ORCID Profile
0000-0002-8826-1242
Current Organisations
RIDBC Renwick Centre for Research and Professional Education, University of Newcastle
,
RIDBC Renwick Centre for Research and Professional Education, Macquarie University
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Publisher: Informa UK Limited
Date: 09-07-2022
DOI: 10.1080/17518423.2021.1942280
Abstract: To report prospective longitudinal data of early vocaliszations of infants identified "at-risk" of cerebral palsy (CP) for early identification of communication impairment. This case-control longitudinal prospective cohort study reports on the assessment of 36 infants, 18 identified as at-risk of CP at the time of enrolment and 18 typically developing (TD) children, at three time points: 6 months, 9 months and 12 months of age, Data were obtained through criterion and norm referenced assessments of vocaliszation behaviors. Early vocal behaviors of infants identified as at-risk of CP did not differ from their age matched peers at 6 months of age, however, significant group differences emerged at 9 and 12 months when pre-canonical and canonical babble typically emerge. Generalized linear mixed models analysis showed that the rate of development of early language ability and more complex speech-related vocal behaviors was slower for infants at risk of CP when compared to TD infants, with over 75% of infants with CP showing below normal vocal production and impaired language by 12 months of age. Our data suggest characteristics of infant vocalizations associated with pre-canonical and canonical babbling provide a strong evidence base for predicting communication outcomes in infants at risk of CP.
Publisher: Knowledge E
Date: 2022
DOI: 10.18502/JMEHM.V14I24.8184
Abstract: Telemedicine can improve access to healthcare services however, it has raised ethical concerns demanding special considerations. This study aimed at developing the codes of ethics for telemedicine, and hence several approved national and international ethical guidelines related to telemedicine practice were reviewed, and 48 semi-structured interviews were conducted with medical ethics and medical informatics experts as well as with physicians and patients who had telemedicine experiences. Content analysis was then performed on the interviews’ transcripts and a draft on code of ethics was prepared, which was further reviewed by the experts in the focus group meetings to reach a consensus on the final document. The final document consisted of a preface, five considerations, and 25 ethical statements. Considering the growing trend of adopting telemedicine worldwide, this document provides an ethical framework for those who use telemedicine in their medical practice.
Publisher: Informa UK Limited
Date: 19-08-2014
Publisher: BMJ
Date: 10-2022
DOI: 10.1136/BMJOPEN-2022-065567
Abstract: While the majority of adults with severe-to-profound hearing loss and poor speech perception outcomes with hearing aids benefit from receiving a cochlear implant, the long-term health and social benefits for implant recipients are yet to be explored. The objective of the ARCHS research is to provide a better understanding of the health and social factors that play a role in the lives of adults with a cochlear implant up to 10 years after the procedure. This research will involve conducting two retrospective cohort studies of adults aged ≥18 years who received a cochlear implant during 2011–2021 using linked administrative data first within New South Wales (NSW) and second Australia-wide. It will examine health service use and compare health and social outcomes for younger (18–64 years) and older (≥65 years) cochlear implant recipients. Ethical approval was received from the NSW Population Health Services Research Ethics Committee for the NSW cohort study (Reference: 2022/ETH00382/2022.07) and from the Macquarie University ethics committee for the national cohort study (Reference: 520221151437084). Research findings will be published in peer-reviewed journals and presented at scientific conferences.
Publisher: Informa UK Limited
Date: 02-10-2018
Publisher: eLife Sciences Publications, Ltd
Date: 09-03-2021
DOI: 10.7554/ELIFE.60060
Abstract: From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in different regions using data from 2896 population-based studies with 187 million participants. Changes in the prevalence of underweight and total obesity, and to a lesser extent severe obesity, are largely driven by shifts in the distribution of BMI, with smaller contributions from changes in the shape of the distribution. In East and Southeast Asia and sub-Saharan Africa, the underweight tail of the BMI distribution was left behind as the distribution shifted. There is a need for policies that address all forms of malnutrition by making healthy foods accessible and affordable, while restricting unhealthy foods through fiscal and regulatory restrictions.
