A Randomised Trial of Early Childhood Sustained Home Visiting in a Disadvantaged Community. Home visiting programs comprising intensive and sustained professional home visits over the entire first two years of life (SPHV) show promise as interventions to promote child health and family functioning, and ameliorate disadvantage. This study is the first Australian randomised trial to determine the impact of a comprehensive SPHV program commencing antenatally in a population group living in an area ....A Randomised Trial of Early Childhood Sustained Home Visiting in a Disadvantaged Community. Home visiting programs comprising intensive and sustained professional home visits over the entire first two years of life (SPHV) show promise as interventions to promote child health and family functioning, and ameliorate disadvantage. This study is the first Australian randomised trial to determine the impact of a comprehensive SPHV program commencing antenatally in a population group living in an area of known disadvantage. As such this trial is a best-practice demonstration model for professional home visiting in Australia, with significant implications for the development of early childhood policy and strategy throughout Australia.Read moreRead less
Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight ....Model of care: A family focussed approach to promote child protection. Childhood neglect and abuse is an issue for all Australians. Models of best practice for child protection services are essential to protect the well-being of these children. This project will draw upon information from consumers and workers to provide a framework for a sustainable model of best practice for child protection that is transferable to other settings. A further benefit of this study is that it will provide insight into occupation health and safety issues associated with working in long term relationships with vulnerable families. Read moreRead less
Cluster randomised control trial of an early childhood literacy intervention to improve literacy and language outcomes in preschool aged children. Reading failure disproportionately affects disadvantaged communities in Australia, with nearly 40% of poor children failing to read at the minimum reading benchmark in Grade three. Of more concern is the disturbing trend indicating that prior to first grade, socioeconomic status (SES) differences also exist in important antecedents of reading such as ....Cluster randomised control trial of an early childhood literacy intervention to improve literacy and language outcomes in preschool aged children. Reading failure disproportionately affects disadvantaged communities in Australia, with nearly 40% of poor children failing to read at the minimum reading benchmark in Grade three. Of more concern is the disturbing trend indicating that prior to first grade, socioeconomic status (SES) differences also exist in important antecedents of reading such as letter knowledge and phonological processing skills, yet there remains no universal program to promote early language and literacy practices in the primary care setting. We propose a cluster randomised controlled trial to evaluate the efficacy of a multi injection intervention to improve literacy outcomes of children in disadvantaged communities.Read moreRead less
Early childhood sustained home visiting: outcomes at 4 years and the transition to school. The Commonwealth has been committed to developing a national agenda for early childhood, with a strong focus on development and use of Australian-relevant evidence, an outcomes focus, a focus on vulnerable communities, families and children, and strengths-based approaches. This agenda is also reflected in the key research priority areas of the Commonwealth Government. The proposed study is a critical next ....Early childhood sustained home visiting: outcomes at 4 years and the transition to school. The Commonwealth has been committed to developing a national agenda for early childhood, with a strong focus on development and use of Australian-relevant evidence, an outcomes focus, a focus on vulnerable communities, families and children, and strengths-based approaches. This agenda is also reflected in the key research priority areas of the Commonwealth Government. The proposed study is a critical next step in the development of an Australian evidence base for professional home visiting: a key strategy for the delivery of services to promote the health and development of young Australians. The findings of this study will have significant implications for the development of early childhood policy and strategy throughout Australia.Read moreRead less
Negotiating the Challenge of Cultural Diversity in Children's Health Care: The Australian Context. The increasing population of culturally and linguistically diverse (CALD) Australians creates challenges which research to date has only partially identified and addressed. In particular, family dynamics, parenting practices and culturally specific beliefs regarding illness in childhood influence and at times severely inhibit effective access to all aspects of our health care system. Employing qual ....Negotiating the Challenge of Cultural Diversity in Children's Health Care: The Australian Context. The increasing population of culturally and linguistically diverse (CALD) Australians creates challenges which research to date has only partially identified and addressed. In particular, family dynamics, parenting practices and culturally specific beliefs regarding illness in childhood influence and at times severely inhibit effective access to all aspects of our health care system. Employing qualitative and quantitative methods, this project will generate Australian evidence-based research by mapping the range of cultural practices at the interface of health service provision, providing culturally appropriate and relevant data to inform policy, planning and resourcing of health services for CALD children and parents/carers in NSW.Read moreRead less
