Individual, social and physical environmental influences on children's active transport and independent mobility. Childhood obesity is likely to have significant economic and social impacts on Australian society. Preventing further increases in this disease is crucial, particularly among children at high risk such as those living in rural or disadvantaged areas. The promotion of behaviours such as active transport may have a significant benefit for public health; however little is known about wh ....Individual, social and physical environmental influences on children's active transport and independent mobility. Childhood obesity is likely to have significant economic and social impacts on Australian society. Preventing further increases in this disease is crucial, particularly among children at high risk such as those living in rural or disadvantaged areas. The promotion of behaviours such as active transport may have a significant benefit for public health; however little is known about what influences active transport among children in rural or disadvantaged areas. This study will identify important factors influencing active transport and will directly inform strategies aiming to promote health and wellbeing, thereby creating a healthier generation of Australian children.Read moreRead less
Improving child safety in cars. This study aims to reduce the number of children killed and injured as passengers in car crashes. These deaths and injuries currently impose huge social and emotional costs on the community and the families involved. Any injury will compromise child health and development, and many result in temporary or long-term disability and care needs. From an economic viewpoint alone, child passenger fatalities and injuries have been conservatively estimated to cost in ex ....Improving child safety in cars. This study aims to reduce the number of children killed and injured as passengers in car crashes. These deaths and injuries currently impose huge social and emotional costs on the community and the families involved. Any injury will compromise child health and development, and many result in temporary or long-term disability and care needs. From an economic viewpoint alone, child passenger fatalities and injuries have been conservatively estimated to cost in excess of $400 million per year. Thus, this research will contribute to both social and economic savings and contribute to better health outcomes for the nation's childrenRead moreRead less
Improving the measurement and surveillance of child abuse in Queensland. Estimates of the prevalence of child abuse suggest 10-20% of children are affected, with financial costs to the community around $5 billion annually, and extensive health and social consequences. Despite these enormous costs, research into risk factors and prevalence of child abuse has been hampered by poorly validated statistics. The use of routine hospital data for the identification of child abuse cases offers an effici ....Improving the measurement and surveillance of child abuse in Queensland. Estimates of the prevalence of child abuse suggest 10-20% of children are affected, with financial costs to the community around $5 billion annually, and extensive health and social consequences. Despite these enormous costs, research into risk factors and prevalence of child abuse has been hampered by poorly validated statistics. The use of routine hospital data for the identification of child abuse cases offers an efficient nationally standardised data source to improve the precision of child protection departmental responses through routine monitoring and audits of linked health and child protection data. Improvement of data will inform identification, intervention and prevention strategies.Read moreRead less
A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping ....A randomised controlled trial assessing the effects of a school-based sleep intervention in Year 6 and 7 students. Inadequate sleep is associated with a wide range of health problems in children, including obesity and poor performance at school. Children are sleeping less than ever before, and there is an increasing pattern of “yo yo sleeping” (sleep deprivation on school days followed by catch up sleeps on weekends). This study will trial a school-based program designed to improve the sleeping habits of children. Better sleep is expected to result in improved alertness, better life satisfaction, and improved weight status.Read moreRead less
Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood progr ....Preventing mental health problems in children: a population-based cluster controlled trial. The National Mental Health Survey (2000) found 1 in 7 children have externalising (aggression) and internalising (anxiety, depression) problems. Early mental health problems beget later problems with high costs to society, including clinical, remedial education and criminal justice services. Hence, early prevention is vital for national well-being and productivity. The few preventive early childhood programs to date are limited in effectiveness and not truly population-based. The proposed parenting / family support trial aims to overcome these obstacles, by comparing and costing two approaches that can be implemented within whole communities. The trial will help clarify optimal primary care to prevent mental health problems early in life.Read moreRead less
