Improving Neurobehavioural Development In Preterm Infants: A Randomised Controlled Trial Of A Neonatal Intervention
Funder
National Health and Medical Research Council
Funding Amount
$680,920.00
Summary
Up to 50% of preterm infants will have one or more developmental difficulties. While medical complications are implicated in these problems, recent evidence points to the added effect of the infant's early environment. Hospitalised premature infants experience stress from necessary but painful hospital procedures, overstimulation and maternal deprivation. Evidence, largely from animal studies, suggests stressful early experience negatively affects brain development. We also know that premature i ....Up to 50% of preterm infants will have one or more developmental difficulties. While medical complications are implicated in these problems, recent evidence points to the added effect of the infant's early environment. Hospitalised premature infants experience stress from necessary but painful hospital procedures, overstimulation and maternal deprivation. Evidence, largely from animal studies, suggests stressful early experience negatively affects brain development. We also know that premature infants find it difficult to handle stress as they are highly disorganised neurobehaviourally. The primary aim of this study is to assess the effectiveness of a parent-based intervention in enhancing neurobehavioural development at two years of age in very premature infants. It is predicted that this stress-reduction intervention will also enhance medical stability,normal brain development, parent-child interaction and parental mental health. The intervention to be trialled involves intensive training of parents of very premature infants, and in the 12 weeks following birth the parents will be the change agents. A randomised controlled trial comparing intervention and control groups will be undertaken to assess the effectiveness of this intervention. Assessments of early brain and 2 year intellectual, emotional and behavioural development will provide important outcome measures. A major strength of this study is the inclusion of advanced Magnetic Resonance Imaging (MRI) technology as it enables differences in brain development between the intervention and control group to be assessed, the association between brain and neurobehavioural development to be explored, and the impact of stress on early brain development to be investigated. This intervention is relatively simple and inexpensive, and would be a valuable contribution to neonatal care if found to be effective in enhancing brain and neurobehavioural development.Read moreRead less
Acute Alerting Effects Of Daytime Exposure To Specific Wavelengths Of Light
Funder
National Health and Medical Research Council
Funding Amount
$446,367.00
Summary
Excessive sleepiness is the greatest identifiable and preventable cause of accidents in all modes of transportation. Shift workers working outside the 8am-5pm day, make up about 20% of the urban working population. These individuals often report excessive daytime sleepiness caused by irregular sleep-wake patterns and long-term sleep loss. Excessive sleepiness is also common in individuals with sleep disorders. While there are many stimulant and wake-promoting drugs available to counteract daytim ....Excessive sleepiness is the greatest identifiable and preventable cause of accidents in all modes of transportation. Shift workers working outside the 8am-5pm day, make up about 20% of the urban working population. These individuals often report excessive daytime sleepiness caused by irregular sleep-wake patterns and long-term sleep loss. Excessive sleepiness is also common in individuals with sleep disorders. While there are many stimulant and wake-promoting drugs available to counteract daytime fatigue such drugs have problems of side effects, interactions and in some cases dependence. Light has many beneficial effects for a wide range of medicinal, physiological, psychological, and social purposes. One well known effect is as a stimulant so that exposure to bright light, both during the night and in the middle of the day, improves alertness and attention, and decreases reaction times thus improving performance. These effects can also be measured as changes in brain activity. However we do not understand the mechanisms in the eyes which control these effects. While certain cells in the eyes called rods and cones are necessary for seeing objects clearly and for detecting colour, there appears to be another system in the eyes which may involve different specialized cells or photoreceptors that are important for the alerting effects of light. White light is made up of different wavelengths or colours of light. This study will examine which wavelength (blue, violet, red or green) of light best improves alertness and learning during the daytime. Various performance tests will be used in addition to measures of brain wave activity. By identifying the most effective wavelength of light for improving alertness in healthy young adults and better understanding the mechanisms in the eyes involved, we will be able to develop light treatment strategies in patient groups with sleep disorders and in individuals like shift workers who experience sleep loss.Read moreRead less