A Randomised Controlled Trial Of Enhanced Parenting Capacity To Improve Developmental Outcomes In Preterm Infants
Funder
National Health and Medical Research Council
Funding Amount
$1,045,141.00
Summary
In Australia there are 2, 600 very preterm survivors each year. 50% will have education/behavioural difficulties and 10% major disability. We aim to optimise the development of infants born very preterm through a tailored Positive Parenting Program. We predict reductions in child behavioural and emotional problems at 2 years corrected age.
Parenting Style As A Mediator Of Psychosocial Risk Factors And Childhood Externalizing Behaviour Problems
Funder
National Health and Medical Research Council
Funding Amount
$113,160.00
Summary
It is imperative that effective interventions be developed and evaluated for children with externalising disorders (e.g. oppositional disorder, attention deficit order and conduct disorder). The prevalence of these problems in the community is high, the prognosis of children is poor, and externalising problems are passed on across successive generations in the same family. Childhood externalising problems are also one of the most costly behavioural disorders for society. Many studies have examin ....It is imperative that effective interventions be developed and evaluated for children with externalising disorders (e.g. oppositional disorder, attention deficit order and conduct disorder). The prevalence of these problems in the community is high, the prognosis of children is poor, and externalising problems are passed on across successive generations in the same family. Childhood externalising problems are also one of the most costly behavioural disorders for society. Many studies have examined the nature and course of externalising problems in older children and adolescents. However, little attention has been paid to the early onset of externalising disorders amongst preschool and early school-age children. Whilst the relationships between family risk factors (e.g. marital discord and maternal depression), parental management styles and children's behaviour problems are widely recognised, the exact nature and direction of these relationships remains largely unknown. This proposal will provide new information about the mechanism through which family risk factors such as marital discord or parental distress influence the onset and persistence of externalising problems in young children, via their effects on parents' behaviour management techniques. This information can then be used to instruct early intervention efforts for parents and families of children at risk of developing externalising behaviour problems.Read moreRead less
Prevention Of Childhood Anxiety: A Parent-focused Approach, Targeting The School Transition
Funder
National Health and Medical Research Council
Funding Amount
$60,220.00
Summary
The prevention of mental health problems in young people warrants research. Anxiety is a common problem amongst children, resulting in academic and relationship difficulties across the lifespan. The project investigates the effectiveness of an anxiety prevention strategy designed to optimise school adjustment in anxious and withdrawn preschool aged children making the transition to formal schooling. The intervention is parent-focused. Parents will be taught anxiety management strategies. They wi ....The prevention of mental health problems in young people warrants research. Anxiety is a common problem amongst children, resulting in academic and relationship difficulties across the lifespan. The project investigates the effectiveness of an anxiety prevention strategy designed to optimise school adjustment in anxious and withdrawn preschool aged children making the transition to formal schooling. The intervention is parent-focused. Parents will be taught anxiety management strategies. They will also be taught to decrease the use of overprotective or threat communicative responses, to model and reinforce non-anxious behaviour, and to coach children in active problem solving. The prevention of childhood anxiety will have important cost savings in the long term, relating to reduction in the costs associated with school adjustment difficulties and mental health treatments for children, as well as reductions in distress amongst individuals and their families. If the present program proves successful with children at risk of anxiety, it may have the potential to be offered within the education system as a universal transitional program.Read moreRead less
A Parent Education And Skills Training Intervention For Young Adolescents With Autism
Funder
National Health and Medical Research Council
Funding Amount
$436,500.00
Summary
Autism is a most severe and prevalent lifelong developmental disorder affecting approximately one in every thousand children and their families. Autism is associated with personal suffering and is a significant burden and stress for parents, families and carers and cost to the community. In earlier work we have demonstrated that providing a structured program of parent education and guidance to families with preschool children with autism leads to improved parental adjustment and mental health. ....Autism is a most severe and prevalent lifelong developmental disorder affecting approximately one in every thousand children and their families. Autism is associated with personal suffering and is a significant burden and stress for parents, families and carers and cost to the community. In earlier work we have demonstrated that providing a structured program of parent education and guidance to families with preschool children with autism leads to improved parental adjustment and mental health. The program also led to behavioural and developmental benefits for the child. The early secondary school years bring further stress and difficulty to adolescents with autism and their families. This project aims to assess the effectiveness of a parent education and training program for parents with autistic adolescents aged 12-14 years. If shown to be effective, this manual based intervention can be readily used by professionals to promote parent mental health, family adjustment and improve the wellbeing and outcome for adolescents with autism. As a result, family stress and the necessity of out of home care may be reduced and school participation improved.Read moreRead less
What Can Parents Do To Prevent Mental Health Problems In Their Teenage Children?