Domestic air quality: towards the setting of guidelines. Air quality standards have been developed to protect human health. Although people spend most of their time indoors there are no standards and only a few guidelines for indoor air pollution (IAP). The aim of this study is to investigate the levels of IAP that may worsen asthma in children. Childhood asthma will be used as a health indicator due to its high prevalence, cost to the healthcare system and implications for respiratory morbidity ....Domestic air quality: towards the setting of guidelines. Air quality standards have been developed to protect human health. Although people spend most of their time indoors there are no standards and only a few guidelines for indoor air pollution (IAP). The aim of this study is to investigate the levels of IAP that may worsen asthma in children. Childhood asthma will be used as a health indicator due to its high prevalence, cost to the healthcare system and implications for respiratory morbidity in adult life. We expect to identify levels of IAP that will represent a health risk as well as the factors that may contribute to increased IAP in homes.Read moreRead less
Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a ....Safety and resiliency at home: voices of children who live with fear. Finding out what can help children feel safer who are currently living in households where there is family violence will enable early intervention for better outcomes for such children. This research is significant because it will focus on targeting appropriate responses by listening to the views of children themselves and hence finding out what is really helpful for them to build resiliency. This is important to the work of a key family welfare agency (Berry St) but it also has benefit for health and welfare workers throughout Australia. Appropriate early intervention will not only help the families concerned but will strengthen Australia's economic and social fabric, a priority goal of the national research agenda.Read moreRead less
Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine sa ....Can and should we link data at a national level? Vaccine safety surveillance: A case study. This project provides many benefits for the community, exploring the legal and ethical issues around consent for data linkage, convening Citizens' Juries to weigh the evidence and make recommendations. It addresses National Research Priorities: Promoting and Maintaining Good Health and Safeguarding Australia as well as National Collaborative Research Infrastructure Strategy priorities. It uses vaccine safety surveillance as a case study to evaluate the effectiveness of data linkage (through linking Commonwealth immunisation data to state hospital data) and the methodologies and lessons learnt from cross jurisdictional data linkage can be transferred to other areas. Read moreRead less
Negotiating the Challenge of Cultural Diversity in Children's Health Care: The Australian Context. The increasing population of culturally and linguistically diverse (CALD) Australians creates challenges which research to date has only partially identified and addressed. In particular, family dynamics, parenting practices and culturally specific beliefs regarding illness in childhood influence and at times severely inhibit effective access to all aspects of our health care system. Employing qual ....Negotiating the Challenge of Cultural Diversity in Children's Health Care: The Australian Context. The increasing population of culturally and linguistically diverse (CALD) Australians creates challenges which research to date has only partially identified and addressed. In particular, family dynamics, parenting practices and culturally specific beliefs regarding illness in childhood influence and at times severely inhibit effective access to all aspects of our health care system. Employing qualitative and quantitative methods, this project will generate Australian evidence-based research by mapping the range of cultural practices at the interface of health service provision, providing culturally appropriate and relevant data to inform policy, planning and resourcing of health services for CALD children and parents/carers in NSW.Read moreRead less
An Investigation of Intersubjectivity: Music Therapy and Hospitalised Infants. A contingent relationship is vital for normal infant development. The Neonatal Intensive Care Unit, which supplies life-saving modern medical technology to very sick infants, is also an environment where contingency is rarely available to the infant . In this environment, a Music Therapist ?improvising? with the infant, can re-introduce contingency to the infant, and encourage infant self-regulation. This project inv ....An Investigation of Intersubjectivity: Music Therapy and Hospitalised Infants. A contingent relationship is vital for normal infant development. The Neonatal Intensive Care Unit, which supplies life-saving modern medical technology to very sick infants, is also an environment where contingency is rarely available to the infant . In this environment, a Music Therapist ?improvising? with the infant, can re-introduce contingency to the infant, and encourage infant self-regulation. This project investigates the efficacy of a Music Therapy intervention in improving infant health, and micro-analyses the interaction between infant and therapist in order to further understand the nature of the Communicative Musicality of the interaction.Read moreRead less