Publisher: SAGE Publications
Date: 14-04-2019
Abstract: It is accepted that support for children with visual impairment should aim at mitigating for the functional impact experienced. Assessment for support should focus on this functional impact. However, it is now common practice that children in Australia are assessed in clinical environments that do not adequately reflect a child’s everyday functional performance. This article presents a preliminary trial that investigated VIS-Ability – a new approach aimed at identifying behaviours that indicate the functional impact of childhood visual impairment. VIS-Ability is a tool that derived from an e-Delphi study in which professionals experienced in the management of children with visual impairment identified four key areas related to functional impact. The behaviours believed to indicate this impact were also identified and included in VIS-Ability, as simple statements that questioned impact on use of vision in the immediate environment, on spontaneous and continuous use of vision, and on coordination of vision with other tasks. A total of 12 children with visual impairment and no additional disabilities consented to participate in the VIS-Ability preliminary trial. All participants completed VIS-Ability (based on behaviours), and an aggregated result was then compared to the child’s performance on a validated, self-reported (activity-based) questionnaire named the Functional Vision Questionnaire for Children and Young People, 36 items (FVQ_CYP 36). When participant results on VIS-Ability were compared to FVQ_CYP (36) scores, an association between the assessment of functional impact made by each instrument (VIS-Ability: FVQ_CYP 36) was evident. Support systems for children with visual impairment must be founded in assessment that reveals the child’s true needs. The preliminary trial presented a new approach to identifying functional impact named VIS-Ability, an approach that identifies impact through the presence of behaviours rather than clinical measurements. Further evaluation of VIS-Ability will reveal whether this approach assists with the development of better clinical and educational understanding of childhood visual impairment.
Publisher: Springer Science and Business Media LLC
Date: 30-08-2023
DOI: 10.1186/S12913-023-09900-Y
Abstract: Hearing loss can have a negative impact on in iduals’ health and engagement with social activities. Integrated approaches that tackle barriers and social outcomes could mitigate some of these effects for cochlear implants (CI) users. This review aims to synthesise the evidence of the impact of a CI on adults’ health service utilisation and social outcomes. Five databases (MEDLINE, Scopus, ERIC, CINAHL and PsychINFO) were searched from 1st January 2000 to 16 January 2023 and May 2023. Articles that reported on health service utilisation or social outcomes post-CI in adults aged ≥ 18 years were included. Health service utilisation includes hospital admissions, emergency department (ED) presentations, general practitioner (GP) visits, CI revision surgery and pharmaceutical use. Social outcomes include education, autonomy, social participation, training, disability, social housing, social welfare benefits, occupation, employment, income level, anxiety, depression, quality of life (QoL), communication and cognition. Searched articles were screened in two stages ̶̶̶ by going through the title and abstract then full text. Information extracted from the included studies was narratively synthesised. There were 44 studies included in this review, with 20 (45.5%) cohort studies, 18 (40.9%) cross-sectional and six (13.6%) qualitative studies. Nine studies (20.5%) reported on health service utilisation and 35 (79.5%) on social outcomes. Five out of nine studies showed benefits of CI in improving adults’ health service utilisation including reduced use of prescription medication, reduced number of surgical and audiological visits. Most of the studies 27 (77.1%) revealed improvements for at least one social outcome, such as work or employment 18 (85.7%), social participation 14 (93.3%), autonomy 8 (88.9%), education (all nine studies), perceived hearing disability (five out of six studies) and income (all three studies) post-CI. None of the included studies had a low risk of bias. This review identified beneficial impacts of CI in improving adults’ health service utilisation and social outcomes. Improvement in hearing enhanced social interactions and working lives. There is a need for large scale, well-designed epidemiological studies examining health and social outcomes post-CI.
Publisher: Informa UK Limited
Date: 11-06-2018
Location: Australia
Location: Australia
Location: Australia
No related grants have been discovered for Robyn Cantle Moore.