Funder
National Health and Medical Research Council
Funding Amount
$424,905.00
Summary
Research shows that there are things parents can do to prevent depression, anxiety and alcohol misuse problems in their teenage child, but many parents do not know what specific actions they can take. Through the work of this fellowship, I propose to increase our understanding of how specific parenting behaviours can influence young people's risk of developing depression and anxiety problems. I will also translate research evidence into specific parenting strategies parents can use to protect th ....Research shows that there are things parents can do to prevent depression, anxiety and alcohol misuse problems in their teenage child, but many parents do not know what specific actions they can take. Through the work of this fellowship, I propose to increase our understanding of how specific parenting behaviours can influence young people's risk of developing depression and anxiety problems. I will also translate research evidence into specific parenting strategies parents can use to protect their child from these problems.Read moreRead less
The Effectiveness Of A School-based Parent Education Program In The Promotion Of Adolescent Health: A Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$422,900.00
Summary
Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has ....Youth mental health and behaviour problems such as depression, suicidal behaviour, tobacco use, alcohol abuse and illicit drug use are currently priority issues within Australian national and state public health policies. This project has been designed to contribute to knowledge on the effectiveness of interventions that can be used to prevent youth mental health and behaviour problems. Until recent years the development of programs to support families through the transition into adolescence has been neglected. This is remiss, as there is evidence that a range of youth mental health and behaviour problems may be preventable through interventions through this transition. The overall objective of this project is to evaluate the effectiveness of a multi-level, family intervention designed to promote adolescent health within secondary schools. The intervention will be implemented over the first two years of high school and incorporates both universal components (for all families) and selected components (for families with particular difficulties). The intervention elements have been developed and partially evaluated in work undertaken by the applicant and collaborators over the past five years. To evaluate this intervention a representative sample of 12 Victorian secondary schools will be randomly assigned to intervention and compared to 12 control schools with prior matching on school demographics and student behaviour variables. Intervention processes will be closely monitored and evaluated for impacts on relevant risk and protective factors. Effectiveness will be evaluated by testing whether reductions in youth mental health and behaviour problems were greater for intervention families compared to controls. The evaluation has been designed to test the theory that improvement across the whole secondary school environment can be encouraged by preventing the negative peer influences that can emerge within families experiencing adolescent adjustment problemsRead moreRead less
A New Approach To Curbing Risky Trajectories Of Adolescent Alcohol-tobacco Use: A Tailored Brief Program For Parents.
Funder
National Health and Medical Research Council
Funding Amount
$320,271.00
Summary
Parent-adolescent interactions predict adolescent involvement in alcohol and tobacco use, and parent-oriented programs reduce conduct problems. Nevertheless, parent training is a rare alcohol-tobacco-related prevention strategy. This research will evaluate a brief parent program for adolescents at risk of escalating alcohol-tobacco problems. The technology should be cost-effective and readily complement existing school prevention strategies.
Impact Of An Infant Sleep Intervention On Infant Sleep And Maternal Wellbeing: A Cluster Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$205,500.00
Summary
Infant sleep problems and postnatal depression are common in the Australian community. Over a third of Australians report a problem with their infant's sleep in the second six months of life whilst 10-15% of Australian women will experience an episode of depression in the first year after their child is born. Both infant sleep problems and postnatal depression have been associated with serious outcomes including child abuse, child behaviour problems, maternal physical and emotional problems, fam ....Infant sleep problems and postnatal depression are common in the Australian community. Over a third of Australians report a problem with their infant's sleep in the second six months of life whilst 10-15% of Australian women will experience an episode of depression in the first year after their child is born. Both infant sleep problems and postnatal depression have been associated with serious outcomes including child abuse, child behaviour problems, maternal physical and emotional problems, family stress and family breakdown. This study builds on previous work conducted by researchers at the Centre for Community Child Health, Royal Children's Hospital, Melbourne. In this work, a brief behavioural intervention significantly decreased infant sleep problems and symptoms of maternal depression, particularly for depressed mothers. The intervention consisted of controlled crying and removal of sleep associations such as a dummy which the infant had become dependent upon to fall asleep. Mothers who received the intervention reported 20% fewer sleep problems and a 45% reduction in depression symptoms compared with mothers who did not receive the intervention. The interention also improved maternal sleep quality and quantity and reduced the need for professional sleep services. It was acceptable to mothers, of low cost and was minimally disruptive to families - in contrast to many current strategies directed primarily at postnatal depression. This trial aims to determine whther a similar intervention delivered by Victorian Maternal and Child health nurses within their usual practice settings can replicate these important benefits.Read moreRead less
Behaviour Support Training For Fetal Alcohol Spectrum Disorder
Funder
National Health and Medical Research Council
Funding Amount
$659,789.00
Summary
This project will assist parents and carers of children affected by fetal alcohol exposure to manage their behaviour problems. It will utilise the widely researched and applied Australian program "Triple P", enhanced for these families. The project will take place in Fitzroy Crossing, WA, a community which has already shown great resourcefulness in addressing this problem. If successful, the current poor outlook for these children will be greatly improved.