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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.
Perth Aboriginal Breast Feeding Study: Reasons For Not Breast Feeding And For The Early Cessation Of Breast Feeding.
Funder
National Health and Medical Research Council
Funding Amount
$207,237.00
Summary
Perth Aboriginal Breast Feeding Study : Reasons for not Breast Feeding and for the Early Cessation of Breast Feeding. Breastfeeding has many advantages for the nutrition and health of infants and mothers. Recent research has shown the importance of longitudinal studies of breast feeding and the importance of family support systems, especially the attitude of the baby's father. In urban Aboriginal families the rate of breast feeding is lower and the duration is shorter than for those living in ru ....Perth Aboriginal Breast Feeding Study : Reasons for not Breast Feeding and for the Early Cessation of Breast Feeding. Breastfeeding has many advantages for the nutrition and health of infants and mothers. Recent research has shown the importance of longitudinal studies of breast feeding and the importance of family support systems, especially the attitude of the baby's father. In urban Aboriginal families the rate of breast feeding is lower and the duration is shorter than for those living in rural areas. There have been no longitudinal studies exploring the factors involved in the initiation and the continuation of breast feeding by Aboriginal women. A sample of 440 Aboriginal women will be recruited from Perth maternity hospitals. After an initial interview the women will be followed up at monthly intervals to find out their progress with breast feeding. In addition a number of focus group discussions will explore attitudes of Aboriginal women and men to breast feeding. The outcome of the studies will be information to feed back to the community through Aboriginal organisations. It will provide the basis for specifically targeted health promotion programs to maintain and to improve breast feeding rates in the Aboriginal community.Read moreRead less
Neurodevelopmental Outcomes After Novel Interventions In Newborn Infants
Funder
National Health and Medical Research Council
Funding Amount
$188,226.00
Summary
Children who were sick in the newborn period or born preterm are at increased risk of abnormal development, particularly problems with their ability to walk, think and learn. This research will assess how new treatments affect sick newborns’ later development. For example, giving preterm babies healthy germs, or probiotics, decreases a serious bowel infection, called necrotising enterocolitis or NEC. This research will find out if they also help preterm brain development when the children are 2 ....Children who were sick in the newborn period or born preterm are at increased risk of abnormal development, particularly problems with their ability to walk, think and learn. This research will assess how new treatments affect sick newborns’ later development. For example, giving preterm babies healthy germs, or probiotics, decreases a serious bowel infection, called necrotising enterocolitis or NEC. This research will find out if they also help preterm brain development when the children are 2 years old.Read moreRead less
Caregiving Practices And Child Development: A Cross-cultural Perspective.
Funder
National Health and Medical Research Council
Funding Amount
$109,487.00
Summary
This program of research will investigate the cross-cultural differences in the types and prevalence of cognitive and socio-emotional caregiving practices in a community sample of parents in a low income country. The influence of cultural beliefs, caregiver distress and the common challenges experienced by caregivers will be explored and it will also test the effectiveness of an innovative psychological intervention to facilitate optimal child development.
Analysis Of Metabolic Profiles In Young Adults From The The Western Australian Pregnancy Cohort (Raine) Study By Metabolomics: Biomarkers For Metabolic Consequences Of Early Programming By Infant Feeding Type
Funder
National Health and Medical Research Council
Funding Amount
$337,681.00
Summary
Increasing evidence from European and other investigators around the world demonstrates that early nutrition has long-lasting programming effects for later health and disease risk. The most convincing evidence is for obesity and its associated disorders, that include metabolic syndrome, diabetes, cardiovascular disease, asthma and certain cancers. The focus of this project is on the increasing public health importance and intergenerational nature of these problems.
DHA For The Improvement Of Neurodevelopmental Outcome In Preterm Infants: The DINO Trial
Funder
National Health and Medical Research Council
Funding Amount
$631,875.00
Summary
The incidence of neurological problems that occur in children born prematurely is higher than for those born at term. The earlier that a baby is born, the greater chance it has of having some developmental delay and general inability to cope at school. This has implications for the child, the families and the health system. One of the many dietary factors implicated in the development of neural abilities in premature infants is an omega-3 fatty acid called DHA. This compound is present in breast ....The incidence of neurological problems that occur in children born prematurely is higher than for those born at term. The earlier that a baby is born, the greater chance it has of having some developmental delay and general inability to cope at school. This has implications for the child, the families and the health system. One of the many dietary factors implicated in the development of neural abilities in premature infants is an omega-3 fatty acid called DHA. This compound is present in breast milk and most preterm formulas and is found in high concentrations in the brain and retina. In the last third of pregnancy the developing baby would normally accumulate DHA at a rapid rate. So it seems reasonable to assume that a baby outside the mother, that is born premature, would also need to accumulate DHA at this same rate. The problem is that none of the milks currently given to premature infants have DHA in high enough concentration to supply this amount of DHA to the baby. For example, breast milk and preterm formulas contain only a third of the DHA required. In order to provide this amount for the premature infant, breast milk containing DHA at about 1% of the total fat is required. Fortunately the level of DHA in breast milk can be increased to this level by supplementing the mothers diet with fish or olis like tuna oil. This study hopes to show that premature babies who receive DHA in amounts similar to that supplied in the womb will develop better than babies who receive low amounts of DHA.Read moreRead less
A Randomised Trial Of An Early Parenting Intervention To Reduce Maternal Mood Disorder And Infant Behavior Disturbance
Funder
National Health and Medical Research Council
Funding Amount
$390,503.00
Summary
Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and ....Over 242,000 women give birth annually in Australia and up to 20% experience significant psychological distress in the baby's first year. Severe fatigue, worrying and depression interfere with the development of maternal confidence. If a baby does not sleep well or feed easily or cries for prolonged periods, mothers can feel ineffective and helpless. Assistance early in the baby's life is important to avoid long-term emotional and behavioral problems for mother and child. Nationally, health and social policy focuses on assisting families including those with parental mental health and early parenting problems and children at risk of developmental difficulties. Australia's residential early parenting services are unique, offering brief treatment to mothers with difficulties and infants with unsettled behaviour. Parents are educated in infant care and provided with emotional support and assistance to adjust to the demands of parenting. In past studies by CIA and CIB women reported marked improvements in emotional distress, maternal confidence and infant manageability after completing this treatment and six months later. The education and emotional support were rated as acceptable and very effective. This project is a randomized controlled trial that will evaluate whether brief admission to a residential early parenting service has sustainable benefits for mild to moderate maternal mental health problems and for infant behaviour disturbance. Mothers with a diagnosable mental health condition and with four-month-old infants reported to have unsettled infant behaviour will be randomly assigned to a residential treatment program at an early parenting service or to routine care. Mothers and infants will be assessed with standardized psychological measures one month after treatment and when the baby is one year old. An effective and acceptable intervention will provide an important alternative to available treatments for postnatal psychological disturbance.Read moreRead less
Infant Motor Development Between 0-4 Months: A New Look At The Effect Of The ‘back To Sleep’ Program
Funder
National Health and Medical Research Council
Funding Amount
$107,182.00
Summary
An unexpected consequence of the Back to Sleep program is an increased incidence of deformational plagiocephaly (DP), or “flat head syndrome”, and concern about delayed development. It is not clear whether the current recommendation to provide ‘tummy-time’ play for infants when awake is the best way to prevent DP. Development of typical infants 0-4 months and infants with DP will be investigated and parents surveyed as a basis for development and trialling of a new DP prevention initiative.