Foot-down not ground-up: moving from splint to natural models for children's shoe design. We will provide much-needed knowledge of the impact of children's footwear on their musculoskeletal development, by conducting rigorous experimental comparisons of a standard school shoe, a custom-built 'midfoot flexing' shoe, bare feet, and a new school shoe design concept developed by university researchers to enhance rather than disrupt natural foot function. The innovation will make Bata Australia the f ....Foot-down not ground-up: moving from splint to natural models for children's shoe design. We will provide much-needed knowledge of the impact of children's footwear on their musculoskeletal development, by conducting rigorous experimental comparisons of a standard school shoe, a custom-built 'midfoot flexing' shoe, bare feet, and a new school shoe design concept developed by university researchers to enhance rather than disrupt natural foot function. The innovation will make Bata Australia the first manufacturer to embrace evidence-based shoe design, and will be an opportunity for the Company to provide global leadership in the field. Our advances will inform health professionals, manufacturers and parents in the task of improving the musculoskeletal health of young Australians.Read moreRead less
The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and ....The perinatal journey: the process and impact of psychosocial assessment. This study of the process and impact of psychosocial assessment and depression screening during pregnancy and after birth will have immediate national application and benefit as Australian governments prepare policy to implement universal psychosocial assessment. Findings will provide evidence-based approaches to assessment and service delivery impacting positively on large numbers of Australian women who use maternity and early childhood nursing services. Most importantly, skillful early identification of women in distress or 'at risk' is the first step in providing appropriate services and support to ensure better child outcomes. The research will be at the cutting edge internationally and directly addresses National Research Priorities.Read moreRead less
Children Walking Well. Healthy feet in childhood are the foundation for musculoskeletal health and mobility throughout life. However, little is known about the effect of shoes worn on children. This Australian project is the first to address this shortcoming. A multidisciplinary team will investigate: factors contributing to consumer decision-making; footwear usage and selection; and the relationship between footwear styles, anatomical profile, biomechanics and physical activity. From our id ....Children Walking Well. Healthy feet in childhood are the foundation for musculoskeletal health and mobility throughout life. However, little is known about the effect of shoes worn on children. This Australian project is the first to address this shortcoming. A multidisciplinary team will investigate: factors contributing to consumer decision-making; footwear usage and selection; and the relationship between footwear styles, anatomical profile, biomechanics and physical activity. From our identification of mismatches between evidence of the relationship between shoes and function and current stakeholder knowledge and decision-making, we will make recommendations for how shoe manufacturers and health professionals can promote healthy feet in children.Read moreRead less
Health and resilience in the preschool years: An innovative approach to early intervention. Given the prevalence of psychopathology in childhood, it is essential that we maximise the effectiveness of early intervention (EI). Drawing on theory and research highlighting the marked influence, on cognitive and socio-emotional development, of particular kinds of parent-child discussions about past experiences, this project aims to foster preschooler's achievement of key developmental tasks (emergent ....Health and resilience in the preschool years: An innovative approach to early intervention. Given the prevalence of psychopathology in childhood, it is essential that we maximise the effectiveness of early intervention (EI). Drawing on theory and research highlighting the marked influence, on cognitive and socio-emotional development, of particular kinds of parent-child discussions about past experiences, this project aims to foster preschooler's achievement of key developmental tasks (emergent literacy, emotion knowledge, attachment) by training parents and children in effective conversational styles. The research will (i) develop an innovative, theoretically-driven approach to EI, (ii) test this approach in clinical and nonclinical populations, and (iii) provide a strong test of social interaction theories of development.Read moreRead less
A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed f ....A study of contemporary family, social and cultural influences on first-time mothers' decisions about infant feeding and early parenting practices. Children who are never breastfed are more likely to experience respiratory infections, gastroenteritis, diabetes and as adults, high blood pressure, obesity and type-2 diabetes. This study of infant feeding decision-making in first-time mothers will inform strategies, grounded in the daily lives of women and families to assist mothers to breastfeed for longer particularly in communities where breastfeeding is not the norm. Increased support for breastfeeding women from family, community and health professionals is likely to reduce the distress reported by many new mothers. Strategic application of findings will lead to health gains from increased breastfeeding and translate into significant cost savings for the Australian health system. Read moreRead less