOHOL AND ILLICIT SUBSTANCE USE WITHIN STUDENT SUBGROUPS: EXPLORATORY ASSESSMENT', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2016)
Co-authors John Attia, Luke Wolfenden, Jenny Bowman, Rebecca Hodder, John Wiggers, Christopher Oldmeadow
2014 Dray J, Freund M, Bowman J, Campbell E, Wiggers J, Wolfenden L, et al., '.', International Journal of Behavioral Medicine, Groningen, The Netherlands (2014) [E3]
2014 Dray J, Freund M, Bowman J, Campbell E, Hodder R, Wiggers J, Gillham K, '.', International Journal of Behavioral Medicine 2014, Groningen, The Netherlands (2014) [E3]
2014 Hodder RK, Freund M, Bowman J, Wolfenden L, Gillham K, Dray J, Wiggers J, 'ADOLESCENT TOBACCO, ALCOHOL AND ILLICIT DRUG USE: DOES RESILIENCE MATTER?', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, Brainerd, MN (2014)
Co-authors Jenny Bowman, Luke Wolfenden, John Wiggers, Rebecca Hodder
2014 Dray J, Freund M, Bowman J, Campbell E, Wiggers J, Wollenden L, et al., 'MENTAL HEALTH AND RESILIENCE IN ADOLESCENCE: A RESILIENCE-BASED INTERVENTION', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2014)
Co-authors Rebecca Hodder, John Wiggers, Jenny Bowman
2014 Dray J, Freund M, Bowman J, Campbell E, Wiggers J, Wolfenden L, et al., 'Mental Health and Resilience in Adolescence: A resilience-based intervention', International Journal of Behavioral Medicine 2014; 21(S1): S203., Groningen, The Netherlands (2014) [E3]
DOI 10.1007/s12529-014-9418-2
Co-authors Rebecca Hodder, John Wiggers, Luke Wolfenden, Jenny Bowman, Megan Freund
2014 Freund M, Bowman J, Campbell E, Hodder R, Wiggers J, Gillham K, Gillham K, 'The Mental Health of Adolescents: What Differences Exist?', International Journal of Behavioral Medicine 2014; 21(S1): S203., Groningen, The Netherlands (2014) [E3]
DOI 10.1007/s12529-014-9418-2
Co-authors Jenny Bowman, John Wiggers, Rebecca Hodder, Megan Freund
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Grants and Funding

Summary

Number of grants 9
Total funding $130,273

Click on a grant title below to expand the full details for that specific grant.


20191 grants / $30,000

Rapid Review. Workforce recruitment and retention: Alcohol and Other Drug Services$30,000

Funding body: Sax Institute

Funding body Sax Institute
Project Team Doctor Kylie Bailey, Doctor Julia Dray
Scheme Rapid Review
Role Investigator
Funding Start 2019
Funding Finish 2019
GNo G1901014
Type Of Funding C3111 - Aust For profit
Category 3111
UON Y

20181 grants / $1,973

Faculty of Health and Medicine Small Grant$1,973

Funding body: Faculty of Health and Medicine, University of Newcastle

Funding body Faculty of Health and Medicine, University of Newcastle
Scheme Faculty of Health and Medicine Small Grant Funding
Role Lead
Funding Start 2018
Funding Finish 2018
GNo
Type Of Funding Internal
Category INTE
UON N

20171 grants / $750

Conference Travel Funding$750

Funding body: Faculty of Science and Information Technology, University of Newcastle

Funding body Faculty of Science and Information Technology, University of Newcastle
Scheme School of Psychology, Research Higher Degree Candidate Small Grant Funding
Role Lead
Funding Start 2017
Funding Finish 2017
GNo
Type Of Funding Internal
Category INTE
UON N

20163 grants / $5,750

Research Higher Degree International Travel Funding$2,000

Funding body: Faculty of Science and Information Technology, University of Newcastle

Funding body Faculty of Science and Information Technology, University of Newcastle
Scheme Faculty Strategic Small Grant
Role Lead
Funding Start 2016
Funding Finish 2016
GNo
Type Of Funding Internal
Category INTE
UON N

Donald J Cohen Conference Fellowship$2,000

Funding body: International Association for Child and Adolescent Psychiatry (IACAPAP)

Funding body International Association for Child and Adolescent Psychiatry (IACAPAP)
Scheme D J Cohen Fellow Program
Role Lead
Funding Start 2016
Funding Finish 2016
GNo
Type Of Funding International - Competitive
Category 3IFA
UON N

Publication Completion Support$1,750

Funding body: Faculty of Science and Information Technology, University of Newcastle

Funding body Faculty of Science and Information Technology, University of Newcastle
Scheme School of Psychology, Research Higher Degree Candidate Small Grant Funding
Role Lead
Funding Start 2016
Funding Finish 2016
GNo
Type Of Funding Internal
Category INTE
UON N

20151 grants / $3,000

Publication Completion Support $3,000

Funding body: Faculty of Science and IT, University of Newcastle

Funding body Faculty of Science and IT, University of Newcastle
Scheme School of Psychology, Research Higher Degree Candidate Small Grant Funding
Role Lead
Funding Start 2015
Funding Finish 2015
GNo
Type Of Funding Internal
Category INTE
UON N

20141 grants / $1,500

Conference Travel Funding$1,500

Funding body: Faculty of Science and Information Technology, University of Newcastle

Funding body Faculty of Science and Information Technology, University of Newcastle
Scheme School of Psychology, Research Higher Degree Candidate Small Grant Funding
Role Lead
Funding Start 2014
Funding Finish 2014
GNo
Type Of Funding Internal
Category INTE
UON N

20131 grants / $87,300

Australian Research Training Program$87,300

Funding body: Department of Education and Training

Funding body Department of Education and Training
Scheme Australian Research Training Program
Role Lead
Funding Start 2013
Funding Finish 2018
GNo
Type Of Funding Aust Competitive - Commonwealth
Category 1CS
UON N
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Dr Julia Dray

Positions

Senior Research Assistant
School of Psychology, University of Newcastle and Hunter New England Population Health
School of Psychology
Faculty of Science

Casual Senior Research Assistant
School of Psychology, University of Newcastle and Hunter New England Population Health
School of Medicine and Public Health
Faculty of Health and Medicine

Contact Details

Email julia.dray@newcastle.edu.au
Links YouTube
Twitter
Personal webpage

Office

Room Booth Building, Wallsend
Building Aviation
Location Booth Building, Wallsend Health Services Campus

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