Can Home-visiting Improve Early School Entry Outcomes?: Following The Right@home Randomised Trial To Age 5 Years
Funder
National Health and Medical Research Council
Funding Amount
$2,042,204.00
Summary
Inequalities in health and developmental outcomes are evident by the time Australian children start school. The “right@home” randomised controlled trial (2013-2016) will evaluate the impact of sustained nurse home visiting for the most disadvantaged families through targeted and intensive delivery of child health, development and parenting support until the children turns 2 years. Follow-up to school entry will evaluate the impact on health and developmental outcomes at ages 3 and 5 years.
Understanding Parent Behaviours That Promote Language In Slow-to-talk Toddlers
Funder
National Health and Medical Research Council
Funding Amount
$95,144.00
Summary
Research suggests that parent-child interactions can have a positive effect on the language development of preschool age children. This community-based study aims to identify which specific parent behaviours promote language in a group of 200 slow-to-talk toddlers. If specific parent behaviours are found to result in better language outcomes in slow-to-talk toddlers, the results will have the potential to promote far more pro-active management of early language delay.
Classifying Local Environmental Attributes For Healthier, More Equitable Child Development
Funder
National Health and Medical Research Council
Funding Amount
$437,034.00
Summary
Theory and evidence suggests rapid physical and social development makes children more sensitive to the impacts of environmental exposures than adults. Paradoxically, children’s environmental health is under-researched. My four-year vision is to support efforts to improve the health of children and to narrow child health inequities by co-producing new evidence that will help advocate for spatially targeted prevention initiatives and public policies in Australia.
Improving Outcomes Of Preschool Language Delay In The Community: Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$927,327.00
Summary
7-15% of preschool children have language delay, so are vulnerable to poor lifelong academic, social and economic outcomes. Small trials suggest that intervention helps. This randomized trial aims to find out the population costs and benefits of optimized intervention for 4 year olds following systematic identification of language delay. Because we have studied the 1500 participants since infancy, the trial could also shed light on why some children respond better than others to treatment.
Population Outcomes And Cost-effectiveness Of Universal Newborn Hearing Vs Risk Factor Screening At Age 5 Years.
Funder
National Health and Medical Research Council
Funding Amount
$540,423.00
Summary
Universal newborn hearing screening (UNHS) is being widely implemented because it is thought to greatly improve outcomes for children with congenital deafness. However, it is also very costly. Between 2003-5, all New South Wales babies were offered UNHS, while Victorian babies were offered a risk-factor screening and referral program. This two-year 'natural experiment' paves the way for a unique population effectiveness and cost-effectiveness study of UNHS as the children reach 5 years of age.
Population Paediatrics And Translational Child Health Research
Funder
National Health and Medical Research Council
Funding Amount
$580,550.00
Summary
My vision for the next five years is that children will have the best possible health outcomes, both in childhood and as adults, from effective, systematic and sustainable primary and secondary care. My program’s core is population-based efficacy and translational trials of the highest quality. My intellectual leadership and contribution were recognised in the 2009 Australian Health Minister’s Prize and, in 2008, an NHMRC Excellence Award.
Effect Of A Weight Management Program For Overweight And Obese Children: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$430,000.00
Summary
Children who are obese have a higher risk of numerous health problems, including high blood pressure, high cholesterol and joint problems. They also experience reduced self-esteem and discrimination as well as an increased risk of premature death or poor health due to heart disease and Type 2 diabetes in adulthood. Approximately 25% of Australian children are overweight or obese. This prevalence has doubled since the 1980's and is still increasing. Child obesity is a major public health problem ....Children who are obese have a higher risk of numerous health problems, including high blood pressure, high cholesterol and joint problems. They also experience reduced self-esteem and discrimination as well as an increased risk of premature death or poor health due to heart disease and Type 2 diabetes in adulthood. Approximately 25% of Australian children are overweight or obese. This prevalence has doubled since the 1980's and is still increasing. Child obesity is a major public health problem and innovative approaches to solving this problem are urgently needed. A range of factors has been postulated as contributing to the global childhood obesity epidemic, including environmental, psychosocial, physical, nutrition, metabolic and lifestyle factors. However, the major determinants involve a shift away from energy balance through reduced energy expenditure or physical activity and increased energy intake. Conventional weight-management strategies have incorporated restricting energy intake or diet, increasing energy expenditure or physical activity, decreasing sedentary activities, parental involvement, and behaviour modification. However, these strategies have only shown moderate success among children in the medium to long term and very few can be translated into community settings. The purpose of this study, and its original contribution to research, is to determine the impact of a physical activity skill development and parent-centred family weight management program on the weight, cardiovascular health, physical activity, dietary intake, and sedentary behaviours of overweight and obese children.Read moreRead less
Adolescent And Young Adult Parental Antecedent Of Health And Development In The First Year Of Life
Funder
National Health and Medical Research Council
Funding Amount
$566,331.00
Summary
In the past 50 years the gap between reproductive maturity at puberty and first childbirth has extended to around 2 decades. This coincides with a rise in mental disorders and substance use that has the potential to affect the health of babies and their mothers. This study will build on 20 years of work to test in a 1000 offspring the extent to which problems such as prematurity, post-natal depression and early mother-child relationships may be affected by earlier mental health and behaviour.
Patterns, Pathways And Price Of Developing Disparities In Cardiovascular And Respiratory Health By Age 11-12 Years: The Longitudinal Study Of Australian Children
Funder
National Health and Medical Research Council
Funding Amount
$3,290,912.00
Summary
Cardiovascular and lower respiratory diseases are leading causes of death, show marked social gradients, and have origins in early life. We will measure cardiorespiratory health at age 11-12 years in the national Longitudinal Study of Australian Children. Combined with rich existing psychosocial and health data spanning the entire first decade, we will explore early-life mechanisms underlying emerging patterns of social disparity and their potentially-avoidable cost – evidence that is essential ....Cardiovascular and lower respiratory diseases are leading causes of death, show marked social gradients, and have origins in early life. We will measure cardiorespiratory health at age 11-12 years in the national Longitudinal Study of Australian Children. Combined with rich existing psychosocial and health data spanning the entire first decade, we will explore early-life mechanisms underlying emerging patterns of social disparity and their potentially-avoidable cost – evidence that is essential to develop new intervention strategies.Read moreRead less