The Epidemiology And Characterisation Of Childhood Communication Disorders And Literacy Problems
Funder
National Health and Medical Research Council
Funding Amount
$514,013.00
Summary
I am a practising speech pathologist. My research program focuses on the epidemiology and characterisation of childhood communication disorders and literacy problems.
How Language Develops, What Goes Wrong, And Why It Matters: Following The Early Language In Victoria Study To Age 13
Funder
National Health and Medical Research Council
Funding Amount
$857,242.00
Summary
One in five children start school with low language. Little is known about the long term effects on developmental, educational attainment and other outcomes later in life. In this landmark study we will track the children's language, literacy and wellbeing from ages 8 to 12 years. We will capture the children's ability as they finish their primary school education and prior to the crucial transfer to high school.
Preventing Early Language Delay In Primary Care Setting:cluster Randomised Trial
Funder
National Health and Medical Research Council
Funding Amount
$415,133.00
Summary
The trial aims to lower the numbers of children with poor expressive language skills at ages 2 and 3 years, through a sustainable early language promotion program linked to the universal Victorian Maternal and Child Health (M and CH) service, attended by more than 75% of Victorian children at 12 months of age. The trial targets the 20% of toddlers most at risk of expressive language delay, by virtue of having limited or no spoken vocabulary at 18 months of age. It also aims to lower the numbers ....The trial aims to lower the numbers of children with poor expressive language skills at ages 2 and 3 years, through a sustainable early language promotion program linked to the universal Victorian Maternal and Child Health (M and CH) service, attended by more than 75% of Victorian children at 12 months of age. The trial targets the 20% of toddlers most at risk of expressive language delay, by virtue of having limited or no spoken vocabulary at 18 months of age. It also aims to lower the numbers of children with behaviour problems (strongly linked to language delay), to determine the acceptability and cost-effectiveness of the approach, and to determine whether it differentially benefits disadvantaged children.Read moreRead less
Predicting Language Skills From Early Auditory Speech Discrimination In Infants With Hearing Loss: Implications For Early Management And Intervention
Funder
National Health and Medical Research Council
Funding Amount
$706,113.00
Summary
Now that newborn hearing checks are available, hearing loss can be picked up soon after birth and hearing aids are fitted shortly after. Although procedures exist for checking that the devices make sounds audible, there is no way to evaluate their effectiveness for supporting a child’s auditory discrimination. This study aims to 1) develop new clinical tools for assessing infants’ auditory discrimination, and 2) determine whether early discrimination predicts spoken language at 3 years of age.
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.
Development Of Executive Functions In Children With Frontal Lobe Lesions
Funder
National Health and Medical Research Council
Funding Amount
$160,379.00
Summary
Executive functions (EF), refer to the ability to problem solve, think flexibly and in abstract terms and pay attention. EFs are essential for managing daily life activities. The frontal lobes of the brain are believed be important in coordinating EFs. In childhood, frontal areas are developing rapidly and damage may affect ongoing development due to impairments in a child's capacity to function normally within their environment, interfering with adaptive functions such as new learning and reaso ....Executive functions (EF), refer to the ability to problem solve, think flexibly and in abstract terms and pay attention. EFs are essential for managing daily life activities. The frontal lobes of the brain are believed be important in coordinating EFs. In childhood, frontal areas are developing rapidly and damage may affect ongoing development due to impairments in a child's capacity to function normally within their environment, interfering with adaptive functions such as new learning and reasoning. Executive dysfunction in children manifests as disorganisation, impulsivity, inattention and inappropriate behaviour. Such problems are often masked in early chilhood, due to highly structured environments and support of parents and care-givers in day-to-day activities. However, as children mature, expectations of indepence increase and executive deficits become more apparent (ie. child 'grows into' these problems). Appropriate treatment and management is dependent on (i) improvement in early identification of patients at risk for such sequelae; (ii) establishing long-term consequences of executive deficits to ongoing development. This research aims to advance our understanding of EFs and their development through childhood, both in healthy children and children with cerebral lesions to regions believed to subsume EFs(ie the frontal lobes). While anecdotal case data is available, to our knowledge, no other study has attempted to do this using a longitudinal group design. Specific predictions include; (i) Children with frontal lobe damage will perform more poorly on EF measures, in comparison to children with damage to other cerebral areas and healthy children; (ii) Children with frontal lobe damage will show increasing deficits on EF tasks over time, reflecting an inability to acquire executive skills in the expected time frame, when compared with children with localised damage to cerebral areas excluding the frontal lobes, and healthy children.Read moreRead less
Centre For Research Excellence In Childhood Language
Funder
National Health and Medical Research Council
Funding Amount
$2,485,324.00
Summary
Although most children acquire speech and language skills comparatively effortlessly, it has become increasingly apparent that many do not. More importantly, this sizeable group accounts for great subsequent population health, social and economic burden. Research in the field has been underfunded and fragmented, resulting in evidence gaps, limited capacity, and disparate guidance for policy-makers. We will address these issues, acting as a vehicle and an ongoing catalyst for internationally-comp ....Although most children acquire speech and language skills comparatively effortlessly, it has become increasingly apparent that many do not. More importantly, this sizeable group accounts for great subsequent population health, social and economic burden. Research in the field has been underfunded and fragmented, resulting in evidence gaps, limited capacity, and disparate guidance for policy-makers. We will address these issues, acting as a vehicle and an ongoing catalyst for internationally-competitive research.Read moreRead less
Understanding How Language And Reading Problems Develop: A Population-based Longitudinal Study From Infancy To Age 7
Funder
National Health and Medical Research Council
Funding Amount
$667,507.00
Summary
Early language and reading problems are common and therefore significant public health problems. They are disabling and have life-long implications for oral and written communication skills, social and emotional well-being, cognition, behaviour, academic achievement and employment. This study will address the following three problems: 1. To date no study has documented how language and reading problems develop from infancy (8 months) through to school age (7 years). 2. Little is known about risk ....Early language and reading problems are common and therefore significant public health problems. They are disabling and have life-long implications for oral and written communication skills, social and emotional well-being, cognition, behaviour, academic achievement and employment. This study will address the following three problems: 1. To date no study has documented how language and reading problems develop from infancy (8 months) through to school age (7 years). 2. Little is known about risk factors, identified early in infancy and childhood, that can be reliably used to predict language and reading problems later in childhood. 3. The relationships between language difficulties and reading problems are poorly understood. Therefore, we currently have no satisfactory methods for reliably detecting which children at much younger ages are at risk of later language disorders or reading problems. Without this information it is impossible to develop effective prevention and early intervention programs. These programs are critical if we are to: a) Prevent language and reading problems from occurring, thereby reducing the prevalence of the problem b) Intervene early in childhood, thereby reducing in the longer term the burden and cost associated with language and reading problems. The proposed study builds on an existing substantial investment by the NHMRC in the Early Language in Victoria Study (ELVS). It will provide a world-first description of the evolution of language difficulties and reading problems from infancy through to school age within a single population cohort.Read moreRead less