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
Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding ....Improving the identification of juvenile firesetters at high risk of recidivism. Young firesetters are not only responsible for some fifth of all fires, they also are at risk of becoming adult arsonists. Australian fire services provide educational programs for young firesetters but about a third may continue to light fires. This project will allow clarification of variables most associated with ongoing firesetting behaviour (recidivism), better prediction of high risk juveniles, understanding of the predictive value of a screening tool, valid assessment of recidivism rates and an increased understanding of mental health agency involvement with firesetter families. These outcomes will help improve programs involving juvenile firesetters, thereby reducing arson and the high cost of uncontrolled fire.Read moreRead less
Enhancing employee safety in response to workplace violence. International and national trends indicate that workplace violence is a significant growing problem. Poorly managed, victims can suffer physical and psychological trauma, and employers risk increases in workers compensation claims, insurance premiums, employee turnover, sick leave and low morale. There is a dearth of research into the effectiveness of training employees to predict, control and defuse aggressive incidents, yet this is a ....Enhancing employee safety in response to workplace violence. International and national trends indicate that workplace violence is a significant growing problem. Poorly managed, victims can suffer physical and psychological trauma, and employers risk increases in workers compensation claims, insurance premiums, employee turnover, sick leave and low morale. There is a dearth of research into the effectiveness of training employees to predict, control and defuse aggressive incidents, yet this is a significant priority for many industries. This project will develop and evaluate a new best practice aggression minimisation training program with 200 mental health employees by an RCT assessing gains in safety, knowledge, skills and confidence in managing violence.Read moreRead less
Managing increasing challenges in motorcycle safety: strengthening research evidence for effective policy and countermeasure development. Through in-depth crash investigations and motorcyclist interviews, this project will determine risk factors for serious motorcycle crashes in an environment of increased riding, more older riders, and changing traffic conditions. Outcomes will be evidence-based strategies to improve road system management and road safety.
The Australian naturalistic driving study: innovation in road safety research and policy. A revolutionary new approach, the naturalistic driving study, will investigate what people actually do when they drive, in normal and safety-critical situations. It will provide Australia with answers to some intractable, high priority, road safety problems that cannot be answered using current methods, thereby saving hundreds of lives.
Linkage Infrastructure, Equipment And Facilities - Grant ID: LE130100050
Funder
Australian Research Council
Funding Amount
$570,000.00
Summary
Integrated facility for recording driver and road user behaviour. The integrated facility will be used to record and analyse data on driver and road user behaviour, in normal and safety-critical situations, for thousands of Australian drivers. The data yielded will be used to develop new and improved countermeasures for reducing road deaths and serious injuries on Australian roads.
It's only human: Understanding why errors occur in skilled behaviour. There is evidence that error plays a major role in the causes of workplace injury and errors in skilled behaviour are the most common type of error leading to occupational accidents. It is likely that skill-based error is also important in causing fatal and severe injury in other settings. If we want to reduce or prevent injury, tackling the causes of error, and especially skill-based error, must be a prime target. By reduci ....It's only human: Understanding why errors occur in skilled behaviour. There is evidence that error plays a major role in the causes of workplace injury and errors in skilled behaviour are the most common type of error leading to occupational accidents. It is likely that skill-based error is also important in causing fatal and severe injury in other settings. If we want to reduce or prevent injury, tackling the causes of error, and especially skill-based error, must be a prime target. By reducing skill-based error in the workplace, current estimates suggest that loss of life would be reduced by about 200 cases per year and annual direct and indirect costs to the community by $484 million. Similar benefits are likely to emanate from reducing skill-based error in other settings.Read moreRead less
The influence of resistance training upon movement control in the elderly. The primary aim of this applied research project is to investigate the impact of resistance training in the elderly. We will assess the responses to training that occur in the elderly, and determine the time course and persistence of adaptation. It is anticipated that the knowledge derived will be applied by clinicians and health practitioners in the design of resistance training programmes for the elderly, and thereby en ....The influence of resistance training upon movement control in the elderly. The primary aim of this applied research project is to investigate the impact of resistance training in the elderly. We will assess the responses to training that occur in the elderly, and determine the time course and persistence of adaptation. It is anticipated that the knowledge derived will be applied by clinicians and health practitioners in the design of resistance training programmes for the elderly, and thereby enhance the performance of tasks encountered in daily living.Read moreRead less
Cerebral plasticity or early vulnerability? Identifying critical periods for childhood development and recovery. The primary aim of the study is to identify critical time periods during brain development when an insult will have more deleterious consequences for recovery and outcome. The study will also examine the impact of other potential influences to recovery following early brain disease, and determine whether their impact varies across development. Finally, the study will investigate wh ....Cerebral plasticity or early vulnerability? Identifying critical periods for childhood development and recovery. The primary aim of the study is to identify critical time periods during brain development when an insult will have more deleterious consequences for recovery and outcome. The study will also examine the impact of other potential influences to recovery following early brain disease, and determine whether their impact varies across development. Finally, the study will investigate whether specific cognitive and behavioural domains are differentially effected, depending on their maturity at the time of brain insult. Findings from this study will inform the development of conceptual models of early brain insult and recovery of function, and contribute to clinical practice.Read moreRead less
Preventing injuries in crashes involving young drivers: development and evaluation of impulse control training. Road crashes are a leading cause of death and injury for young Australians, at tremendous economic, social and personal cost. This project has the potential to reduce this problem by developing the first driver training to fast-track development of mental processes that contribute to the most serious young driver crashes. Further, the industry partners are committed to translating the ....Preventing injuries in crashes involving young drivers: development and evaluation of impulse control training. Road crashes are a leading cause of death and injury for young Australians, at tremendous economic, social and personal cost. This project has the potential to reduce this problem by developing the first driver training to fast-track development of mental processes that contribute to the most serious young driver crashes. Further, the industry partners are committed to translating the research outcomes into policy and practice. This cutting-edge research will place Australia at the forefront of driver training research, and enhance road safety research capacity.Read moreRead less