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.
Overweight/obesity, Activity Patterns, And Health In 4-year-olds: The Longitudinal Study Of Australian Children
Funder
National Health and Medical Research Council
Funding Amount
$108,800.00
Summary
Levels of overweight and obesity are at an all-time high, but we know little about: - its prevalence in young Australian children - the activity patterns of young children and how this relates to overweight-obesity, at an age when lasting patterns of sedentary behaviour are becoming established. A better understanding of this relationship is important, because low levels of physical activity are probably a major driver in the current epidemic - how overweight-obesity affects very young children ....Levels of overweight and obesity are at an all-time high, but we know little about: - its prevalence in young Australian children - the activity patterns of young children and how this relates to overweight-obesity, at an age when lasting patterns of sedentary behaviour are becoming established. A better understanding of this relationship is important, because low levels of physical activity are probably a major driver in the current epidemic - how overweight-obesity affects very young children - how a familial predisposition to gain weight is translated into excessive weight gain during early childhood The present study will utilise data collected as part of the Longitudinal Study of Australian Children (LSAC). In March 2004, LSAC will enrol a nationally-representative cohort including 5000 4-year-olds for comprehensive longitudinal study, with the first wave of data available for analysis in April 2005. A unique feature of LSAC is direct measurement of children's weight and height coupled with detailed data about their use of time and health-related quality of life (HRQoL). The availability of these data will enable us for the first time to study the relationship between childhood overweight-obesity, detailed activity patterns of young children, parental overweight-obesity and the relationship between these variables and children's HRQoL. In late 2003, the National Health and Medical Research Council published its evidence-based Clinical Practice Guidelines for the Management of Overweight and Obesity in Children and Adolescents. This application addresses several of its key research recommendations, far more efficiently than could be done if a new study had to be set up specifically for this purpose. The proposal acknowledges the common problem of under-funding for analysis of important large datasets, and seeks to address this issue right from the start of LSAC.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.
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
Cluster Randomised Controlled Trial Of An Innovative Intervention To Increase Childrens Physical Activity
Funder
National Health and Medical Research Council
Funding Amount
$505,530.00
Summary
Rates of childhood obesity are increasing and outdoor free play is decreasing. Research suggests that these patterns are inter-related, and that adults perceive outdoor free play to be risky for children. In this study we will reprioritise play, reframe teachers' perceptions of risk and modify the playground environment to increase children's physical activity. We will assess the effectiveness of this simple, cost-effective intervention in a randomised controlled trial.
Assessing Sustainability Of Positive Outcomes In A Successful Child Obesity Prevention Intervention: Follow-up Of The Melbourne InFANT Program
Funder
National Health and Medical Research Council
Funding Amount
$882,700.00
Summary
Early intervention may be the most sustainable and effective means of preventing obesity and promoting healthy lifestyle behaviours (obesity preventive behaviours) including diet, physical activity and reduced sedentary behaviours. This project aims to assess whether differences observed between intervention and control groups at the conclusion of a successful obesity prevention program, the Melbourne InFANT Program, (child aged 18-months) are maintained across the important early childhood year ....Early intervention may be the most sustainable and effective means of preventing obesity and promoting healthy lifestyle behaviours (obesity preventive behaviours) including diet, physical activity and reduced sedentary behaviours. This project aims to assess whether differences observed between intervention and control groups at the conclusion of a successful obesity prevention program, the Melbourne InFANT Program, (child aged 18-months) are maintained across the important early childhood years, to 3.5 and 5 years of age.Read moreRead less
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.
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
Improved Hygiene Measures For Australian Child Care Centres: A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$440,573.00
Summary
Roughly fifty percent of young Australian children receive care outside their home. As greater numbers of women choose to continue working after childbirth, the proportion of children exposed to group care in the first few years of life will continue to increase. In developed countries child care attendance has been shown to be the most important modifiable risk factor for respiratory tract infections and otitis media. A previous study in nine Darwin child care centres demonstrated high rates of ....Roughly fifty percent of young Australian children receive care outside their home. As greater numbers of women choose to continue working after childbirth, the proportion of children exposed to group care in the first few years of life will continue to increase. In developed countries child care attendance has been shown to be the most important modifiable risk factor for respiratory tract infections and otitis media. A previous study in nine Darwin child care centres demonstrated high rates of respiratory tract infections, otitis media, antibiotic use and colonisation with both penicillin-sensitive and penicillin-resistant pneumococci. This study will assess the impact of simple hygiene measures on rates of pneumococcal colonisation, respiratory infection, otitis media, and pneumococcal antibiotic resistance. Twenty child care centres will be randomised to receive additional training and education in the prevention of spread of respiratory infection or routine care. Outcomes measures will include the number of new infection with Streptococcus pneumoniae and Haemophilus influenzae, reported illnesses, and rates of otitis media and nasal discharge documented by fortnightly examination with video recording and tympanometry. Efficacy of the intervention will be estimated at the end of the school year (9 months after the intervention) to avoid bias associated with changes in the child care environment that occur over the school holidays. The centres randomised to routine care will receive the full intervention at the completion of the study and all centres will be re-assessed 6 months .Read moreRead less
A Randomised Controlled Trial Of A Code Game Alarm Compared With A Standard Alarm For Treating Nocturnal Enuresis
Funder
National Health and Medical Research Council
Funding Amount
$349,740.00
Summary
Bedwetting affects 10% of school-aged children. It has psychosocial and cognitive effects on sufferers which is reversible with appropriate treatment. First line treatment for bedwetting is alarm therapy. 1-3 fail alarm treatment becaues of not waking to alarm noise. A novel alarm which enhances wakening has been developed and predicts to be 80-95% effective. This study compares the novel alarm to a standard alarm for treating bedwetting.This simple devise can be used in the home setting.